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Multicenter scoping survey reveals diverse clinical routines and the need for cognitive screening in older cochlear implant candidates, indicating the necessity for standardized management guidelines.
BACKGROUND: Research on the hearing implant journey in older adults is scarce. AIMS/OBJECTIVES: To conduct a multicenter scoping survey on the clinical routine in the treatment of hearing loss, specifically cochlear implantation, in older adults. MATERIALS AND METHODS: A survey comprising 39 questions on the treatment of hearing loss in older adults was sent to 20 cochlear implant clinics worldwide. RESULTS: Most respondents referred to older adults in the context of cochlear implantation as adults aged 60 years or older with postlingual, mostly progressive hearing loss with different aetiologies. Preoperative assessment in older adults should go beyond standard audiometric tests, including cognitive screening and involving a multidisciplinary team. Significant others and social support play a key role in the rehabilitation process in older adult CI recipients and users. CONCLUSIONS AND SIGNIFICANCE: A guideline for the management of cochlear implantation in older adults is needed.
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Távora‐Vieira et al. (2026) studied this question.
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