{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T15:13:23Z","timestamp":1791645203304,"version":"4.3.4"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,7,27]],"date-time":"2025-07-27T00:00:00Z","timestamp":1753574400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Internationale H\u00f6rstiftung"},{"name":"KIND H\u00f6rstiftung"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The aim of this study was to analyze with the help of claims data which additional diagnoses are common for children who are deaf or hard-of-hearing (DHH) and at what frequency. Claims data sets from statutory health insurance providers contain different pieces of information, including medical diagnoses. The analysis of claims data was conducted for the 2010 birth cohort of 38,705 children who were insured by the BARMER health insurance company. This birth cohort was then narrowed down to all children who received a prescription for a hearing device within the first 10\u00a0years of their life (n\u2009=\u2009474). For these 474 children, we assessed the most common additional diagnoses coded according to the International Classification of Diseases (ICD)-10-GM and analyzed their frequency. Apart from the high frequency of ear diseases such as \u201cDiseases of middle ear and mastoid\u201d (ICD category H65-H75, 95.4%), we also found a high frequency for \u201cDevelopmental disorders\u201d (ICD category F80-F89, 81.9%) and various other additional diagnoses. Our results show that DHH children are a heterogenous group with a high frequency of additional diagnoses.<\/jats:p>","DOI":"10.1093\/jdsade\/enaf045","type":"journal-article","created":{"date-parts":[[2025,7,26]],"date-time":"2025-07-26T11:49:35Z","timestamp":1753530575000},"page":"156-165","source":"Crossref","is-referenced-by-count":1,"title":["Most common additional diagnoses of children with hearing devices"],"prefix":"10.1093","volume":"31","author":[{"given":"Jasmin","family":"Filip","sequence":"first","affiliation":[{"name":"University of Duisburg-Essen, Institute for Special Needs Education (d\/Deaf and Hard of Hearing) , Essen ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heike","family":"van de Sand","sequence":"additional","affiliation":[{"name":"University of Cologne, Faculty of Medicine and University Hospital , PMV forschungsgruppe , Cologne ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"P\u00fctzer","sequence":"additional","affiliation":[{"name":"University of Duisburg-Essen, Institute for Special Needs Education (d\/Deaf and Hard of Hearing) , Essen ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Schubert","sequence":"additional","affiliation":[{"name":"University of Cologne, Faculty of Medicine and University Hospital , PMV forschungsgruppe, Cologne ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"Meyer","sequence":"additional","affiliation":[{"name":"University of Cologne, Faculty of Medicine and University Hospital , PMV forschungsgruppe, Cologne ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ursula","family":"Marschall","sequence":"additional","affiliation":[{"name":"BARMER Institute for Health Care System Research , Berlin ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karolin","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"University of Duisburg-Essen, Institute for Special Needs Education (d\/Deaf and Hard of Hearing) , Essen ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,27]]},"reference":[{"key":"2025122307315710900_ref1","volume-title":"ICD-10-CM 2023: The complete official codebook","author":"American Medical Association","year":"2022"},{"key":"2025122307315710900_ref2","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1179\/1754762815Y.0000000012","article-title":"Cochlear implantation in children with complex needs: The perceptions of professionals at cochlear implant centres","volume":"16","author":"Archbold","year":"2015","journal-title":"Cochlear Implants International"},{"key":"2025122307315710900_ref3","volume-title":"S2k-Leitlinie. Cochlea-Implantat Versorgung","author":"Aschendorff","year":"2020"},{"key":"2025122307315710900_ref4","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1179\/1557069X15Y.0000000006","article-title":"Students who are deaf with additional disabilities: Does educational label impact language services?","volume":"17","author":"Borders","year":"2015","journal-title":"Deafness and Education International"},{"key":"2025122307315710900_ref5","doi-asserted-by":"publisher","first-page":"752","DOI":"10.3390\/educsci13070752","article-title":"Deaf and hard of hearing students with disabilities: An evolving landscape","volume":"13","author":"Bowen","year":"2023","journal-title":"Education Sciences"},{"key":"2025122307315710900_ref6","volume-title":"Internationale statistische Klassifikation der Krankheiten und verwandter Gesundheitsprobleme. 