Evidence map›Paper›PMID 37270526›Full record

SynthesisRadiation oncology (London, England)2023

The relevance of ototoxicity induced by radiotherapy.

Yan Huang, Hong Zhou, Fenglan An, Aimei Zhao, Jian Wu, Meihua Wang, Judong Luo

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Radiation oncology (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. Auditory Preservation in Nasopharyngeal Carcinoma: Comparison of Proton and Photon Radiotherapy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  4. Current Status of Research on Losartan in Tumour Therapy.Journal of cellular and molecular medicine · 2026
    Review
  5. Article
  6. Review
  7. Review
  8. 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 at 5 institutions in 1 country.

Yan Huang *Department of Radiotherapy, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou Medical Center, Nanjing Medical University, Changzhou, China.
Hong Zhou *Department of Otolaryngology, Shidong Hospital, Yangpu District, Shidong Hospital Affiliated to University of Shanghai for Science and Technology, Shanghai, China.
Fenglan AnThe Third Department of Internal Medicine, Hospital of Traditional Chinese Medicine, Lingcheng, Dezhou, Shandong Province, China.
Aimei ZhaoDepartment of Obstetrics and Gynecology, Dongchangfu Maternal and Child Health Hospital of Liaocheng, Liaocheng, China.
Jian WuDepartment of Head and Neck Surgery, The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University, Changzhou, China.
Meihua WangDepartment of Pathology, Changzhou Tumor Hospital, Changzhou, China. wangmeihua1234@suda.edu.cn.
Judong LuoDepartment of Radiotherapy, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou Medical Center, Nanjing Medical University, Changzhou, China. judongluo@163.com.
Changzhou No.2 People's Hospital · CNHangzhou Cancer Hospital · CNLiaocheng People's Hospital · CNNanjing Medical University · CNUniversity of Shanghai for Science and Technology · CN

Funding

Changzhou Sci&Tech Program CJ20220092National Natural Science Foundation of China 82073339Project of Wuxi Health Committee Q202015
6 · The paper itself

Abstract

backgroundThe risk of ototoxicity, characterized by hearing impairment, tinnitus, or middle ear inflammation, is elevated in both child and adult cancer survivors who have undergone head-neck or brain radiation, or a combination of the two. To provide optimal care for these cancer survivors and minimize subsequent complications, it is crucial to comprehend the relationship between radiotherapy and ototoxicity.

methodsA comprehensive search of databases, including the Cochrane Library, PubMed, Embase, and Web of Science, was conducted from the inception of the knowledge base up until January 2023. The metafor-package was employed to compare ototoxicity rates in individuals receiving radiotherapy. Two independent assessors extracted data and analyzed targets using a random-effects model.

resultsOut of the 28 randomized controlled trials (RCTs) included in the analysis, 25 were prospective RCTs. Subgroup analysis revealed that mean cochlear radiation dose, primary tumor location, radiotherapy modality, and patient age significantly influenced total hearing impairment. Intensity-modulated radiotherapy was associated with less ototoxicity than 2D conventional radiotherapy (OR, 0.53; 95% CI, 0.47-0.60; P = 0.73; I

conclusionSeveral risk factors for radiation-induced hearing impairment were identified in this study. High cochlear radiation doses were found to exacerbate the risk of hearing impairment resulting from radiation therapy.

Indexed as

Hearing LossOtotoxicityRadiosurgeryRadiotherapy, Intensity-ModulatedAdultChildHearingHumansRadiotherapyCochleaOtotoxicityRadiation doseRadiation exposureRadiotherapy

Identifiers

PMID37270526
PMCPMC10239118
OpenAlexW4379207640

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.