Evidence map›Paper›PMID 38797674›Full record

ArticleJournal of epidemiology2024

The Out-of-pocket Expenses of People With Tinnitus in Europe.

Carlotta M Jarach, Kyriaki Karydou, Ilias Trochidis, Alberto Bernal-Robledano, Piet A van den Brandt, Rilana Cima, Christopher R Cederroth, Jose Antonio Lopez-Escamez, Simone Ghislandi, Deborah A Hall and 10 more

Abstract read
In one paragraph

Article in Journal of epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Tinnitus in urban settings: insights into lifestyle and medical factors from the Hamburg City Health Study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  2. Review
  3. Tinnitus.Nature reviews. Disease primers · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. [Research status and future strategies for refractory inner ear disease].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Review
  10. Article
  11. The Current State of Tinnitus Diagnosis and Treatment: a Multidisciplinary Expert Perspective.Journal of the Association for Research in Otolaryngology : JARO · 2024
    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

20 authors.

Carlotta M JarachIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Department of Medical Epidemiology.ORCID 0000-0002-9963-1624
Kyriaki KarydouViLabs.
Ilias TrochidisViLabs.
Alberto Bernal-RobledanoInstituto de Investigación Biosanitaria ibs.GRANADA.
Piet A van den BrandtMaastricht University Medical Centre, CAPHRI- School for Public Health and Primary Care, Department of Epidemiology.
Rilana CimaHealth Psychology, Faculty of Psychology and Educational Sciences, KU Leuven University.
Christopher R CederrothLaboratory of Experimental Audiology, Department of Physiology and Pharmacology, Karolinska Institutet.
Jose Antonio Lopez-EscamezInstituto de Investigación Biosanitaria ibs.GRANADA.
Simone GhislandiDepartment of Social and Political Sciences, Bocconi University.
Deborah A HallSchool of Social Sciences, Heriot-Watt University.
Dimitris KikidisDepartment of Otorhinolaryngology, Head and Neck Surgery, National and Kapodistrian University of Athens, Medical School.
Berthold LangguthDepartment of Psychiatry and Psychotherapy, University of Regensburg.
Alessandra LugoIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Department of Medical Epidemiology.ORCID 0000-0002-4297-6496
Birgit MazurekTinnitus Center, Charité Universitätsmedizin Berlin.
Anna OdoneSchool of Medicine, University Vita-Salute San Raffaele.
Martin SchecklmannDepartment of Psychiatry and Psychotherapy, University of Regensburg.
Stefan SchoisswohlDepartment of Psychiatry and Psychotherapy, University of Regensburg.
Jorge P SimoesDepartment of Psychology, Health and Technology, University of Twente.
Winfried SchleeDepartment of Psychiatry and Psychotherapy, University of Regensburg.
Silvano GallusIstituto di Ricerche Farmacologiche Mario Negri IRCCS, Department of Medical Epidemiology.ORCID 0000-0002-8967-0400

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the high frequency of tinnitus and its impact on wellbeing, little is known about its economic burden, and, to our knowledge, no data are available on out-of-pocket (OOP) expenses.

methodsIn 2022, a survey was conducted on OOP costs of tinnitus. We enrolled 679 participants with slight, moderate, and severe tinnitus in Italy, United Kingdom, Netherlands, Germany, and Spain. We estimated annual OOP expenses for tinnitus-related healthcare visits, treatments, medications, and alternative medicine practices. Prevalence of tinnitus in the general population, obtained from a representative survey we conducted in Europe in 2017-2018, was used to generalize costs for people with any tinnitus at the national level.

resultsOOP expenses were 368€ (95% confidence intervals [CI], 78€-690€), 728€ (95% CI, 316€-1,288€), and 1,492€ (95% CI, 760€-2,688€) for slight, moderate, and severe tinnitus, respectively, with annual expenditure of 565€ for people with any tinnitus: 209€ for healthcare visits; 93€ for treatments; 16€ for drugs; 64€ for hearing supporting systems; and 183€ for acupuncture, homeopathy, and osteopathy. Individuals with slight, moderate, and severe tinnitus expressed a willingness to invest 1.6, 4.3, and 7.0 times their monthly income, respectively, to achieve complete relief from tinnitus.

conclusionThis study offers for the first time insights into the OOP expenses incurred by individuals with tinnitus. OOP expenses exhibited substantial variations based on severity status, accounting for more than 17 billion € in the countries considered. In terms of financial burden, these findings align tinnitus to the recognized leading disabilities, including back pain and migraine.

Indexed as

Cost of IllnessHealth ExpendituresTinnitusAdultAgedEuropeFemaleHumansMaleMiddle Agedeconomic burdenepidemiologyout of pocket costspatients’ perspectivetinnitus

Identifiers

PMID38797674
PMCPMC11464849

What OpenQuestion holds

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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.