Evidence map›Paper›PMID 29276851›Full record

SynthesisInternational journal of audiology2018

Clinical trials, ototoxicity grading scales and the audiologist's role in therapeutic decision making.

Kelly A King, Carmen C Brewer

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of audiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Ototoxicity prognostic models in adult and pediatric cancer patients: a rapid review.Journal of cancer survivorship : research and practice · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Improving the usability of grading scales for drug-induced ototoxicity with a focus on real world data collection.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
    Article
  10. Review
  11. Article
  12. What's New in Ototoxicity Management?Perspectives of the ASHA special interest groups · 2024
    Article
  13. Review
  14. Special considerations in the design and implementation of pediatric otoprotection trials.Journal of cancer survivorship : research and practice · 2023
    Review
  15. Article
  16. Noise-induced hearing disorders: Clinical and investigational tools.The Journal of the Acoustical Society of America · 2023
    Article
  17. Review
  18. Review
  19. Article
  20. Review
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

2 authors.

Kelly A Kinga Audiology Unit, Otolaryngology Branch , National Institute on Deafness and Other Communication Disorders, National Institutes of Health , Bethesda , MD , USA.
Carmen C Brewera Audiology Unit, Otolaryngology Branch , National Institute on Deafness and Other Communication Disorders, National Institutes of Health , Bethesda , MD , USA.

Funding

Clinical Analysis Of Disorders Of Hearing And BalanceZIADC000064 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI HERTZANO, RONNA · 2009 to 2025
$25.2M
Speech Perception and Spoken Word Recognition by Children with Cochlear ImplantsR01DC000064 · NIDCD · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI MIYAMOTO, RICHARD T. · 1990 to 2008
$4.4M
Clinical Analysis Of Disorders Of Hearing And BalanceZ01DC000064 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI GRIFFITH, ANDREW J · 2001 to 2008
$1.2M
Intramural NIH HHS Z01 DC000064Intramural NIH HHS ZIA DC000064NIDCD NIH HHS R01 DC000064
6 · The paper itself

Abstract

objectivesDefine clinical trials and adverse event (AE) monitoring from the perspective of the audiologist. Rationalise the importance of audiology's involvement before, during and after monitoring. Identify strengths and weaknesses in toxicity grading scales, and discuss factors that may influence these.

designLiterature involving commonly cited grading scales used to capture ototoxicity is reviewed. Current regulations and language associated with clinical trial implementation and AE monitoring are described. Personal observations based on a variety of clinical populations are drawn from years of experience developing and employing ototoxicity monitoring protocols in a complex medical setting.

resultsSix commonly used grading scales for ototoxicity are systematically reviewed for strengths and weaknesses. Necessary considerations that inform selection of grading scales are presented. A review of and historical context for clinical trial development and AE monitoring is provided.

conclusionsThe audiologist's role in therapeutic decision making goes beyond collection of the audiogram. Clear communication to stakeholders in ototoxicity monitoring is paramount, and toxicity grading scales are one tool to facilitate this exchange. Various factors should be considered in advance of selecting the most appropriate scale to capture hearing loss, and no scale is without limitation.

Indexed as

Clinical Decision-MakingHearing TestsProfessional RoleResearch DesignAdverse Drug Reaction Reporting SystemsAge FactorsAttitude of Health PersonnelAudiologistsClinical Trials as TopicDose-Response Relationship, DrugDrug MonitoringHealth Knowledge, Attitudes, PracticeHearingHearing LossHumansPredictive Value of Testsadverse eventclinical trialOtotoxicityototoxicity grading scaleototoxicity monitoring

Identifiers

PMID29276851
PMCPMC6260812

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.