International Consensus Statements on Intraoperative Testing for Cochlear Implantation Surgery

Farid Alzhrani; Isra Aljazeeri; Yassin Abdelsamad; Abdulrahman Alsanosi; Ana H Kim; Angel Ramos-Macias; Angel Ramos-de-Miguel; Anja Kurz; Artur Lorens; Bruce Gantz; Craig A Buchman; Dayse Távora-Vieira; Georg Sprinzl; Griet Mertens; James E Saunders; Julie Kosaner; Laila M Telmesani; Luis Lassaletta; Manohar Bance; Medhat Yousef; Meredith A Holcomb; Oliver Adunka; Per Cayé- Thomasen; Piotr H Skarzynski; Ranjith Rajeswaran; Robert J Briggs; Seung-Ha Oh; Stefan Plontke; Stephen J O'Leary; Sumit Agrawal; Tatsuya Yamasoba; Thomas Lenarz; Thomas Wesarg; Walter Kutz; Patrick Connolly; Ilona Anderson; Abdulrahman Hagr

doi:10.1097/AUD.0000000000001526

International Consensus Statements on Intraoperative Testing for Cochlear Implantation Surgery

Farid Alzhrani^*, Isra Aljazeeri, Yassin Abdelsamad, Abdulrahman Alsanosi, Ana H Kim, Angel Ramos-Macias, Angel Ramos-de-Miguel, Anja Kurz, Artur Lorens, Bruce Gantz, Craig A Buchman, Dayse Távora-Vieira, Georg Sprinzl, Griet Mertens, James E Saunders, Julie Kosaner, Laila M Telmesani, Luis Lassaletta, Manohar Bance, Medhat YousefMeredith A Holcomb, Oliver Adunka, Per Cayé- Thomasen, Piotr H Skarzynski, Ranjith Rajeswaran, Robert J Briggs, Seung-Ha Oh, Stefan Plontke, Stephen J O'Leary, Sumit Agrawal, Tatsuya Yamasoba, Thomas Lenarz, Thomas Wesarg, Walter Kutz, Patrick Connolly, Ilona Anderson, Abdulrahman Hagr

^*Corresponding author for this work

Division of Otorhinolaryngology (University Hospital St. Pölten)

Research output: Journal article (peer-reviewed) › Journal article

1 Citation (Scopus)

Abstract

OBJECTIVES: A wide variety of intraoperative tests are available in cochlear implantation. However, no consensus exists on which tests constitute the minimum necessary battery. We assembled an international panel of clinical experts to develop, refine, and vote upon a set of core consensus statements.

DESIGN: A literature review was used to identify intraoperative tests currently used in the field and draft a set of provisional statements. For statement evaluation and refinement, we used a modified Delphi consensus panel structure. Multiple interactive rounds of voting, evaluation, and feedback were conducted to achieve convergence.

RESULTS: Twenty-nine provisional statements were included in the original draft. In the first voting round, consensus was reached on 15 statements. Of the 14 statements that did not reach consensus, 12 were revised based on feedback provided by the expert practitioners, and 2 were eliminated. In the second voting round, 10 of the 12 revised statements reached a consensus. The two statements which did not achieve consensus were further revised and subjected to a third voting round. However, both statements failed to achieve consensus in the third round. In addition, during the final revision, one more statement was decided to be deleted due to overlap with another modified statement.

CONCLUSIONS: A final core set of 24 consensus statements was generated, covering wide areas of intraoperative testing during CI surgery. These statements may provide utility as evidence-based guidelines to improve quality and achieve uniformity of surgical practice.

Original language	English
Pages (from-to)	1418-1426
Number of pages	9
Journal	Ear and Hearing
Volume	45
Issue number	6
Early online date	25 Jun 2024
DOIs	https://doi.org/10.1097/AUD.0000000000001526
Publication status	Published - 25 Jun 2024

Keywords

Humans
Cochlear Implantation/standards
Consensus
Delphi Technique
Intraoperative Care/standards
Hearing Tests/standards

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10.1097/AUD.0000000000001526

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Alzhrani, F., Aljazeeri, I., Abdelsamad, Y., Alsanosi, A., Kim, A. H., Ramos-Macias, A., Ramos-de-Miguel, A., Kurz, A., Lorens, A., Gantz, B., Buchman, C. A., Távora-Vieira, D., Sprinzl, G., Mertens, G., Saunders, J. E., Kosaner, J., Telmesani, L. M., Lassaletta, L., Bance, M., ... Hagr, A. (2024). International Consensus Statements on Intraoperative Testing for Cochlear Implantation Surgery. Ear and Hearing, 45(6), 1418-1426. https://doi.org/10.1097/AUD.0000000000001526

