Evidence map›Paper›PMID 30946136›Full record

ArticleEar and hearing

CEDRA: A Tool to Help Consumers Assess Risk for Ear Disease.

Niall A M Klyn, Samantha Kleindienst Robler, Jamie Bogle, Razan Alfakir, Donald W Nielsen, James W Griffith, Deborah L Carlson, Larry Lundy, Sumitrajit Dhar, David A Zapala

Abstract read
In one paragraph

Article in Ear and hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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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

10 authors.

Niall A M KlynRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois, USA.
Samantha Kleindienst RoblerDivision of Audiology, Mayo Clinic, Scottsdale, Arizona, USA.
Jamie BogleDivision of Audiology, Mayo Clinic, Scottsdale, Arizona, USA.
Razan AlfakirDepartment of Otorhinolaryngology, Mayo Clinic, Jacksonville, Florida, USA.
Donald W NielsenDon Nielsen Consulting, LLC, Dublin, Ohio, USA.
James W GriffithDepartment of Medical Social Science, Northwestern University, Chicago, Illinois, USA.
Deborah L CarlsonDepartment of Otolaryngology, University of Texas Medical Branch, Galveston, Texas, USA.
Larry LundyDepartment of Otorhinolaryngology, Mayo Clinic, Jacksonville, Florida, USA.
Sumitrajit DharRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois, USA.
David A ZapalaDepartment of Otorhinolaryngology, Mayo Clinic, Jacksonville, Florida, USA.

Funding

Can Consumers and Audiologists Detect Ear Disease Prior to Hearing Aid Use?R33DC013115 · NIDCD · NORTHWESTERN UNIVERSITY · PI DHAR, SUMITRAJIT, ZAPALA, DAVID · 2015 to 2017
$1.8M
Can Consumers and Audiologists Detect Ear Disease Prior to Hearing Aid Use?R21DC013115 · NIDCD · NORTHWESTERN UNIVERSITY · PI DHAR, SUMITRAJIT, ZAPALA, DAVID · 2013 to 2014
$442k
NIDCD NIH HHS R21 DC013115NIDCD NIH HHS R33 DC013115
6 · The paper itself

Abstract

This article introduces the Consumer Ear Disease Risk Assessment (CEDRA) tool. CEDRA is a brief questionnaire designed to screen for targeted ear diseases. It offers an opportunity for consumers to self-screen for disease before seeking a hearing device and may be used by clinicians to help their patients decide the appropriate path to follow in hearing healthcare. Here we provide highlights of previously published validation in the context of a more thorough description of CEDRA's development and implementation. CEDRA's sensitivity and specificity, using a cut-off score of 4 or higher, was 90% and 72%, respectively, relative to neurotologist diagnoses in the initial training sample used to create the scoring algorithm (n = 246). On a smaller independent test sample (n = 61), CEDRA's sensitivity and specificity were 76% and 80%, respectively. CEDRA has readability levels similar to many other patient-oriented questionnaires in hearing healthcare, and informal reports from pilot CEDRA-providers indicate that the majority of patients can complete it in less than 10 min. As the hearing healthcare landscape changes and provider intercession is no longer mandated, CEDRA provides a measure of safety without creating a barrier to access.

Indexed as

Ear DiseasesHealth Services AccessibilityHearing AidsHearing LossHumansMass ScreeningReproducibility of ResultsRisk AssessmentSensitivity and SpecificitySurveys and Questionnaires

Identifiers

PMID30946136
PMCPMC6774904

What OpenQuestion holds

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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.