Evidence map›Paper›PMID 14576249›Full record

SynthesisBMJ (Clinical research ed.)2003

Whispered voice test for screening for hearing impairment in adults and children: systematic review.

Sandi Pirozzo, Tracey Papinczak, Paul Glasziou

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in BMJ (Clinical research ed.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04241302 (Development of a Mobile-app Based Free Field Click Test Against Conventional Free Field Voice Test), which is not on this map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04241302 nacompletednot on this mapstarted 2020, after this paper: background citation

Development of a Mobile-app Based Free Field Click Test Against Conventional Free Field Voice Test

TypeinterventionalSponsorMinistry of Health, MalaysiaRan2020 to 2020Enrolled50ConditionsDeafnessArmsPure Tone Audiogram
3 · Its place in the literature

Who cites it

55 citing papers in PubMed.

  1. Trial
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  3. Dementia risk factors and biomarkers in subjective cognitive decline: real world evidence from the monza brain health service.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  4. PetaleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  5. Observational
  6. Fundamental frequency outcomes after type III thyroplasty in cisgender men: a prospective cohort study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Sandi PirozzoSchool of Population Health, University of Queensland, Royal Brisbane Hospital, Herston, Qld 4029, Australia. s.pirozzo@sph.uq.edu.au
Tracey Papinczak
Paul Glasziou

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the accuracy of the whispered voice test in detecting hearing impairment in adults and children.

designSystematic review of studies of test accuracy. DATA SOURCES: Medline, Embase, Science Citation Index, unpublished theses, manual searching of bibliographies of known primary and review articles, and contact with authors. STUDY SELECTION: Two reviewers independently selected and extracted data on study characteristics, quality, and accuracy of studies. Studies were included if they had cross sectional designs, at least one of the index tests was the whispered voice test, and the reference test (audiometry) was performed on at least 80% of the participants. DATA EXTRACTION: Data were used to form 2x2 contingency tables with hearing impairment by audiometry as the reference standard. DATA SYNTHESIS: The eight studies that were found used six different techniques. The sensitivity in the four adult studies was 90% or 100% and the specificity was 70% to 87%. The sensitivity in the four childhood studies ranged from 80% to 96% and specificity ranged from 90% to 98%.

conclusionThe whispered voice test is a simple and accurate test for detecting hearing impairment. There is some concern regarding the lower sensitivity in children and the overall reproducibility of the test, particularly in primary care settings. Further studies should be conducted in primary care settings to explore the influence of components of the testing procedure to optimise test sensitivity and to promote standardisation of the testing procedure.

Indexed as

AdultChildChild, PreschoolHearing DisordersHearing TestsHumansMiddle AgedReproducibility of ResultsSensitivity and Specificity

Identifiers

PMID14576249
PMCPMC259166

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.