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A\u00a0cross-sectional study determined the provision of hearing devices and cochlear implants for children and adolescents aged under 18\u00a0years with permanent hearing loss from 2010 to 2020. A\u00a0longitudinal analysis of a\u00a0cohort of children born in 2010 was performed to gain insights about age at first management with hearing technology during the first 10\u00a0years of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between 2010 and 2020, approximately 2800 to 3600 children and adolescents per year were provided with hearing devices and 10 to\u00a030 with cochlear implants. In the 2010 birth cohort, 1.22% of children received their first prescription for hearing devices before the age of\u00a010. The proportionately highest number of first prescriptions was found between 3\u00a0and 6\u00a0years. In 2020, particularly few children gained access to hearing technology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The analysis of the prescribed hearing systems reveals inaccuracies in documentation but also a\u00a0possible care gap in hearing loss management. For a\u00a0large percentage of children and adolescents, management of hearing loss took place after the age of\u00a01. The frequent initial provision of hearing technology at preschool age indicates that the proportion of hearing loss that is acquired, detected late, or treated late remained quite high even after the introduction of newborn hearing screening. There is an obvious need for comprehensive tracking of children who fail newborn hearing screening and for other screening and hearing tests. The data for 2020 suggest that hearing loss was diagnosed and treated later due to the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00106-025-01617-0","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T05:41:24Z","timestamp":1750138884000},"page":"397-403","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Provision of hearing technology in children and adolescents with permanent hearing loss in Germany","Versorgung mit technischen H\u00f6rsystemen bei Kindern und Jugendlichen mit permanenten H\u00f6rst\u00f6rungen in Deutschland. 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I. Schubert, U. Marschall and I. Meyer declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The use of data is regulated by the German Social Code and the supervisory authorities under data protection law. The research did not involve human participants.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The supplement containing this article is not sponsored by industry.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}