[Skip to Navigation]
February 18, 2021

Considerations for Integrating Cognitive Testing Into Adult Cochlear Implant Evaluations—Foundations for the Future

Author Affiliations
  • 1Beth Israel Deaconess Medical Center, Division of Otolaryngology–Head and Neck Surgery, Harvard Medical School, Boston, Massachusetts
  • 2Department of Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus
JAMA Otolaryngol Head Neck Surg. 2021;147(5):413-414. doi:10.1001/jamaoto.2020.5487

The concept that hearing and cognitive functions are linked emerged decades ago.1 With the growth of this interdisciplinary field of cognitive hearing science, the complex relationships between hearing and cognition have become better elucidated. More specifically, in older adults with hearing loss (HL), 3 areas of research have advanced our understanding of hearing and cognition. First, it is clear that HL is associated with cognitive decline, and the degree of HL appears to be associated with the risk of cognitive dysfunction in a dose-dependent manner.2 Second, recent studies3 suggest positive associations of hearing rehabilitation with cognitive abilities. Third, there is growing evidence that communication and speech recognition outcomes with hearing aids and cochlear implants (CIs) are influenced by the cognitive abilities of the user.4

Add or change institution
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words