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Trends in educational placement and cost-benefit considerations in children with cochlear implants


, : Trends in educational placement and cost-benefit considerations in children with cochlear implants. Archives of Otolaryngology--Head & Neck Surgery 125(5): 499-505

To study the effect of cochlear implantation on the use of educational resources by profoundly hearing-impaired children and to determine trends in educational cost vs benefit. Retrospective study and cost-benefit analysis. Outpatient pediatric cochlear implant program in an academic institution (The Listening Center at Johns Hopkins University School of Medicine, Baltimore, Md), in collaboration with public schools in Maryland and surrounding states. School-aged children with profound prelingual hearing impairment without other clearly defined disabilities. Thirty-five children with multiple-channel cochlear prostheses and a comparison group of 10 children without implants from 'total communication' programs in the Maryland public school system. Multiple-channel cochlear implantation and at least 1 year of a systematic auditory skill development program at the Listening Center, compared with standard educational management of children with conventional amplification. Classroom placement and number of hours of special educational support used. A correlation was observed between the length of cochlear implant experience and the rate of full-time placement in mainstream classrooms (r = 0.10; P= .04). There was also a negative correlation between the length of implant experience and the number of hours of special educational support used by fully mainstreamed children (Pearson product moment correlation = -0.10; P = .03). Children with greater than 2 years of implant experience were mainstreamed at twice the rate or more of age-matched children with profound hearing loss who did not have implants. They were also placed less frequently in self-contained classrooms and used fewer hours of special education support. A cost-benefit analysis based on conservative estimates of educational expenses from kindergarten to 12th grade shows a cost savings of cochlear implantation and appropriate auditory (re)habilitation that ranges from $30000 to $200000. Cochlear implantation accompanied by aural (re)habilitation increases access to acoustic information of spoken language, leading to higher rates of mainstream placement in schools and lower dependence on special education support services. The cost savings that results from a decrease in the use of support services indicates an educational cost benefit of cochlear implant (re)habilitation for many children.

US$29.90

PMID: 10326806


Other references

Gunawan, M.; Sangster, N.C.; Kelly, J.D.; Griffin, D.; Whitlock, H.V., 1979: The efficacy of fenbendazole and albendazole against immature and adult stages of benzimidazole-resistant sheep trichostrongylids. The efficacy of two recently introduced benzimidazole anthelmintics, albendazole and fenbendazole, was determined for six-day, 10-day and adult stages of resistant strains of Haemonchus contortus and Trichostrongylus colubriformis. Albendazole, at...

Zimmermann, E.; Morrone, M.Concetta.; Burr, D.C., 2014: The visual component to saccadic compression. Visual objects presented around the time of saccadic eye movements are strongly mislocalized towards the saccadic target, a phenomenon known as "saccadic compression." Here we show that perisaccadic compression is modulated by the presen...

Birtwistle, W., 1931: Rearing of carp in ponds. Malayan Agricultural Journal, 19: 372-383

Gawlik, J., 1983: Usability of the modified method of Belokopytov for the peat decomposition determination. Wiadomosci Instytutu Melioracji i Uzytkow Zielonych5(1): 33-46

Jiang, D.; Weidner, J.M.; Qing, M.; Pan, X-Ben.; Guo, H.; Xu, C.; Zhang, X.; Birk, A.; Chang, J.; Shi, P-Yong.; Block, T.M.; Guo, J-Tao., 2010: Identification of five interferon-induced cellular proteins that inhibit west nile virus and dengue virus infections. Interferons (IFNs) are key mediators of the host innate antiviral immune response. To identify IFN-stimulated genes (ISGs) that instigate an antiviral state against two medically important flaviviruses, West Nile virus (WNV) and dengue virus (DENV...

Zakim, D.; Edmondson, D.E., 1982: The role of the membrane in the regulation of activity of microsomal glucose-6-phosphatase. The factors regulating glucose-6-phosphatase (EC 3.1.3.9) activity and substrate specificity in hepatic microsomes were studied by determining the rate-limiting reaction for the hydrolysis of glucose-6-P, and by examining the effect of detergent a...

Collias, Nicholas, 2007: In memoriam: Elsie Cole Collias, 1920-2006. Auk 124(4): 1455-1456

Ferrari, G.; Ntuku, H.M.; Burri, C.; Tshefu, A.K.; Duparc, S.; Hugo, P.; Mitembo, D.K.; Ross, A.; Ngwala, P.L.; Luwawu, J.N.; Musafiri, P.N.; Ngoie, S.E.; Lengeler, C., 2016: An operational comparative study of quinine and artesunate for the treatment of severe malaria in hospitals and health centres in the Democratic Republic of Congo: the MATIAS study. The Democratic Republic of the Congo (DRC) has the highest number of severe malaria cases in the world. In early 2012, the National Malaria Control Programme (NMCP) changed the policy for treating severe malaria in children and adults from injecta...

Demarosi, F.; Bez, C.; Carrassi, A., 2002: Prevention and treatment of chemo- and radiotherapy-induced oral mucositis. The administration of many chemo-radiotherapy regimens in patients with cancer may be complicated by toxicities that limit the clinicians' abilities to deliver the most effective doses of active agents. Oral mucositis is a major dose-limiting...

Anonymous, 1968: Papers given at Conference on Livestock Development held in Barbados from 2nd to 6th January 1968, organised jointly by the Faculty of Agriculture, University of the West Indies and the Ministry of Agriculture, Barbados. COWLISHAW, S. J. Egg production studies in Trinidad: 12 pp. DAVIDSON, J. G. An assessment of the breeding of grade Holstein cattle at Government Stock Farm, Trinidad: 13 pp. GOELLNICHT, J. L. A. The performance of a Charbray and Charolais crossbre...