Evidence map›Paper›PMID 36729346›Full record

SynthesisJournal of cancer survivorship : research and practice2023

Ototoxicity prognostic models in adult and pediatric cancer patients: a rapid review.

J R DeBacker, G P McMillan, N Martchenke, C M Lacey, H R Stuehm, M E Hungerford, D Konrad-Martin

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of cancer survivorship : research and practice, 2023. 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
1.4field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Ototoxicity beyond platinum-based derivatives.Cancer chemotherapy and pharmacology · 2026
    Article
  2. Review
  3. Development and Validation of a Novel Prediction Model for Hearing Loss From Cisplatin Chemotherapy.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  4. Review
  5. Review
  6. Article
  7. Review
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

7 authors at 3 institutions in 1 country.

J R DeBackerVA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, 3710 SW US Veterans Hospital Road (NCRAR - P5), Portland, OR, 97239, USA. james.debacker@va.gov.
G P McMillanVA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, 3710 SW US Veterans Hospital Road (NCRAR - P5), Portland, OR, 97239, USA.
N MartchenkeVA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, 3710 SW US Veterans Hospital Road (NCRAR - P5), Portland, OR, 97239, USA.
C M LaceyVA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, 3710 SW US Veterans Hospital Road (NCRAR - P5), Portland, OR, 97239, USA.
H R StuehmVA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, 3710 SW US Veterans Hospital Road (NCRAR - P5), Portland, OR, 97239, USA.
M E HungerfordVA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, 3710 SW US Veterans Hospital Road (NCRAR - P5), Portland, OR, 97239, USA.
D Konrad-MartinVA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, 3710 SW US Veterans Hospital Road (NCRAR - P5), Portland, OR, 97239, USA.
Oregon Health & Science University · USVA Portland Health Care System · USUniversity of Pittsburgh · US

Funding

Ruth L. Kirschstein NRSA Short-Term Institutional Research Training Grant (T35)T35DC008764 · NIDCD · PORTLAND VA RESEARCH FOUNDATION, INC. · PI DAWN L KONRAD-MARTIN · 2007 to 2026
$485k
Physiological, Behavioral and Predictive Correlates of Ototoxicity in HumansI01RX003127 · VA · PORTLAND VA MEDICAL CENTER · PI KONRAD-MARTIN, DAWN L · 2020 to 2024
–
Genetic Associations with Hearing Loss from Cancer TreatmentI21RX003483 · VA · PORTLAND VA MEDICAL CENTER · PI KONRAD-MARTIN, DAWN L · 2020 to 2023
–
NIDCD NIH HHS T35 DC008764RRD VA I01 RX003127RRD VA I21 RX003483RRD VA I50 RX002361
6 · The paper itself

Abstract

purposeA cornerstone of treatment for many cancers is the administration of platinum-based chemotherapies and/or ionizing radiation, which can be ototoxic. An accurate ototoxicity risk assessment would be useful for counseling, treatment planning, and survivorship follow-up in patients with cancer.

methodsThis systematic review evaluated the literature on predictive models for estimating a patient's risk for chemotherapy-related auditory injury to accelerate development of computational approaches for the clinical management of ototoxicity in cancer patients. Of the 1195 articles identified in a PubMed search from 2010 forward, 15 studies met inclusion for the review.

conclusionsAll but 1 study used an abstraction of the audiogram as a modeled outcome; however, specific outcome measures varied. Consistently used predictors were age, baseline hearing, cumulative cisplatin dose, and radiation dose to the cochlea. Just 5 studies were judged to have an overall low risk of bias. Future studies should attempt to minimize bias by following statistical best practices including not selecting multivariate predictors based on univariate analysis, validation in independent cohorts, and clearly reporting the management of missing and censored data. Future modeling efforts should adopt a transdisciplinary approach to define a unified set of clinical, treatment, and/or genetic risk factors. Creating a flexible model that uses a common set of predictors to forecast the full post-treatment audiogram may accelerate work in this area. Such a model could be adapted for use in counseling, treatment planning, and follow-up by audiologists and oncologists and could be incorporated into ototoxicity genetic association studies as well as clinical trials investigating otoprotective agents. IMPLICATIONS FOR CANCER SURVIVORS: Improvements in the ability to model post-treatment hearing loss can help to improve patient quality of life following cancer care. The improvements advocated for in this review should allow for the acceleration of advancements in modeling the auditory impact of these treatments to support treatment planning and patient counseling during and after care.

Indexed as

Antineoplastic AgentsCancer SurvivorsNeoplasmsOtotoxicityAdultChildHumansPrognosisQuality of LifeAntineoplastic AgentsAdverse drug reaction reporting systemsAntineoplastic protocolsAudiologyAudiometryDrug monitoringHearing lossHigh frequencyOtotoxicityPure-tone

Identifiers

PMID36729346
PMCPMC11727884
OpenAlexW4318916515

What OpenQuestion holds

Textmetadata
LicenceTDM
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.