10. Revision","author":"Bundesinstitut f\u00fcr Arzneimittel und Medizinprodukte","year":"2021"},{"key":"2025122307315710900_ref7","doi-asserted-by":"publisher","first-page":"1031","DOI":"10.1038\/eye.2009.248","article-title":"Ophthalmological screening of a paediatric cochlear implant population: A retrospective analysis and 12-year follow-up","volume":"24","author":"Falzon","year":"2010","journal-title":"Eye (London, England)"},{"key":"2025122307315710900_ref8","article-title":"Hilfsmittelverzeichnis des GKV-Spitzenverbandes","author":"GKV-Spitzenverband","year":".."},{"key":"2025122307315710900_ref9","article-title":"Responsibility for healthcare. The national association of the health and long-term care insurance funds","author":"GKV-Spitzenverband","year":"2024"},{"key":"2025122307315710900_ref10","doi-asserted-by":"publisher","first-page":"S64","DOI":"10.1055\/a-1686-8936","article-title":"Was verstehen wir unter Sekund\u00e4rdaten? \u2013 Ein Grundsatzbeitrag zur terminologischen Einordnung und Definition","volume":"83","author":"Gothe","year":"2021","journal-title":"Das Gesundheitswesen"},{"key":"2025122307315710900_ref11","volume-title":"Gesundheitsversorgung von Kindern und Jugendlichen in Deutschland Schwerpunkt: Familiengesundheit","author":"Greiner","year":"2018"},{"key":"2025122307315710900_ref12","first-page":"28","volume-title":"Routinedaten im Gesundheitswesen. Handbuch Sekund\u00e4rdatenanalyse: Grundlagen, Methoden und Perspektiven","author":"Grobe","year":"2014"},{"key":"2025122307315710900_ref13","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1353\/aad.2015.0030","article-title":"Evaluating teachers\u2019 preparedness to work with students who are deaf and hard of hearing with disabilities","volume":"160","author":"Guardino","year":"2015","journal-title":"American Annals of the Deaf"},{"key":"2025122307315710900_ref14","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1046\/j.1365-2214.2003.00355.x","article-title":"A clinical evaluation of ophthalmic assessment in children with sensori-neural deafness","volume":"29","author":"Guy","year":"2003","journal-title":"Child: Care, Health and Development"},{"key":"2025122307315710900_ref15","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1111\/j.1365-2788.2008.01059.x","article-title":"High prevalence of hearing disorders at the Special Olympics indicate need to screen persons with intellectual disability","volume":"52","author":"Hild","year":"2008","journal-title":"Journal of Intellectual Disability Research"},{"key":"2025122307315710900_ref16","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1111\/j.1753-6405.2011.00744.x","article-title":"Communication and behavioural disorders among children with hearing loss increases risk of mental health disorders","volume":"35","author":"Hogan","year":"2011","journal-title":"Australian and New Zealand Journal of Public Health"},{"key":"2025122307315710900_ref17","doi-asserted-by":"publisher","DOI":"10.5771\/9783845279688","article-title":"Versorgungsforschung und qualit\u00e4tsmessung mit GKV-Routinedaten","author":"Horenkamp-Sonntag","year":"2017","journal-title":"NOMOS"},{"key":"2025122307315710900_ref18","doi-asserted-by":"publisher","first-page":"285","DOI":"10.3233\/NRE-201589","article-title":"Sensorineural hearing loss imprint on fine motor skills: A pediatric and adolescent innovative study","volume":"48","author":"Kamel","year":"2021","journal-title":"NeuroRehabilitation"},{"key":"2025122307315710900_ref19","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1089\/cap.2011.0064","article-title":"Age-specific prevalence, incidence of new diagnoses, and drug treatment of attention-deficit\/hyperactivity disorder in Germany","volume":"22","author":"Lindemann","year":"2012","journal-title":"Journal of Child and Adolescent Psychopharmacology"},{"key":"2025122307315710900_ref20","first-page":"A1082","article-title":"Qualit\u00e4tssicherung: Vorhandene Daten besser nutzen","volume":"109","author":"Mansky","year":"2012","journal-title":"Deutsches \u00c4rzteblatt"},{"key":"2025122307315710900_ref21","doi-asserted-by":"publisher","first-page":"e36226","DOI":"10.1371\/journal.pone.0036226","article-title":"Burden of disease caused by otitis media: Systematic review and global estimates","volume":"7","author":"Monasta","year":"2012","journal-title":"PLoS ONE"},{"key":"2025122307315710900_ref22","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1007\/s10882-017-9555-z","article-title":"Perceptions of teachers\u2019 preparedness to teach deaf and hard of hearing students with additional disabilities: A qualitative case study","volume":"29","author":"Musyoka","year":"2017","journal-title":"Journal of Developmental and Physical Disabilities"},{"key":"2025122307315710900_ref23","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1097\/01.mao.0000185150.69704.18","article-title":"Evidence-based overview of ophthalmic disorders in deaf children: A literature update","volume":"27","author":"Nikolopoulos","year":"2006","journal-title":"Otology & Neurotology"},{"key":"2025122307315710900_ref24","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1016\/j.otoeng.2022.10.008","article-title":"Deaf children with additional disabilities (AD+): CODEPEH