@article{dfdec210669c4075b37902031399d037,

title = "International Consensus Statements on Intraoperative Testing for Cochlear Implantation Surgery",

abstract = "OBJECTIVES: A wide variety of intraoperative tests are available in cochlear implantation. However, no consensus exists on which tests constitute the minimum necessary battery. We assembled an international panel of clinical experts to develop, refine, and vote upon a set of core consensus statements.DESIGN: A literature review was used to identify intraoperative tests currently used in the field and draft a set of provisional statements. For statement evaluation and refinement, we used a modified Delphi consensus panel structure. Multiple interactive rounds of voting, evaluation, and feedback were conducted to achieve convergence.RESULTS: Twenty-nine provisional statements were included in the original draft. In the first voting round, consensus was reached on 15 statements. Of the 14 statements that did not reach consensus, 12 were revised based on feedback provided by the expert practitioners, and 2 were eliminated. In the second voting round, 10 of the 12 revised statements reached a consensus. The two statements which did not achieve consensus were further revised and subjected to a third voting round. However, both statements failed to achieve consensus in the third round. In addition, during the final revision, one more statement was decided to be deleted due to overlap with another modified statement.CONCLUSIONS: A final core set of 24 consensus statements was generated, covering wide areas of intraoperative testing during CI surgery. These statements may provide utility as evidence-based guidelines to improve quality and achieve uniformity of surgical practice.",

keywords = "Humans, Cochlear Implantation/standards, Consensus, Delphi Technique, Intraoperative Care/standards, Hearing Tests/standards",

author = "Farid Alzhrani and Isra Aljazeeri and Yassin Abdelsamad and Abdulrahman Alsanosi and Kim, {Ana H} and Angel Ramos-Macias and Angel Ramos-de-Miguel and Anja Kurz and Artur Lorens and Bruce Gantz and Buchman, {Craig A} and Dayse T{\'a}vora-Vieira and Georg Sprinzl and Griet Mertens and Saunders, {James E} and Julie Kosaner and Telmesani, {Laila M} and Luis Lassaletta and Manohar Bance and Medhat Yousef and Holcomb, {Meredith A} and Oliver Adunka and Thomasen, {Per Cay{\'e}-} and Skarzynski, {Piotr H} and Ranjith Rajeswaran and Briggs, {Robert J} and Seung-Ha Oh and Stefan Plontke and O'Leary, {Stephen J} and Sumit Agrawal and Tatsuya Yamasoba and Thomas Lenarz and Thomas Wesarg and Walter Kutz and Patrick Connolly and Ilona Anderson and Abdulrahman Hagr",

note = "Publisher Copyright: Copyright {\textcopyright} 2024 The Authors.",

year = "2024",

month = jun,

day = "25",

doi = "10.1097/AUD.0000000000001526",

language = "English",

volume = "45",

pages = "1418--1426",

journal = "Ear and Hearing",

issn = "0196-0202",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "6",

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Alzhrani, F, Aljazeeri, I, Abdelsamad, Y, Alsanosi, A, Kim, AH, Ramos-Macias, A, Ramos-de-Miguel, A, Kurz, A, Lorens, A, Gantz, B, Buchman, CA, Távora-Vieira, D, Sprinzl, G, Mertens, G, Saunders, JE, Kosaner, J, Telmesani, LM, Lassaletta, L, Bance, M, Yousef, M, Holcomb, MA, Adunka, O, Thomasen, PC, Skarzynski, PH, Rajeswaran, R, Briggs, RJ, Oh, S-H, Plontke, S, O'Leary, SJ, Agrawal, S, Yamasoba, T, Lenarz, T, Wesarg, T, Kutz, W, Connolly, P, Anderson, I & Hagr, A 2024, 'International Consensus Statements on Intraoperative Testing for Cochlear Implantation Surgery', Ear and Hearing, vol. 45, no. 6, pp. 1418-1426. https://doi.org/10.1097/AUD.0000000000001526

TY - JOUR

T1 - International Consensus Statements on Intraoperative Testing for Cochlear Implantation Surgery

