Evidence map›Paper›PMID 40404318›Full record

Trial reportBMJ open2025

Globally applicable solution to hearing loss screening: a diagnostic accuracy study of tablet-based audiometry.

Jamie Cheong, Emily Lowe, Chang Woo Lee, Claudia Barbosa, Lise Gillen, Emma King, Presanna Premachandra, Anand Shah, Francis Drobniewski

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05847556 (Development and Validation of the Use of Video Games and Virtual Reality to Enable Autonomous Remote Monitoring of OTotoxicity in High-risk Population Groups.), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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.

NCT05847556 naunknown statusnot on this map

Development and Validation of the Use of Video Games and Virtual Reality to Enable Autonomous Remote Monitoring of OTotoxicity in High-risk Population Groups.

TypeinterventionalSponsorImperial College LondonRan2022 to 2023Enrolled140ConditionsAminoglycoside Toxicity, Aminoglycoside-Induced Hearing Loss, Hearing Loss, Video GamesArmsvideo game hearing tests, Audio-training
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Jamie CheongImperial College London, London, UK jcheong@ic.ac.uk.ORCID http://orcid.org/0000-0003-4299-101X
Emily LoweUniversity Hospitals Dorset NHS Foundation Trust, Poole, UK.
Chang Woo LeeUniversity Hospitals Dorset NHS Foundation Trust, Poole, UK.ORCID http://orcid.org/0000-0001-6552-337X
Claudia BarbosaGuy's and St Thomas' NHS Foundation Trust, London, UK.
Lise GillenGuy's and St Thomas' NHS Foundation Trust, London, UK.
Emma KingUniversity Hospitals Dorset NHS Foundation Trust, Poole, UK.
Presanna PremachandraGuy's and St Thomas' NHS Foundation Trust, London, UK.
Anand ShahImperial College London, London, UK.
Francis DrobniewskiImperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHearing loss (HL) affects 20% of the world's population, with shortages of audiologists and audiometric sound booths unable to meet demand for hearing care services. We aimed to assess the accuracy of tablet-based audiometry (TA) to screen for HL at standard (0.25-8 kHz) and extended high frequencies (>8 kHz).

designDiagnostic accuracy study.

settingTwo secondary care audiology and ear, nose and throat outpatient clinics in the UK between April 2022 and September 2023.

participantsAdults aged≥16 years undergoing sound booth audiometry (SBA).

interventionsTA, hearing-related questionnaires and patient usability questionnaires. OUTCOME MEASURES: Sensitivity, specificity and accuracy of TA compared with SBA for detecting HL. Patient usability assessment of TA and SBA.

results129 patients were enrolled with 127 patients (254 ears) included in the final analysis. Median age was 43 years (IQR 33-56), 55% (70/127) were women. 76% (96/127) and 68% (86/127) of patients had HL defined by British Society of Audiology (BSA) and American Speech-Language-Hearing Association (ASHA) criteria. Age was significantly associated with HL (p<0.0001); however, hearing-related questionnaire scores were not significantly different between those with or without HL. There was no significant difference in detecting HL between TA and SBA using either BSA or ASHA criteria at each frequency. Overall, 92% (1612/1751) of TA results were within 10 dB agreement with SBA results. Sensitivity and specificity of TA for detecting HL were 77-100% and >85%, respectively, between 0.25 and 12.5 kHz. In terms of patient usability, TA showed significantly higher scores in attractiveness (p<0.0001), novelty (p<0.0001), efficiency (p=0.0003), stimulation (p=0.003) and perspicuity (p=0.02).

conclusionsTA demonstrated good sensitivity with high specificity for detecting HL at frequencies 0.25-12.5 kHz and would be an acceptable accurate alternative to SBA. This would increase the accessibility of HL screening and has the potential to be used as a diagnostic test in those without tinnitus where resources are limited. TRIAL REGISTRATION NUMBER: NCT05847556.

Indexed as

AudiometryComputers, HandheldHearing LossMass ScreeningAdultAudiometry, Pure-ToneFemaleHumansMaleMiddle AgedSensitivity and SpecificitySurveys and QuestionnairesUnited KingdomAudiologyHealth EquityHearingPharmacistsPUBLIC HEALTHToxicity

Identifiers

PMID40404318
PMCPMC12096992

What OpenQuestion holds

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Registered trials

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.