Evidence map›Paper›PMID 36846432›Full record

ArticleLaryngoscope investigative otolaryngology2023

Choice of treatment evaluated after trial periods with bone conduction devices and contralateral routing of sound systems in patients with single-sided deafness.

Anne W Wendrich, Jan A A van Heteren, Jeroen P M Peters, Guido Cattani, Robert J Stokroos, Huib Versnel, Adriana L Smit

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. 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

7 authors.

Anne W WendrichDepartment of Otorhinolaryngology and Head & Neck Surgery University Medical Center Utrecht Utrecht Netherlands.ORCID https://orcid.org/0000-0001-9697-3509
Jan A A van HeterenDepartment of Otorhinolaryngology and Head & Neck Surgery University Medical Center Utrecht Utrecht Netherlands.ORCID https://orcid.org/0000-0003-0634-7518
Jeroen P M PetersDepartment of Otorhinolaryngology and Head & Neck Surgery University Medical Center Utrecht Utrecht Netherlands.ORCID https://orcid.org/0000-0003-3189-9103
Guido CattaniDepartment of Otorhinolaryngology and Head & Neck Surgery University Medical Center Utrecht Utrecht Netherlands.
Robert J StokroosDepartment of Otorhinolaryngology and Head & Neck Surgery University Medical Center Utrecht Utrecht Netherlands.ORCID https://orcid.org/0000-0001-8037-2573
Huib VersnelDepartment of Otorhinolaryngology and Head & Neck Surgery University Medical Center Utrecht Utrecht Netherlands.ORCID https://orcid.org/0000-0003-1273-6456
Adriana L SmitDepartment of Otorhinolaryngology and Head & Neck Surgery University Medical Center Utrecht Utrecht Netherlands.ORCID https://orcid.org/0000-0001-9126-9969

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Patients with single-sided deafness (SSD) may experience difficulties with speech perception in noise, sound localization, have tinnitus and experience a reduced quality of life (QoL). contralateral routing of sound hearing aids (CROS) or bone conduction devices (BCD) may partly improve subjective speech communication and QoL in SSD patients. A trial period with these devices can help in making a well-informed choice of treatment. Our aim was to evaluate factors influencing the choice of treatment made after a BCD and CROS trial period in adult SSD patients. Methods: Patients were randomized in the: "first BCD, then CROS" or "first CROS, then BCD" trial period group. After the BCD on headband and CROS were tested for 6 weeks each, patients choose for BCD, CROS or no treatment. Primary outcome was the distribution of choice of treatment. Secondary outcomes included the association between the choice of treatment and patient characteristics, reasons for treatment acceptance or rejection, device usage during the trial periods, and disease-specific QoL outcomes. Results: Of 91 patients randomized, 84 completed both trial periods and made their choice of treatment: 25 (30%) BCD, 34 (40%) CROS, and 25 (30%) no treatment. No characteristics were found to be related to choice of treatment. Top three reasons for acceptance or rejection were: device (dis)comfort, sound quality and (dis)advantage of subjective hearing. Average daily device use during the trial periods was higher for CROS than for BCD. Choice of treatment was significantly related with both duration of device usage and greater improvement of QoL after the corresponding trial period. Conclusion: The majority of SSD patients preferred BCD or CROS over no treatment. Evaluating device usage, discussing treatment (dis)advantages and disease-specific QoL outcomes after trial periods are to be considered during patient counseling and could facilitate whether to choose one of these treatments. Level of evidence: 1B.

Indexed as

bone conduction devicecontralateral routing of soundrandomized controlled trialsingle‐sided deafnesstrial period

Identifiers

PMID36846432
PMCPMC9948587

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Registered trials

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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.