Evidence map›Paper›PMID 38317449›Full record

SynthesisJournal of Korean medical science2024

Consensus Statements on the Definition, Classification, and Diagnostic Tests for Tinnitus: A Delphi Study Conducted by the Korean Tinnitus Study Group.

Oak-Sung Choo, Hantai Kim, Seung Jae Lee, So Young Kim, Kyu-Yup Lee, Ho Yun Lee, In Seok Moon, Jae-Hyun Seo, Yoon Chan Rah, Jae-Jun Song and 4 more

Abstract readConsensus StatementSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of Korean medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
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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

14 authors.

Oak-Sung ChooDepartment of Otorhinolaryngology-Head and Neck Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-1633-8546
Hantai KimDepartment of Otorhinolaryngology-Head and Neck Surgery, Konyang University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-5020-7814
Seung Jae LeeDepartment of Otorhinolaryngology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.ORCID https://orcid.org/0000-0002-0390-8415
So Young KimDepartment of Otorhinolaryngology-Head & Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.ORCID https://orcid.org/0000-0002-7361-4930
Kyu-Yup LeeDepartment of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.ORCID https://orcid.org/0000-0001-7170-4847
Ho Yun LeeDepartment of Otolaryngology-Head and Neck Surgery, College of Medicine, Ewha Womans University, Seoul, Korea.ORCID https://orcid.org/0000-0002-9590-3477
In Seok MoonDepartment of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3951-5074
Jae-Hyun SeoDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0002-8443-8581
Yoon Chan RahDepartment of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.ORCID https://orcid.org/0000-0003-1559-5396
Jae-Jun SongDepartment of Otorhinolaryngology-Head and Neck Surgery, Korea University Guro Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-8488-9091
Eui-Cheol NamDepartment of Otorhinolaryngology, Kangwon National University College of Medicine, Chuncheon, Korea.ORCID https://orcid.org/0000-0002-5290-6221
Shi Nae ParkDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0002-7614-9413
Jae-Jin SongDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0002-6631-3232
Hyun Joon ShimDepartment of Otorhinolaryngology-Head and Neck Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea. eardoc11@naver.com.ORCID https://orcid.org/0000-0001-9719-6959

Funding

Korea Health Industry Development Institute HI21C1574Korea Health Industry Development Institute RS-2023-00264236National Research Foundation of Korea 2020R1I1A3071587National Research Foundation of Korea NRF-2022R1A2B5B02002139Seoul National University Bundang Hospital 14-2023-0015
6 · The paper itself

Abstract

backgroundTinnitus is a bothersome condition associated with various symptoms. However, the mechanisms of tinnitus are still uncertain, and a standardized assessment of the diagnostic criteria for tinnitus is required. We aimed to reach a consensus on diagnosing tinnitus with professional experts by conducting a Delphi study with systematic review of the literature.

methodsTwenty-six experts in managing tinnitus in Korea were recruited, and a two-round modified Delphi study was performed online. The experts evaluated the level of agreement of potential criteria for tinnitus using a scale of 1-9. After the survey, a consensus meeting was held to establish agreement on the results obtained from the Delphi process. Consensus was defined when over 70% of the participants scored 7-9 (agreement) and fewer than 15% scored 1-3 (disagreement). To analyze the responses of the Delphi survey, the content validity ratio and Kendall's coefficient of concordance were evaluated.

resultsConsensus was reached for 22 of the 38 statements. For the definition of tinnitus, 10 out of 17 statements reached consensus, with three statements achieving complete agreement including; 1) Tinnitus is a conscious perception of an auditory sensation in the absence of a corresponding external stimulus, 2) Tinnitus can affect one's quality of life, and 3) Tinnitus can be associated with hearing disorders including sensorineural hearing loss, vestibular schwannoma, Meniere's disease, otosclerosis, and others. For the classification of tinnitus, 11 out of 18 statements reached consensus. The participants highly agreed with statements such as; 1) Vascular origin is expected in pulse-synchronous tinnitus, and 2) Tinnitus can be divided into acute or chronic tinnitus. Among three statements on the diagnostic tests for tinnitus only Statement 3, "There are no reliable biomarkers for sensory or emotional factors of tinnitus." reached consensus. All participants agreed to perform pure-tone audiometry and tinnitus questionnaires, including the Tinnitus Handicap Inventory and Tinnitus Questionnaire.

conclusionWe used a modified Delphi method to establish a consensus-based definition, a classification, and diagnostic tests for tinnitus. The expert panel reached agreement for several statements, with a high level of consensus. This may provide practical information for clinicians in managing tinnitus.

Indexed as

Delphi TechniqueTinnitusFemaleHumansMaleQuality of LifeRepublic of KoreaSurveys and QuestionnairesDelphi StudySystematic ReviewTinnitus

Identifiers

PMID38317449
PMCPMC10843967

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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.