Evidence map›Paper›PMID 30261653›Full record

SynthesisInternational journal of environmental research and public health2018

Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review.

Arianna Di Stadio, Laura Dipietro, Giampietro Ricci, Antonio Della Volpe, Antonio Minni, Antonio Greco, Marco de Vincentiis, Massimo Ralli

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06718452 (Treatment of Tinnitus Targeting Neuroinflammation. umPEALUT as Possible Option), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 2% 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.

NCT06718452 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Treatment of Tinnitus Targeting Neuroinflammation. umPEALUT as Possible Option

TypeinterventionalSponsorUniversity of Campania Luigi VanvitelliRan2026 to 2026Enrolled100ConditionsTinnitus, NeuroinflammationArmsPEA-LUT 2 sachet day, Placebo, umPEALUT + Rutin + 5 hTp
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Auditory Symptoms Among Musicians: A Systematic Review and Meta-analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. A Field Guide to Musicians' Tinnitus.Seminars in hearing · 2024
    Review
  11. Review
  12. Review
  13. Article
  14. Estimation of Tinnitus-Related Socioeconomic Costs in Germany.International journal of environmental research and public health · 2022
    Article
  15. Review
  16. Article
  17. Surrounded by Sound: The Impact of Tinnitus on Musicians.International journal of environmental research and public health · 2021
    Article
  18. Loud Music and Leisure Noise Is a Common Cause of Chronic Hearing Loss, Tinnitus and Hyperacusis.International journal of environmental research and public health · 2021
    Review
  19. Assessment of noise level and risk of hearing loss amongRevista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT · 2021
    Article
  20. Assessment of occupational personal sound exposures for music instructors.Journal of occupational and environmental hygiene · 2021
    Article
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

8 authors at 3 institutions in 2 countries.

Arianna Di StadioOtolaryngology Department, University of Perugia, 06123 Perugia, Italy. ariannadistadio@hotmail.com.
Laura DipietroHighland Instruments, Cambridge, MA 02238, USA. lauradp@mit.edu.
Giampietro RicciOtolaryngology Department, University of Perugia, 06123 Perugia, Italy. giampietro.ricci@unipg.it.
Antonio Della VolpeSantobono-Pousillipon Hospital, Cochlear Implant Center, 80129 Naples, Italy. antoniodellavolpe@yahoo.it.
Antonio MinniDepartment of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy. antonio.minni@uniroma1.it.
Antonio GrecoDepartment of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy. antonio.greco@uniroma1.it.
Marco de VincentiisDepartment of Oral and Maxillo-Facial Science, Sapienza University of Rome, 00185 Rome, Italy. marco.devincentiis@uniroma1.it.
Massimo RalliDepartment of Oral and Maxillo-Facial Science, Sapienza University of Rome, 00185 Rome, Italy. massimo.ralli@uniroma1.it.ORCID 0000-0001-8776-0421
Sapienza University of Rome · ITUniversity of Perugia · ITHighland Community College - Illinois · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Professional musicians (PMs) are at high risk of developing hearing loss (HL) and other audiological symptoms such as tinnitus, hyperacusis, and diplacusis. The aim of this systematic review is to (A) assess the risk of developing HL and audiological symptoms in PMs and (B) evaluate if different music genres (Pop/Rock Music-PR; Classical Music-CL) expose PMs to different levels of risk of developing such conditions. Forty-one articles including 4618 PMs were included in the study. HL was found in 38.6% PMs; prevalence was significantly higher among PR (63.5%) than CL (32.8%) PMs; HL mainly affected the high frequencies in the 3000-6000 Hz range and was symmetric in 68% PR PMs and in 44.5% CL PMs. Tinnitus was the most common audiological symptom, followed by hyperacusis and diplacusis. Tinnitus was almost equally distributed between PR and CL PMs; diplacusis was more common in CL than in PR PMs, while prevalence of hyperacusis was higher among PR PMs. Our review showed that PR musicians have a higher risk of developing HL compared to CL PMs; exposure to sounds of high frequency and intensity and absence of ear protection may justify these results. Difference in HL symmetry could be explained by the type of instruments used and consequent single-sided exposure.

Indexed as

MusicHearing DisordersHearing Loss, Noise-InducedHumansHyperacusisOccupational DiseasesPrevalenceRisk FactorsSoundTinnitusclassicdiplacusishearing losshyperacusismusiciansnoise induced hearing losspop-rocktinnitus

Identifiers

PMID30261653
PMCPMC6209930
OpenAlexW2892778296

What OpenQuestion holds

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LicenceCC BY
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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.