Evidence map›Paper›PMID 34195369›Full record

ReviewLaryngoscope investigative otolaryngology2021

Hearing loss in inner ear and systemic autoimmune disease: A systematic review of post-cochlear implantation outcomes.

Jonathan Lee, Kirsty Biggs, Jameel Muzaffar, Manohar Bance, Peter Monksfield

Open access · goldAbstract readReview
In one paragraph

Review in Laryngoscope investigative otolaryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

Jonathan LeeSouth Warwickshire Foundation Trust Warwick UK.ORCID https://orcid.org/0000-0001-8806-8066
Kirsty BiggsUniversity Hospitals of North Midlands Stoke-on Trent UK.ORCID https://orcid.org/0000-0003-2993-9495
Jameel MuzaffarUniversity Hospitals Birmingham NHS Foundation Trust Birmingham UK.
Manohar BanceUniversity of Cambridge Cambridge UK.
Peter MonksfieldUniversity Hospitals Birmingham NHS Foundation Trust Birmingham UK.
University Hospitals Birmingham NHS Foundation Trust · GBSouth Warwickshire NHS Foundation Trust · GBUniversity Hospitals of North Midlands NHS Trust · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess outcomes following cochlear implantation (CI) in patients with hearing loss secondary to primary or secondary autoimmune inner ear disease (AIED).

methodsA systematic review and narrative synthesis was completed according to PRISMA guidelines. Databases searched included MEDLINE, PubMed, EMBASE, Web of Science, Cochrane Collection, and ClinicalTrials.gov. No limits were placed on year of publication or language.

resultsA total of 551 studies were identified, of which 29 were included after removal of duplicates, and screening the title, abstract, and full text. All except one study were OCEBM grade IV. 114 of 115 patients displayed improvement in hearing following cochlear implantation. With implant use, roughly a third of these patients had hearing that improved over time, a third improved and plateaued, and a third remained stable. There was no additional risk of perioperative complications found in AIED patients compared what is generally accepted in general cochlear implantation, although two episodes of device failure after 6 months were noted, and four patients with secondary AIED displayed poor initial audiological outcomes.

conclusionCI in both primary and secondary AIED provides marked improvement in hearing. Early CI may be a valid management option, provide long-lasting hearing in patients and reduce the side effects of long-term systemic immunosuppressants. However, patients should be counseled residual hearing may be lost if there is cochlear ossification or fibrosis which may make implant insertion more traumatic. LEVEL OF EVIDENCE: NA.

Indexed as

autoimmune inner ear diseaseCochlear implantssensorineural hearing losssystematic review

Identifiers

PMID34195369
PMCPMC8223457
OpenAlexW3158699018

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.