AU - Alzhrani, Farid

AU - Aljazeeri, Isra

AU - Abdelsamad, Yassin

AU - Alsanosi, Abdulrahman

AU - Kim, Ana H

AU - Ramos-Macias, Angel

AU - Ramos-de-Miguel, Angel

AU - Kurz, Anja

AU - Lorens, Artur

AU - Gantz, Bruce

AU - Buchman, Craig A

AU - Távora-Vieira, Dayse

AU - Sprinzl, Georg

AU - Mertens, Griet

AU - Saunders, James E

AU - Kosaner, Julie

AU - Telmesani, Laila M

AU - Lassaletta, Luis

AU - Bance, Manohar

AU - Yousef, Medhat

AU - Holcomb, Meredith A

AU - Adunka, Oliver

AU - Thomasen, Per Cayé-

AU - Skarzynski, Piotr H

AU - Rajeswaran, Ranjith

AU - Briggs, Robert J

AU - Oh, Seung-Ha

AU - Plontke, Stefan

AU - O'Leary, Stephen J

AU - Agrawal, Sumit

AU - Yamasoba, Tatsuya

AU - Lenarz, Thomas

AU - Wesarg, Thomas

AU - Kutz, Walter

AU - Connolly, Patrick

AU - Anderson, Ilona

AU - Hagr, Abdulrahman

PY - 2024/6/25

Y1 - 2024/6/25

N2 - OBJECTIVES: A wide variety of intraoperative tests are available in cochlear implantation. However, no consensus exists on which tests constitute the minimum necessary battery. We assembled an international panel of clinical experts to develop, refine, and vote upon a set of core consensus statements.DESIGN: A literature review was used to identify intraoperative tests currently used in the field and draft a set of provisional statements. For statement evaluation and refinement, we used a modified Delphi consensus panel structure. Multiple interactive rounds of voting, evaluation, and feedback were conducted to achieve convergence.RESULTS: Twenty-nine provisional statements were included in the original draft. In the first voting round, consensus was reached on 15 statements. Of the 14 statements that did not reach consensus, 12 were revised based on feedback provided by the expert practitioners, and 2 were eliminated. In the second voting round, 10 of the 12 revised statements reached a consensus. The two statements which did not achieve consensus were further revised and subjected to a third voting round. However, both statements failed to achieve consensus in the third round. In addition, during the final revision, one more statement was decided to be deleted due to overlap with another modified statement.CONCLUSIONS: A final core set of 24 consensus statements was generated, covering wide areas of intraoperative testing during CI surgery. These statements may provide utility as evidence-based guidelines to improve quality and achieve uniformity of surgical practice.

AB - OBJECTIVES: A wide variety of intraoperative tests are available in cochlear implantation. However, no consensus exists on which tests constitute the minimum necessary battery. We assembled an international panel of clinical experts to develop, refine, and vote upon a set of core consensus statements.DESIGN: A literature review was used to identify intraoperative tests currently used in the field and draft a set of provisional statements. For statement evaluation and refinement, we used a modified Delphi consensus panel structure. Multiple interactive rounds of voting, evaluation, and feedback were conducted to achieve convergence.RESULTS: Twenty-nine provisional statements were included in the original draft. In the first voting round, consensus was reached on 15 statements. Of the 14 statements that did not reach consensus, 12 were revised based on feedback provided by the expert practitioners, and 2 were eliminated. In the second voting round, 10 of the 12 revised statements reached a consensus. The two statements which did not achieve consensus were further revised and subjected to a third voting round. However, both statements failed to achieve consensus in the third round. In addition, during the final revision, one more statement was decided to be deleted due to overlap with another modified statement.CONCLUSIONS: A final core set of 24 consensus statements was generated, covering wide areas of intraoperative testing during CI surgery. These statements may provide utility as evidence-based guidelines to improve quality and achieve uniformity of surgical practice.

KW - Humans

KW - Cochlear Implantation/standards

KW - Consensus

KW - Delphi Technique

KW - Intraoperative Care/standards

KW - Hearing Tests/standards

UR - http://www.scopus.com/inward/record.url?scp=85206955837&partnerID=8YFLogxK

U2 - 10.1097/AUD.0000000000001526

DO - 10.1097/AUD.0000000000001526

M3 - Journal article

C2 - 38915137

SN - 0196-0202

VL - 45

SP - 1418

EP - 1426

JO - Ear and Hearing

JF - Ear and Hearing

IS - 6

ER -

International Consensus Statements on Intraoperative Testing for Cochlear Implantation Surgery

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