{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T20:31:20Z","timestamp":1754598680064,"version":"3.41.0"},"reference-count":76,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,2,19]],"date-time":"2017-02-19T00:00:00Z","timestamp":1487462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>In 2016,<jats:styled-content style=\"fixed-case\">NHS<\/jats:styled-content>England published the commissioning policy on Bone Conducting Hearing Devices (<jats:styled-content style=\"fixed-case\">BCHD<\/jats:styled-content>s). This policy was informed by updated evidence on the clinical and cost\u2010effectiveness of<jats:styled-content style=\"fixed-case\">BCHD<\/jats:styled-content>s as well as by the 2013 Bone Anchored Hearing Aid (<jats:styled-content style=\"fixed-case\">BAHA<\/jats:styled-content>) policy. Commissioning policies set the criteria for service delivery and therefore have a major impact on the care received by patients. It is important that stakeholders have a good appreciation of the available evidence informing policy, as this will promote engagement both with the policy and with future research leading on from the policy. In this article, we provide stakeholders with a transparent and pragmatic assessment of the quality of the body of evidence available to inform current<jats:styled-content style=\"fixed-case\">BCHD<\/jats:styled-content>national policy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>(i) A systematic review of the literature on<jats:styled-content style=\"fixed-case\">BCHD<\/jats:styled-content>s published since the development of the 2013 policy was performed in September 2016, adhering to<jats:styled-content style=\"fixed-case\">PRISMA<\/jats:styled-content>recommendations. The search terms used were as follows bone conduction; bone conducting; bone anchor;<jats:styled-content style=\"fixed-case\">BAHA<\/jats:styled-content>; Bone Anchored Hearing Aid; Bone Conducting Hearing Device;<jats:styled-content style=\"fixed-case\">BCHD<\/jats:styled-content>; Bone Conducting Hearing Implant;<jats:styled-content style=\"fixed-case\">BCHI<\/jats:styled-content>; Sophono; Bonebridge; Soundbite; Ponto; Hearing aid; implant; device; hearing device. Publications that could inform current<jats:styled-content style=\"fixed-case\">BCHD<\/jats:styled-content>policy were included. The quality of included articles was assessed using the Grading of Recommendations Assessment, Development and Evaluation (<jats:styled-content style=\"fixed-case\">GRADE<\/jats:styled-content>) system. (ii) The quality of evidence referenced by the 2013<jats:styled-content style=\"fixed-case\">BAHA<\/jats:styled-content>policy was assessed using the<jats:styled-content style=\"fixed-case\">GRADE<\/jats:styled-content>system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>(i) Of the 2576 publications on<jats:styled-content style=\"fixed-case\">BCHD<\/jats:styled-content>s identified by the systematic search, 39 met the inclusion criteria for further analysis. Using the<jats:styled-content style=\"fixed-case\">GRADE<\/jats:styled-content>criteria, the quality of evidence was classified as of \u2018very low quality\u2019. (ii) The 2013<jats:styled-content style=\"fixed-case\">BAHA<\/jats:styled-content>policy was informed by 14 references. The<jats:styled-content style=\"fixed-case\">GRADE<\/jats:styled-content>system classifies the quality of evidence that informed the policy as of \u2018very low quality\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The<jats:styled-content style=\"fixed-case\">GRADE<\/jats:styled-content>system defines the body of evidence available to inform current national<jats:styled-content style=\"fixed-case\">BCHD<\/jats:styled-content>policy as of \u2018very low quality\u2019. There is an urgent need for high\u2010quality research to help make informed policy decisions about the care of patients with hearing loss. An (inter)national registry of<jats:styled-content style=\"fixed-case\">BCHD<\/jats:styled-content>s could address this need.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12831","type":"journal-article","created":{"date-parts":[[2017,1,19]],"date-time":"2017-01-19T04:08:39Z","timestamp":1484798919000},"page":"1000-1024","source":"Crossref","is-referenced-by-count":5,"title":["An evaluation of the quality of evidence available to inform current bone conducting hearing device national policy"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5839-2735","authenticated-orcid":false,"given":"R.","family":"Mandavia","sequence":"first","affiliation":[{"name":"evidENT Ear Institute University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.W.","family":"Carter","sequence":"additional","affiliation":[{"name":"Centre for Health Policy Imperial College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Haram","sequence":"additional","affiliation":[{"name":"Wound Healing Research Group Royal Free Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Mossialos","sequence":"additional","affiliation":[{"name":"Centre for Health Policy Imperial College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.G.M.","family":"Schilder","sequence":"additional","affiliation":[{"name":"evidENT Ear Institute University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,19]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"NHS England(2011).Developing the NHS Commissioning Board; URLhttps:\/\/www.england.nhs.ukwp-contentuploadsDeveloping-the-commissioning-board.pdf"},{"key":"e_1_2_11_3_1","unstructured":"NHS England(2016)Clinical commissioning policy: bone conducting hearing implants (BCHIs) for hearing loss (all ages); URLhttps:\/\/www.england.nhs.uk\/commissioning\/wp-content\/uploads\/sites\/12\/2013\/05\/16041_FINAL.pdf"},{"key":"e_1_2_11_4_1","unstructured":"NHS Commissioning Board(2013)Clinical commissioning policy: Bone Anchored Hearing Aids; URLhttps:\/\/www.england.nhs.uk\/wp-content\/uploads\/2013\/04\/d09-p-a.pdf"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181fe7825"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39489.470347.AD"},{"key":"e_1_2_11_7_1","unstructured":"BMJ Clinical Evidence(2010)What is GRADE?URLhttps:\/\/clinicalevidence.bmj.comxsetstaticebmlearn.html."},{"key":"e_1_2_11_8_1","unstructured":"RNID Bone conducting hearing aids (factsheet). 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