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Carina® and Esteem®: a systematic review of fully implantable hearing devices.

ABSTRACT: To review the outcomes of the fully implantable middle ear devices Carina and Esteem regarding the treatment of hearing loss.PubMed, Embase, Scielo, and Cochrane Library databases were searched.Abstracts of 77 citations were screened, and 43 articles were selected for full review. From those, 22 studies and two literature reviews in English directly demonstrating the results of Carina and Esteem were included.There were a total of 244 patients ranging from 18 to 88 years. One hundred and 10 patients were implanted with Carina and with 134 Esteem. There were registered 92 males and 67 females. Five studies provided no information about patients' age or gender. From the data available, the follow-up ranged from 2 to 29.4 months.The comparison of the results about word recognition is difficult as there was no standardization of measurement. The results were obtained from various sound intensities and different frequencies. The outcomes comparing to conventional HAs were conflicting. Nevertheless, all results comparing to unaided condition showed improvement and showed a subjective improvement of quality of life.There are still some problems to be solved, mainly related to device functioning and price. Due to the relatively few publications available and small sample sizes, we must be careful in extrapolating these results to a broader population. Additionally, none of all these studies represented level high levels of evidence (i.e. randomized controlled trials).

SUBMITTER: Pulcherio JO

PROVIDER: S-EPMC4201540 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

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Carina® and Esteem®: a systematic review of fully implantable hearing devices.

Pulcherio Janaina Oliveira Bentivi JO Bittencourt Aline Gomes AG Burke Patrick Rademaker PR Monsanto Rafael da Costa RC de Brito Rubens R Tsuji Robinson Koji RK Bento Ricardo Ferreira RF

PloS one 20141017 10

<h4>Objective</h4>To review the outcomes of the fully implantable middle ear devices Carina and Esteem regarding the treatment of hearing loss.<h4>Data sources</h4>PubMed, Embase, Scielo, and Cochrane Library databases were searched.<h4>Study selection</h4>Abstracts of 77 citations were screened, and 43 articles were selected for full review. From those, 22 studies and two literature reviews in English directly demonstrating the results of Carina and Esteem were included.<h4>Data extraction</h4> ...[more]

PMID: 25329463

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Project description:BackgroundCapacity to deliver outpatient care for patients with cardiac implantable electronic devices (CIEDs) may soon be outweighed by need. This systematic review aims to investigate the comparative effectiveness, safety, and cost for virtual or remote clinic interventions for patients with CIEDs and explores how outcomes may be influenced by patient or system factors in-depth.MethodsWe will perform a systematic literature search in MEDLINE, Embase, PsycINFO, CINAHL, Proquest Dissertations & Theses, other EBM Reviews, and trial registry databases. Two authors will independently screen titles and abstracts for eligibility. We will include randomized and non-randomized controlled trials, quasi-randomized and experimental studies, cohort, and case-control studies. Study populations of interest are individuals with a CIED (pacemaker, ICD, CRT). Eligibility will be restricted to virtual or remote follow-up or care interventions compared to any other approach. The co-primary outcomes of interest are mortality and patient satisfaction. Secondary outcomes include clinical effectiveness (e.g., ICD shock, time-to-detection of medical event, hospitalizations), safety (e.g., serious or device-related adverse events), device efficacy (e.g., transmissions, malfunctions), costs, workflow (e.g., resources, process outcomes, time-saved), and patient reported (e.g., burden, quality of life). Data will be extracted by one author and checked by a second using a standardized template. We will use published frameworks to capture data relevant to intervention effects that may be influenced by intervention definition or complexity, context and setting, or in socially disadvantaged populations. Detailed descriptive results will be presented for all included studies and outcomes, and where feasible, synthesized using meta-analysis. Risk of bias will be assessed by two review authors independently using Cochrane Risk of Bias tools. Certainty of evidence will be assessed using the GRADE approach.DiscussionIncreases in number of CIEDs implanted, combined with an aging population and finite health resource allocations at the system-level may lead to increased reliance on virtual follow-up or care models in the future. These models must prioritize consistent, equitable, and timely care as a priority. Results from this systematic review will provide important insight into the potential contextual factors which moderate or mediate the effectiveness, safety, and cost of virtual follow-up or care models for patients.Systematic review registrationPROSPERO registration number CRD42020145210.

Dataset Information

Carina® and Esteem®: a systematic review of fully implantable hearing devices.

Publications

Carina® and Esteem®: a systematic review of fully implantable hearing devices.

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