Evidence map›Paper›PMID 21671234›Full record

SynthesisThe Laryngoscope2011

Systematic review and meta-analyses of randomized controlled trials examining tinnitus management.

Derek J Hoare, Victoria L Kowalkowski, Sujin Kang, Deborah A Hall

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Laryngoscope, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 15 pooled it
–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.

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

110 citing papers in PubMed, 15 syntheses or guidelines pooled it.

  1. Effects of tinnitus retraining therapy on patients with tinnitus: a systematic review of randomized controlled trials.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 · 2025
    Pooled it
  2. Guideline
  3. Pooled it
  4. Cognitive behavioural therapy for tinnitus.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Guideline
  6. Pooled it
  7. A multidisciplinary systematic review of the treatment for chronic idiopathic tinnitus.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 · 2017
    Pooled it
  8. Zinc supplementation for tinnitus.The Cochrane database of systematic reviews · 2016
    Pooled it
  9. Pooled it
  10. Pooled it
  11. Guideline
  12. Tinnitus.BMJ clinical evidence · 2014
    Pooled it
  13. Pooled it
  14. Antidepressants for patients with tinnitus.The Cochrane database of systematic reviews · 2012
    Pooled it
  15. Pooled it
  16. Intratympanic Administration of OTO-313 Reduces Tinnitus in Patients With Moderate to Severe, Persistent Tinnitus: A Phase 1/2 Study.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2021
    Trial
  17. Prospective Multicentric Follow-up Study of Cochlear Implantation in Adults With Single-Sided Deafness: Tinnitus and Audiological Outcomes.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2020
    Trial
  18. Trial
  19. Trial
  20. Trial

50 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Derek J HoareNational Institute for Health Research National Biomedical Research Unit in Hearing, Nottingham, United Kingdom. derek.hoare@nottingham.ac.uk
Victoria L Kowalkowski
Sujin Kang
Deborah A Hall

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives/hypothesisTo evaluate the existing level of evidence for tinnitus management strategies identified in the UK Department of Health's Good Practice Guideline. STUDY

designSystematic review of peer-reviewed literature and meta-analyses.

methodsSearches were conducted in PubMed, Cambridge Scientific Abstracts, Web of Science, and EMBASE (earliest to August 2010), supplemented by hand searches in October 2010. Only randomized controlled trials that used validated questionnaire measures of symptoms (i.e., measures of tinnitus distress, anxiety, depression) were included.

resultsTwenty-eight randomized controlled trials met our inclusion criteria, most of which provide moderate levels of evidence for the effects they reported. Levels of evidence were generally limited by the lack of blinding, lack of power calculations, and incomplete data reporting in these studies. Only studies examining cognitive behavioral therapy were numerous and similar enough to perform meta-analysis, from which the efficacy of cognitive behavioral therapy (moderate effect size) appears to be reasonably established. Antidepressants were the only drug class to show any evidence of potential benefit.

conclusionsThe efficacy of most interventions for tinnitus benefit remains to be demonstrated conclusively. In particular, high-level assessment of the benefit derived from those interventions most commonly used in practice, namely hearing aids, maskers, and tinnitus retraining therapy needs to be performed.

Indexed as

Quality of LifeAdaptation, PsychologicalCognitive Behavioral TherapyCombined Modality TherapyCounselingDisease ProgressionFemaleHearing AidsHumansMaleRelaxation TherapyRisk AssessmentSeverity of Illness IndexTinnitusTreatment Outcome

Identifiers

PMID21671234
PMCPMC3477633

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.