Evidence map›Paper›PMID 35724557›Full record

SynthesisCancer epidemiology2022

Global burden of ototoxic hearing loss associated with platinum-based cancer treatment: A systematic review and meta-analysis.

Lauren K Dillard, Lucero Lopez-Perez, Ricardo X Martinez, Amanda M Fullerton, Shelly Chadha, Catherine M McMahon

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cancer epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07553481 (Chemotherapy-Induced Hearing Loss and Health Inequality), which is not on this map. Cited by 67 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 4 pooled it
8.2field-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.

NCT07553481 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Chemotherapy-Induced Hearing Loss and Health Inequality

TypeobservationalSponsorLancaster UniversityRan2026 to 2028Enrolled172ConditionsCancer, Chemo Brain, Chemotherapy, Hearing
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 4 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. N-acetylcysteine for the Prevention of Cisplatin-Induced Hearing Loss: A Systematic Review and Meta-analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Pooled it
  3. Pooled it
  4. Ototoxicity prognostic models in adult and pediatric cancer patients: a rapid review.Journal of cancer survivorship : research and practice · 2023
    Pooled it
  5. Trial
  6. Trial
  7. Ototoxicity beyond platinum-based derivatives.Cancer chemotherapy and pharmacology · 2026
    Article
  8. Article
  9. Article
  10. Falls in older patients treated for cancer in French outpatient departments: screening and prevention-a prospective observational study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  11. Article
  12. Article
  13. Review
  14. Pre-treatment audiological and vestibular assessment in adults starting platinum-based chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  15. Article
  16. Review
  17. Observational
  18. Review
  19. Review
  20. Article

7 more citing papers are in PubMed but not listed here.

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

6 authors at 3 institutions in 3 countries.

Lauren K DillardDepartment of Population Health Sciences, University of Wisconsin-Madison, Madison, WI, United States. Electronic address: lauren.dillard@wisc.edu.
Lucero Lopez-PerezCluster of Healthier Populations, World Health Organization, Geneva, Switzerland.
Ricardo X MartinezCluster of Healthier Populations, World Health Organization, Geneva, Switzerland.
Amanda M FullertonDepartment of Linguistics, Macquarie University, Sydney, New South Wales, Australia.
Shelly ChadhaDepartment on Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.
Catherine M McMahonDepartment of Linguistics, Macquarie University, Sydney, New South Wales, Australia.
World Health Organization · CHMacquarie University · AUUniversity of Wisconsin–Madison · US

Funding

World Health Organization 001
6 · The paper itself

Abstract

Platinum-based chemotherapeutic agents cisplatin and carboplatin are widely used in cancer treatment worldwide and may result in ototoxic hearing loss. The high incidence of cancer and salient ototoxic effects of platinum-based compounds pose a global public health threat. The purpose of this study was twofold. First, to estimate the prevalence of ototoxic hearing loss associated with treatment with cisplatin and/or carboplatin via a systematic review and meta-analysis. Second, to estimate the annual global burden of ototoxic hearing loss associated with exposure to cisplatin and/or carboplatin. For the systematic review, three databases were searched (Ovid Medline, Ovid Embase, and Web of Science Core Collection) and studies that reported prevalence of objectively measured ototoxic hearing loss in cancer patients were included. A random effects meta-analysis determined pooled prevalence (95% confidence intervals [CI]) of ototoxic hearing loss overall, and estimates were stratified by treatment and patient attributes. Estimates of ototoxic hearing loss burden were created with published global estimates of incident cancers often treated with platinum-based compounds and cancer-specific treatment rates. Eighty-seven records (n = 5077 individuals) were included in the meta-analysis. Pooled prevalence of ototoxic hearing loss associated with cisplatin and/or carboplatin exposure was 43.17% [CI 37.93-48.56%]. Prevalence estimates were higher for regimens involving cisplatin (cisplatin only: 49.21% [CI 42.62-55.82%]; cisplatin & carboplatin: 56.05% [CI 45.12-66.43%]) versus carboplatin only (13.47% [CI 8.68-20.32%]). Our crude estimates of burden indicated approximately one million individuals worldwide are likely exposed to cisplatin and/or carboplatin, which would result in almost half a million cases of hearing loss per year, globally. There is an urgent need to reduce impacts of ototoxicity in cancer patients. This can be partially achieved by implementing existing strategies focused on primary, secondary, and tertiary hearing loss prevention. Primary ototoxicity prevention via otoprotectants should be a research and policy priority.

Indexed as

Antineoplastic AgentsHearing LossNeoplasmsOtotoxicityCarboplatinCisplatinHumansPlatinumAntineoplastic AgentsCarboplatinCisplatinPlatinumAdverse drug eventChemotherapyHearing lossOtotoxicity

Identifiers

PMID35724557
PMCPMC9339659
OpenAlexW4283021724

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.