Evidence map›Paper›PMID 41373242›Full record

ReviewHealthcare (Basel, Switzerland)2025

Knowledge, Attitudes, and Practices (KAP) Regarding Diabetes-Related Hearing Loss Among Providers and Patients: A Scoping Review.

Mehwish Nisar, Muhammad Waqas Nisar Ahmed, Anjana Rajagopal, Beenish Nisar Ahmed, Zohra S Lassi

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

5 authors.

Mehwish NisarSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane 4072, Australia.ORCID 0000-0003-1650-9840
Muhammad Waqas Nisar AhmedCommunity Medicine Department, Jinnah Sindh Medical University, Karachi 75510, Pakistan.
Anjana RajagopalSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane 4072, Australia.ORCID 0000-0003-1038-686X
Beenish Nisar AhmedDepartment of Otorhinolaryngology and Head & Neck Surgery, Avicenna Medical Complex Hospital, Islamabad 44090, Pakistan.
Zohra S LassiSchool of Public Health, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide 5000, Australia.ORCID 0000-0002-5350-6334

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHearing loss remains significantly underrecognised as a diabetes complication, despite diabetic individuals experiencing double the risk of sensorineural hearing impairment. This review synthesised healthcare provider and patient knowledge, attitudes, and practices (KAP) concerning diabetes-related hearing loss.

methodsUsing Arksey and O'Malley's framework and PRISMA-ScR guidelines, systematic searches were conducted across five databases (PubMed/MEDLINE, Embase, Scopus, Web of Science, Cochrane Library) through August 2025. Grey literature and reference screening supplemented database searches. Eligible studies examined KAP among healthcare professionals and diabetic patients.

resultsFive studies from four countries reported KAP findings were identified from 2029 records, encompassing 2813 healthcare providers. Only one study included KAP data from patients. Knowledge deficits were pronounced: American provider awareness ranged 25.6-44.5%, contrasting sharply with >94% awareness of other complications. Only 24.3% of Chinese providers demonstrated complete understanding, while 59.7% of South African practitioners remained unaware of auditory complications. Patient knowledge was similarly limited (21% recognition). Attitudes showed moderate engagement, with 68-75% of Chinese practitioners accepting management responsibilities. Barriers included unfamiliar guidelines, competing priorities, and restricted audiological access. Practices were suboptimal: 16.9% conducted routine screening, referrals remained reactive, and 64.9% never discussed hearing risks. Training opportunities were minimal.

conclusionsSubstantial KAP deficits exist regarding diabetes-related hearing loss. Recognition disparities compared to established complications represent lost opportunities for early intervention. Urgent needs include standardised assessment instruments, large-scale intervention studies, and comprehensive educational programs to integrate hearing health into standard diabetes management protocols.

Indexed as

audiologydiabetes carehealthcare professionalshealth literacyhearing screeninglong-term complications

Identifiers

PMID41373242
PMCPMC12692358

What OpenQuestion holds

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LicenceCC BY
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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.