recommendations","volume":"74","author":"N\u00fa\u00f1ez-Batalla","year":"2023","journal-title":"Acta Otorrinolaringol Espa\u00f1ola (English Edition)"},{"key":"2025122307315710900_ref25","volume-title":"Regional and National Summary Report of data from the 2013\u201314 annual survey of deaf and hard of hearing children and youth","author":"Office of Research Support and International Affairs","year":"2014"},{"key":"2025122307315710900_ref26","doi-asserted-by":"publisher","first-page":"77","DOI":"10.36219\/BPI.2023.4.09","article-title":"Gender dynamics in ADHD: Understanding ADHD in females from childhood to adulthood","volume":"99","author":"Oroian","year":"2023","journal-title":"Bulletin of Integrative Psychiatry"},{"key":"2025122307315710900_ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-025-01617-0","article-title":"Provision of hearing technology in children and adolescents with permanent hearing loss in Germany","author":"P\u00fctzer","year":"2025","journal-title":"HNO"},{"key":"2025122307315710900_ref28","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1007\/s00405-011-1815-4","article-title":"Postural control, motor skills, and health-related quality of life in children with hearing impairment: A systematic review","volume":"269","author":"Rajendran","year":"2012","journal-title":"European Archives of Oto-Rhino-Laryngology"},{"key":"2025122307315710900_ref29","doi-asserted-by":"publisher","first-page":"111612","DOI":"10.1016\/j.ijporl.2023.111612","article-title":"Attention-deficit\/hyperactivity disorder in children with hearing loss","volume":"171","author":"Ramanathan","year":"2023","journal-title":"International Journal of Pediatric Otorhinolaryngology"},{"key":"2025122307315710900_ref30","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1179\/1754762815Y.0000000017","article-title":"Additional difficulties associated with aetiologies of deafness: Outcomes from a parent questionnaire of 540 children using cochlear implants","volume":"17","author":"Ramirez Inscoe","year":"2016","journal-title":"Cochlear Implants International"},{"key":"2025122307315710900_ref31","doi-asserted-by":"publisher","first-page":"1251","DOI":"10.1007\/s00431-008-0921-9","article-title":"Burden of otitis media and pneumonia in children up to 6 years of age: Results of the LISA birth cohort","volume":"168","author":"Schnabel","year":"2009","journal-title":"European Journal of Pediatrics"},{"key":"2025122307315710900_ref32","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1007\/s00103-008-0644-0","article-title":"Versorgungsforschung mit GKV-Routinedaten","volume":"10","author":"Schubert","year":"2008","journal-title":"Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz"},{"key":"2025122307315710900_ref33","first-page":"37","volume-title":"Handbuch ADHS - Grundlagen, Klinik, Therapie und Verlauf der Aufmerksamkeitsdefizit-Hyperaktivit\u00e4tsst\u00f6rung","author":"Steinhausen","year":"2024"},{"key":"2025122307315710900_ref34","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1007\/s12312-018-0474-4","article-title":"Versorgungsforschung aus sicht der Krankenkassen","volume":"33","author":"Straub","year":"2018","journal-title":"Forum"},{"key":"2025122307315710900_ref35","volume-title":"Routinedaten im Gesundheitswesen: Handbuch Sekund\u00e4rdatenanalyse: Grundlagen, Methoden und Perspektiven","author":"Swart","year":"2014","edition":"2nd"},{"key":"2025122307315710900_ref36","doi-asserted-by":"publisher","first-page":"76S","DOI":"10.1097\/AUD.0000000000000219","article-title":"Language outcomes in young children with mild to severe hearing loss","volume":"36","author":"Tomblin","year":"2015","journal-title":"Ear and Hearing"},{"key":"2025122307315710900_ref37","first-page":"61","article-title":"Additional disabilities in children with sensorineural hearing loss","volume":"12","author":"Tufatulin","year":"2022","journal-title":"The Journal of Health Science"},{"key":"2025122307315710900_ref38","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2011.05.019","article-title":"Findings from multidisciplinary evaluation of children with permanent hearing loss","volume":"75","author":"Wiley","year":"2011","journal-title":"International Journal of Pediatric Otorhinolaryngology"}],"container-title":["Journal of Deaf Studies and Deaf Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jdsde\/article-pdf\/31\/1\/156\/63856803\/enaf045.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jdsde\/article-pdf\/31\/1\/156\/63856803\/enaf045.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T12:32:06Z","timestamp":1766493126000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jdsde\/article\/31\/1\/156\/8214136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,27]]},"references-count":38,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,7,27]]},"published-print":{"date-parts":[[2025,12,23]]}},"URL":"https:\/\/doi.org\/10.1093\/jdsade\/enaf045","relation":{},"ISSN":["1081-4159","1465-7325"],"issn-type":[{"value":"1081-4159","type":"print"},{"value":"1465-7325","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2025,7,27]]}}}