Original Investigation

Cochlear Implant Candidacy Support Tool Using Conjunctive Consolidation

JAMA Otolaryngology–Head & Neck Surgery 10.1001/jamaoto.2025.4882

January 15, 2026 at 11:00 AM EST

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Can conjunctive consolidation enable a 4-level audiometric staging system that stratifies cochlear implant candidacy probability, moving beyond binary (yes/no) classification?In this retrospective cohort study including 1312 patients, the risk stratification system allowed a clinically intuitive framework that supported personalized counseling and shared decision-making.By combining pure tone average and word recognition scores, the staging system demonstrated strong discriminative performance using routinely available audiometric data.

Corresponding Author: Matthew A. Shew, MD, Department of Otolaryngology Head mshew@wustl.edu).

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