Evidence map›Paper›PMID 30803389›Full record

ArticleTrends in hearing

One Size Does Not Fit All: Developing Common Standards for Outcomes in Early-Phase Clinical Trials of Sound-, Psychology-, and Pharmacology-Based Interventions for Chronic Subjective Tinnitus in Adults.

Deborah A Hall, Alice Hibbert, Harriet Smith, Haúla F Haider, Alain Londero, Birgit Mazurek, Kathryn Fackrell, Core Outcome Measures in Tinnitus (COMiT) initiative

Open access · goldAbstract read
In one paragraph

Article in Trends in hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 37 citations in OpenAlex.

  1. Pattern of Tinnitus and Its Risk Factors Among Individuals with Tinnitus in South India.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
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  17. Why Is There No Cure for Tinnitus?Frontiers in neuroscience · 2019
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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 4 institutions in 4 countries.

Deborah A Hall1 National Institute for Health Research Nottingham Biomedical Research Centre, Ropewalk House, UK.ORCID 0000-0002-3804-1452
Alice Hibbert1 National Institute for Health Research Nottingham Biomedical Research Centre, Ropewalk House, UK.
Harriet Smith1 National Institute for Health Research Nottingham Biomedical Research Centre, Ropewalk House, UK.
Haúla F Haider5 ENT Department, Hospital Cuf Infante Santo - Nova Medical School, Lisbon, Portugal.
Alain Londero6 Service ORL et CCF, Consultation Acouphène et Hyperacousie, Hôpital Européen G. Pompidou, Paris, France.
Birgit Mazurek7 Tinnitus Center, Charite University Hospital, Berlin, Germany.
Kathryn Fackrell1 National Institute for Health Research Nottingham Biomedical Research Centre, Ropewalk House, UK.
Core Outcome Measures in Tinnitus (COMiT) initiative
University of Nottingham · GBCharité - Universitätsmedizin Berlin · DEHôpital Européen · FRNational Health Service · GB

Funding

Department of Health
6 · The paper itself

Abstract

Good practice in clinical trials advocates common standards for assessing and reporting condition-specific complaints ("outcome domains"). For tinnitus, there is no common standard. The Core Outcome Measures in Tinnitus International Delphi (COMiT'ID) study created recommendations that are relevant to the most common intervention approaches for chronic subjective tinnitus in adults using consensus methods. Here, the objectives were to examine why it is important to tailor outcome domain selection to the tinnitus intervention that is being evaluated in the clinical trial and to demonstrate that the COMiT'ID recommendations are robust. The COMiT'ID study used an online three-round Delphi method with three separate surveys for sound-, psychology-, and pharmacology-based interventions. Survey data were analyzed to assess quality and confidence in the consensus achieved across surveys and stakeholder groups and between survey rounds. Results found participants were highly discriminatory in their decision-making. Of the 34 outcome domains reaching the prespecified consensus definition in the final round, 17 (50%) were unique to one intervention, while only 12 (35%) were common to all three. Robustness was demonstrated by an acceptable level of agreement across and within stakeholder groups, across survey rounds, across medical specialties (for the health-care practitioners), and across health-care users with varying tinnitus duration. There were few dissenting voices, and results showed no attrition bias. In conclusion, there is compelling evidence that one set of outcomes does not fit all therapeutic aims. Our analyses evidence robust decisions by the electronic Delphi process, leading to recommendations for three unique intervention-specific outcome domain sets. This provides an important starting point for standardization.

Indexed as

AdultChronic DiseaseClinical Trials as TopicCombined Modality TherapyConsensusDelphi TechniqueHumansSurveys and QuestionnairesTinnitusTreatment Outcomeassessmentpatient-reported outcome measuresstakeholder agreementtreatment effectiveness

Identifiers

PMID30803389
PMCPMC6354310
OpenAlexW2914933913

What OpenQuestion holds

Textmetadata
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.