Evidence mapPaperPMID 41718336Full record

ArticleAudiology research2026

Trends in Adult Cochlear Implant Access and Uptake Across Ten Years of Reported Data.

Patrick D'Haese, Paul Van de Heyning, Javier Gavilan, Mario Emilio Zernotti, Paula Greenham

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Article in Audiology research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Patrick D'HaeseMED-EL GmbH, 6020 Innsbruck, Austria.ORCID 0000-0002-4212-5878
Paul Van de HeyningHearing Health Forum EU, 6020 Innsbruck, Austria.
Javier GavilanDepartment of Otorhinolaryngology, La Paz University Hospital, Castellana 261, 28046 Madrid, Spain.ORCID 0000-0002-9357-5932
Mario Emilio ZernottiDepartment of Otorhinolaryngology, Sanatorio Allende, Córdoba 5000, Argentina.ORCID 0000-0003-4288-2809
Paula GreenhamGreenham Research Consulting Ltd., Swindon SN6 8LP, UK.ORCID 0000-0001-8513-9770

Funding

MED-EL- GmbH, Innsbruck, Austria NA
6 · The paper itself

Abstract

backgroundAdults with severe to profound hearing loss have limited access to cochlear implants (CIs). The objective of this study was to assess the evidence to establish whether the uptake rate of CIs has changed over the past decade.

methodsA PubMed search, supplemented with manual searching, identified 15 relevant papers published from 2000 to 4 February 2025 reporting the uptake rate of CIs in adults. In addition, new calculations of uptake rates were made for 2019, based on total numbers of CIs implanted and the prevalence of hearing loss from the 2019 Global Burden of Disease Study.

resultsThere was a lack of published data on the uptake rates for cochlear implants, with very little consensus in the methods used across studies. The overall uptake rates for adults and children combined, calculated for 2019 using the Lancet Global Burden of Disease Study, showed that uptake is still ≤20% for those with profound to complete hearing loss in most high-income countries. When the global population is considered (including high- to low-income countries), it is merely 2.5%.

conclusionsDespite the cochlear implant awareness activities of recent years, the percentage of profoundly deaf individuals with cochlear implants, even in high-income countries, remains low. Uptake rates are much worse than those for hearing aid use for severe to profound deafness. Better and more accurate data must be gathered on the number of CI recipients to meet the reporting requirements of the World Health Organisation's report on hearing.

Indexed as

cochlear implanthearing losspenetrationprevalenceuptake

Identifiers

PMID41718336
PMCPMC12922044

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