Evidence map›Paper›PMID 33899603›Full record

SynthesisTrends in hearing

Does Probe-Tube Verification of Real-Ear Hearing Aid Amplification Characteristics Improve Outcomes in Adults? A Systematic Review and Meta-Analysis.

Ibrahim Almufarrij, Harvey Dillon, Kevin J Munro

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Trends in hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05621798 (Quantifying the Benefits and Cost-effectiveness of Real-Ear Measurements), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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.

NCT05621798 nacompletednot on this map

Quantifying the Benefits and Cost-effectiveness of Real-Ear Measurements (REM) for Hearing Aid Fitting

TypeinterventionalSponsorKuopio University HospitalRan2022 to 2025Enrolled101ConditionsSensorineural Hearing Loss, BilateralArmsHearing Aid Manufacturer's Software, REM (Real Ear Measurements)
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  8. Hearing aid verification: Practices and perceptions of South African audiologists.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2024
    Article
  9. Functional outcomes for speech-in-noise intelligibility of NAL-NL2 and DSL v.5 prescriptive fitting rules in hearing aid users.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 · 2024
    Article
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  14. Review
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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

3 authors.

Ibrahim AlmufarrijManchester Centre for Audiology and Deafness, School of Health Sciences, Manchester, United Kingdom.ORCID 0000-0003-4043-7234
Harvey DillonManchester Centre for Audiology and Deafness, School of Health Sciences, Manchester, United Kingdom.
Kevin J MunroManchester Centre for Audiology and Deafness, School of Health Sciences, Manchester, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review, the first on this topic, aimed to investigate if probe-tube verification of real-ear hearing aid amplification characteristics improves outcomes in adults. The review was preregistered in the Prospective Register of Systematic Reviews and performed in accordance with the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. After assessing more than 1,420 records from seven databases, six experimental studies (published between 2012 and 2019) met the inclusion criteria; five were included in the meta-analyses. The primary outcome of interest (hearing-specific, health-related quality of life) was not reported in any study. There were moderate and statistically significant positive effects of probe-tube real-ear measurement (REM), compared with the manufacturer's initial fit, on speech intelligibility in quiet settings (standardized mean difference [SMD]: 0.59) and user's final preference (proportion difference: 52.2%). There were small but statistically significant positive effects of REM on self-reported listening abilities (SMD: 0.22) and speech intelligibility in noise (SMD: 0.15). The quality of evidence for these outcomes ranged from high to very low. The findings show that REMs improve outcomes statistically, but this is based on a small number of studies and a limited number of participants. It is currently unclear if the benefits are of material importance because minimum clinically important differences have not been established for most of the outcomes. Ultimately, there needs to be a cost-effectiveness analysis to show that statistically significant benefits, which exceed the minimum clinically important difference, are worth the cost involved.

Indexed as

Hearing AidsHearing Loss, SensorineuralAdultHearingHumansQuality of LifeSpeech Intelligibilitybenefithearing aidsprobe-tube microphonereal-ear measurementsystematic review

Identifiers

PMID33899603
PMCPMC8083001

What OpenQuestion holds

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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.