TY - JOUR
T1 - Impact of unilateral congenital aural atresia on academic Performance
T2 - A systematic review
AU - van Hövell tot Westerflier, C. V.A.
AU - van Heteren, J. A.A.
AU - Breugem, C. C.
AU - Smit, A. L.
AU - Stegeman, I.
N1 - Copyright © 2018. Published by Elsevier B.V.
PY - 2018/11/1
Y1 - 2018/11/1
N2 - Background: Little is known about the academic performance of children with unilateral congenital aural atresia (CAA). Objective: of review: Our objective was to summarize what is known about the academic performance of children with hearing loss by unilateral congenital aural atresia, in order to provide pragmatic recommendations to clinicians who see children with this entity. Type of review: Systematic review. Search strategy: We conducted a systematic search in PubMed Medline, EMBASE, and Cochrane Library combining the terms “atresia” and synonyms with “unilateral hearing loss” and synonyms. Date of the most recent search was 16 May 2018. Evaluation method: Two independent authors identified studies, extracted data, and assessed risk of bias. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Observational studies on the academic achievements of patients of any age with unilateral conductive hearing loss of any level due to congenital aural atresia were included. We considered grade retention, special education, individualized education plans, and parental report of school performance as outcome measures for academic achievement.Results: Two studies reporting on academic performance of patients with unilateral CAA, which both had a significant risk of bias. One study (n = 140) showed a grade retention rate of 3.6% (n = 5) in total. 15.7% (n = 22) needed special education, and 36.4% (n = 51) used an individualized education program. The second study, reporting on 67 patients with unilateral CAA, showed that 29.9% (n = 20) of the patients received school intervention, and 25.4% (n = 17) had learning problems. Conclusion: Current evidence regarding the effect of unilateral congenital aural atresia on academic performance is sparse, inconclusive and has a significant risk of bias. High quality observational studies assessing the effects of aural atresia on academic performance in these patients should be initiated.
AB - Background: Little is known about the academic performance of children with unilateral congenital aural atresia (CAA). Objective: of review: Our objective was to summarize what is known about the academic performance of children with hearing loss by unilateral congenital aural atresia, in order to provide pragmatic recommendations to clinicians who see children with this entity. Type of review: Systematic review. Search strategy: We conducted a systematic search in PubMed Medline, EMBASE, and Cochrane Library combining the terms “atresia” and synonyms with “unilateral hearing loss” and synonyms. Date of the most recent search was 16 May 2018. Evaluation method: Two independent authors identified studies, extracted data, and assessed risk of bias. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Observational studies on the academic achievements of patients of any age with unilateral conductive hearing loss of any level due to congenital aural atresia were included. We considered grade retention, special education, individualized education plans, and parental report of school performance as outcome measures for academic achievement.Results: Two studies reporting on academic performance of patients with unilateral CAA, which both had a significant risk of bias. One study (n = 140) showed a grade retention rate of 3.6% (n = 5) in total. 15.7% (n = 22) needed special education, and 36.4% (n = 51) used an individualized education program. The second study, reporting on 67 patients with unilateral CAA, showed that 29.9% (n = 20) of the patients received school intervention, and 25.4% (n = 17) had learning problems. Conclusion: Current evidence regarding the effect of unilateral congenital aural atresia on academic performance is sparse, inconclusive and has a significant risk of bias. High quality observational studies assessing the effects of aural atresia on academic performance in these patients should be initiated.
KW - Academic Performance/statistics & numerical data
KW - Adolescent
KW - Child
KW - Child, Preschool
KW - Congenital Abnormalities/physiopathology
KW - Ear/abnormalities
KW - Female
KW - Hearing Loss, Conductive/complications
KW - Hearing Loss, Unilateral/complications
KW - Humans
KW - Male
KW - Schools
UR - https://www.scopus.com/pages/publications/85053401450
U2 - 10.1016/j.ijporl.2018.09.002
DO - 10.1016/j.ijporl.2018.09.002
M3 - Review article
C2 - 30262360
AN - SCOPUS:85053401450
SN - 0165-5876
VL - 114
SP - 175
EP - 179
JO - International Journal of Pediatric Otorhinolaryngology
JF - International Journal of Pediatric Otorhinolaryngology
ER -