Evidence map›Paper›PMID 21131880›Full record

ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2011

Comprehensive diagnostic battery for evaluating sensorineural hearing loss in children.

Jerry W Lin, Naweed Chowdhury, Avni Mody, Ross Tonini, Claudia Emery, Jody Haymond, John S Oghalai

Abstract read
In one paragraph

Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
1.4field-weighted citation impact, top 22% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Diagnostic yield of MRI for pediatric hearing loss: a systematic review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2015
    Pooled it
  4. Diagnostic yield of computed tomography scan for pediatric hearing loss: a systematic review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2014
    Pooled it
  5. Guideline
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. A proposal for comprehensive newborn hearing screening to improve identification of deaf and hard-of-hearing children.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  12. Diagnosis and Management of Congenital Sensorineural Hearing Loss.Current treatment options in pediatrics · 2016
    Article
  13. Review
  14. Review
  15. Article
  16. Sensorineural Hearing Loss: A Changing Paradigm for Its Evaluation.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2015
    Article
  17. Article
  18. Review
  19. Cognitive outcomes and familial stress after cochlear implantation in deaf children with and without developmental delays.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2012
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jerry W LinThe Bobby R. Alford Department of Otolaryngology - Head and Neck Surgery, Baylor College of Medicine and The Hearing Center at Texas Children's Hospital, Houston, Texas, USA.
Naweed Chowdhury
Avni Mody
Ross Tonini
Claudia Emery
Jody Haymond
John S Oghalai
Baylor College of Medicine · USTexas Children's Hospital · US

Funding

Outcomes in Children with Developmental Delay and Deafness: a Randomized TrialR01DC010075 · NIDCD · STANFORD UNIVERSITY · PI OGHALAI, JOHN S · 2009 to 2013
$2.0M
Translation of near-infrared spectroscopy for use in clinical neuro-imaging R56DC010164 · NIDCD · STANFORD UNIVERSITY · PI OGHALAI, JOHN S · 2010 to 2010
$420k
NIDCD NIH HHS R01 DC010075NIDCD NIH HHS R56 DC010164
6 · The paper itself

Abstract

objectiveSelection of diagnostic tests for children with sensorineural hearing loss (SNHL) is influenced by clinical suspicion. Testing results reported in the literature are similarly biased. We evaluate the usefulness of a comprehensive diagnostic battery for each child. STUDY

designRetrospective review.

settingTertiary care university hospital. PATIENTS: A total of 270 children referred for severe to profound SNHL between January 2002 and June 2009.

interventionsResults of the following were reviewed: magnetic resonance imaging, computed tomography, renal ultrasound, electrocardiography, fluorescent treponemal antibody absorption test, connexin 26 sequencing, genetic consultation, and ophthalmologic consultation.

main outcome measureDiagnostic yield of each test was determined.

resultsEach diagnostic test or consultation was completed by at least 95% of patients for whom it was ordered. Magnetic resonance imaging revealed abnormalities explaining SNHL in 24% of patients. Computed tomography showed inner ear anomalies in 18% of patients. Biallelic connexin 26 mutations were found in 15%. Renal ultrasound found anomalies in 4% of patients. Electrocardiography found 1% of patients with prolonged QT intervals. Fluorescent treponemal antibody absorption test result was positive in 0.5%. Genetic consultation found a genetic cause for hearing loss in 25%. Ophthalmologic consultation found abnormalities associated with hearing loss in 8%.

conclusionDiagnostic radiologic imaging is the highest yielding test for evaluating children with SNHL. Connexin 26 sequencing identifies a nearly nonoverlapping subset of children compared with imaging. Specialty consultations, particularly from a clinical geneticist, can improve diagnostic yield. Other tests, although of lower diagnostic yield for SNHL, can identify important diseases that significantly affect patient health.

Indexed as

Hearing TestsBrainChildConnexin 26ConnexinsEar CanalElectrocardiographyFemaleFluorescent Treponemal Antibody-Absorption TestHearing Loss, SensorineuralHumansKidneyMagnetic Resonance ImagingMaleRetrospective StudiesReverse Transcriptase Polymerase Chain ReactionConnexin 26Connexins

Identifiers

PMID21131880
PMCPMC3597108
OpenAlexW2060244861

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.