{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:11:03Z","timestamp":1765876263150,"version":"3.48.0"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To characterize the lasting effects of the COVID\u201019 pandemic on national cochlear implantation (CI) rates and model the timeline for correction of this backlog.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional analysis of the Epic Cosmos database was used to identify patients that underwent CI from 2015 to 2023. Demographic information, geographic region, and urban\u2013rural code were collected. Poisson and negative binomial regression were used to model and compare future case counts and rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>About 30,402 patients were included. While annual implant rates have returned to the pre\u2010pandemic baseline, compared to expected growth had the pandemic never occurred, it will take until 2026 for the rate to fully normalize and until 2029 for the backlog of cases to be eliminated. Stratifying by age, normalization of CI rate will take longer for older adults (\u2265\u200980\u2009years, 2032), compared to younger adults (18\u201364\u2009years, 2024). Patients living in urban areas have faster recovery of CI utilization compared to those in rural areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The pandemic had a long\u2010lasting impact on our national rate of CI administration. Our study suggests that it will take over 5\u2009years to return to our pre\u2010pandemic rate of surgery and almost a decade before we work through our post\u2010pandemic backlog of CI surgeries. However, this recovery has not been even across all demographic groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.32404","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T08:52:34Z","timestamp":1751878354000},"page":"4879-4886","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Post\u2010Pandemic Recovery of Adult and Pediatric Cochlear Implantation Rates Within the United States"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1536-6852","authenticated-orcid":false,"given":"Christopher Z.","family":"Wen","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery University of Maryland School of Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel C.","family":"Fong","sequence":"additional","affiliation":[{"name":"School of Medicine University of Maryland  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelina","family":"Puc","sequence":"additional","affiliation":[{"name":"Thomas F. Frist, Jr. College of Medicine Belmont University  Nashville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7893-9331","authenticated-orcid":false,"given":"Kevin M.","family":"Guy","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery University of Maryland School of Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9065-5312","authenticated-orcid":false,"given":"Adam C.","family":"Kaufman","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery University of Maryland School of Medicine  Baltimore Maryland 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