Evidence map›Paper›PMID 41637259›Full record

ArticleCoDAS2026

Visual reinforcement audiometry and its association with neonatal hearing screening and the offer of speech therapists, services and equipment.

Monique Ramos Paschoal Dutra, Rodrigo Oliveira da Fonsêca, Aryelly Dayane da Silva Nunes-Araújo, Sheila Andreoli Balen

Abstract read
In one paragraph

Article in CoDAS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

4 authors.

Monique Ramos Paschoal DutraMaternidade Escola Januário Cicco - MEJC, Empresa Brasileira de Serviços Hospitalares - EBSERH - Natal (RN), Brasil.ORCID http://orcid.org/0000-0002-3973-5704
Rodrigo Oliveira da FonsêcaLaboratório de Inovação Tecnológica em Saúde - LAIS, Universidade Federal do Rio Grande do Norte - UFRN - Natal (RN), Brasil.ORCID http://orcid.org/0000-0001-7397-3450
Aryelly Dayane da Silva Nunes-AraújoLaboratório de Inovação Tecnológica em Saúde - LAIS, Universidade Federal do Rio Grande do Norte - UFRN - Natal (RN), Brasil.ORCID http://orcid.org/0000-0002-3814-2675
Sheila Andreoli BalenLaboratório de Inovação Tecnológica em Saúde - LAIS, Universidade Federal do Rio Grande do Norte - UFRN - Natal (RN), Brasil.ORCID http://orcid.org/0000-0003-1353-4362

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the outpatient production of the visual reinforcement audiometry (VRA) in the Unified Health System (SUS), in the Federation Units (UFs) of Brazil, between 2004 and 2021, and its association with Neonatal Hearing Screening (NHS) and offering audiologists, hearing health services and VRA equipment.

methodsEcological mixed study, which used data from the SUS Outpatient Information System, of the National Registry of Health Establishments and of the Brazilian Institute of Geography and Statistics. The dependent variable was the rate of performance of the "visual reinforcement audiometry (air/bone route)" procedure, per 10 thousand inhabitants, while the independent variables were the rates of NHS, speech therapists, hearing health services and VRA equipment. Descriptive and inferential statistics and spatial analysis were performed.

resultsThe VRA rate in Brazil was 11.8/10 thousand inhabitants between 2004 and 2021. In the UFs, VRA rates varied from 0 to 125.1/10 thousand inhabitants in the periods studied. The lowest rate for this exam was recorded in the 2004-2006 triennium, while the highest was seen in the 2007-2009 triennium. It was found that there was no significant correlation between the VRA performance rate for the 2016-2018 three-year period with the rates of NHS, speech therapists, hearing health services and VRA equipment.

conclusionThe realization of the VRA is restricted and discrepant among Brazilian states and does not show any association with the variables investigated, indicating the need for measures to improve access to this exam in the SUS.

Indexed as

AudiometryHearing DisordersHearing TestsNeonatal ScreeningBrazilHumansInfant, NewbornNational Health ProgramsSpeech Therapy

Identifiers

PMID41637259
PMCPMC12978325

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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.