Evidence map›Paper›PMID 36056228›Full record

ArticleIrish journal of medical science2023

Outcomes from 7 years of a direct to audiology referral pathway.

Roulla Katiri, Nina Sivan, Anthony Noone, Eric Farrell, Laura McLoughlin, Bronagh Lang, Bronagh O'Donnell, Stephen M Kieran

Open access · bronzeAbstract read
In one paragraph

Article in Irish journal of medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 57% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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 2 institutions in 2 countries.

Roulla KatiriDepartment of Audiology, Mater Misericordiae University Hospital, Dublin, Ireland. rkatiri@mater.ie.ORCID http://orcid.org/0000-0001-7098-8024
Nina SivanDepartment of Audiology, Mater Misericordiae University Hospital, Dublin, Ireland.
Anthony NooneENT Department, Mater Misericordiae University Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0003-4826-8551
Eric FarrellENT Department, Mater Misericordiae University Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0003-0725-425X
Laura McLoughlinENT Department, Mater Misericordiae University Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0002-8582-9111
Bronagh LangENT Department, Mater Misericordiae University Hospital, Dublin, Ireland.ORCID http://orcid.org/0000-0001-6797-6911
Bronagh O'DonnellHSE Community Audiology Services, Grangegorman Primary Care Centre, Dublin, Ireland.
Stephen M KieranENT Department, Mater Misericordiae University Hospital, Dublin, Ireland.
Mater Misericordiae University Hospital · IEUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe direct to audiology via ENT referral pathway was designed to enhance patient access to audiology services. The pathway is recommended in the Otolaryngology Head & Neck Surgery: a model of care for Ireland report, published in 2019.

aimsThis study aimed to review the outcomes of all patients that attended our institution over the last seven years.

methodsA retrospective review of the direct to audiology referral service from March 2014 to December 2021 was conducted. Outcomes were defined by the pathway each patient took following attendance at the audiology clinic. Patients were either (i) discharged, (ii) referred for hearing aid(s) or (iii) identified as candidates for further diagnostic assessments, including a follow-up at the ENT outpatient clinic.

resultsDuring the time frame, 419 patients were triaged to the pathway. The average wait time was 13 days. The average age was 53 years (range 16-96 years, SD = 6.1). Approximately 34% (n = 143) of all patients referred were discharged back to the GP by the audiologist, but 66% (n = 276) presented with 'red flags' and needed further investigation in the ENT clinic, with 30% (n = 73) ultimately requiring imaging studies. Over half (n = 254, 61%) were referred for hearing aids.

conclusionThe direct to audiology initiative has proven effective at reducing waiting times for ENT patients solely in need of audiological intervention. Approximately one-third of these referrals to the ENT service can be assessed comprehensively in the audiology clinic, thereby reducing the demand for ENT clinics, enhancing service provision and expediting onwards referral for amplification.

Indexed as

AudiologyHearing AidsOtolaryngologyAdolescentAdultAgedAged, 80 and overAmbulatory Care FacilitiesHumansMiddle AgedReferral and ConsultationYoung AdultAudiologyDirect referral pathwayHearing assessmentOtologyTinnitusVertigo

Identifiers

PMID36056228
PMCPMC9439272
OpenAlexW4294543105

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.