Systematic review and meta-analysis of late auditory evoked potentials as a candidate biomarker in the assessment of tinnitus.

Subjective tinnitus, the perception of sound in the absence of any sound source, is routinely assessed using questionnaires. The subjective nature of these tools hampers objective evaluation of tinnitus presence, severity and treatment effects. Late auditory evoked potentials (LAEPs) might be consid...

Full description

Bibliographic Details
Main Authors: Emilie Cardon, Iris Joossen, Hanne Vermeersch, Laure Jacquemin, Griet Mertens, Olivier M Vanderveken, Vedat Topsakal, Paul Van de Heyning, Vincent Van Rompaey, Annick Gilles
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0243785
_version_ 1818919483674198016
author Emilie Cardon
Iris Joossen
Hanne Vermeersch
Laure Jacquemin
Griet Mertens
Olivier M Vanderveken
Vedat Topsakal
Paul Van de Heyning
Vincent Van Rompaey
Annick Gilles
author_facet Emilie Cardon
Iris Joossen
Hanne Vermeersch
Laure Jacquemin
Griet Mertens
Olivier M Vanderveken
Vedat Topsakal
Paul Van de Heyning
Vincent Van Rompaey
Annick Gilles
author_sort Emilie Cardon
collection DOAJ
description Subjective tinnitus, the perception of sound in the absence of any sound source, is routinely assessed using questionnaires. The subjective nature of these tools hampers objective evaluation of tinnitus presence, severity and treatment effects. Late auditory evoked potentials (LAEPs) might be considered as a potential biomarker for assessing tinnitus complaints. Using a multivariate meta-analytic model including data from twenty-one studies, we determined the LAEP components differing systematically between tinnitus patients and controls. Results from this model indicate that amplitude of the P300 component is lower in tinnitus patients (standardized mean difference (SMD) = -0.83, p < 0.01), while latency of this component is abnormally prolonged in this population (SMD = 0.97, p < 0.01). No other investigated LAEP components were found to differ between tinnitus and non-tinnitus subjects. Additional sensitivity analyses regarding differences in experimental conditions confirmed the robustness of these results. Differences in age and hearing levels between the two experimental groups might have a considerable impact on LAEP outcomes and should be carefully considered in future studies. Although we established consistent differences in the P300 component between tinnitus patients and controls, we could not identify any evidence that this component might covary with tinnitus severity. We conclude that out of several commonly assessed LAEP components, only the P300 can be considered as a potential biomarker for subjective tinnitus, although more research is needed to determine its relationship with subjective tinnitus measures. Future trials investigating experimental tinnitus therapies should consider including P300 measurements in the evaluation of treatment effect.
first_indexed 2024-12-20T01:06:35Z
format Article
id doaj.art-77ab0caaa67d4f5ca2e001ae5765831c
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-20T01:06:35Z
publishDate 2020-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-77ab0caaa67d4f5ca2e001ae5765831c2022-12-21T19:58:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-011512e024378510.1371/journal.pone.0243785Systematic review and meta-analysis of late auditory evoked potentials as a candidate biomarker in the assessment of tinnitus.Emilie CardonIris JoossenHanne VermeerschLaure JacqueminGriet MertensOlivier M VandervekenVedat TopsakalPaul Van de HeyningVincent Van RompaeyAnnick GillesSubjective tinnitus, the perception of sound in the absence of any sound source, is routinely assessed using questionnaires. The subjective nature of these tools hampers objective evaluation of tinnitus presence, severity and treatment effects. Late auditory evoked potentials (LAEPs) might be considered as a potential biomarker for assessing tinnitus complaints. Using a multivariate meta-analytic model including data from twenty-one studies, we determined the LAEP components differing systematically between tinnitus patients and controls. Results from this model indicate that amplitude of the P300 component is lower in tinnitus patients (standardized mean difference (SMD) = -0.83, p < 0.01), while latency of this component is abnormally prolonged in this population (SMD = 0.97, p < 0.01). No other investigated LAEP components were found to differ between tinnitus and non-tinnitus subjects. Additional sensitivity analyses regarding differences in experimental conditions confirmed the robustness of these results. Differences in age and hearing levels between the two experimental groups might have a considerable impact on LAEP outcomes and should be carefully considered in future studies. Although we established consistent differences in the P300 component between tinnitus patients and controls, we could not identify any evidence that this component might covary with tinnitus severity. We conclude that out of several commonly assessed LAEP components, only the P300 can be considered as a potential biomarker for subjective tinnitus, although more research is needed to determine its relationship with subjective tinnitus measures. Future trials investigating experimental tinnitus therapies should consider including P300 measurements in the evaluation of treatment effect.https://doi.org/10.1371/journal.pone.0243785
spellingShingle Emilie Cardon
Iris Joossen
Hanne Vermeersch
Laure Jacquemin
Griet Mertens
Olivier M Vanderveken
Vedat Topsakal
Paul Van de Heyning
Vincent Van Rompaey
Annick Gilles
Systematic review and meta-analysis of late auditory evoked potentials as a candidate biomarker in the assessment of tinnitus.
PLoS ONE
title Systematic review and meta-analysis of late auditory evoked potentials as a candidate biomarker in the assessment of tinnitus.
title_full Systematic review and meta-analysis of late auditory evoked potentials as a candidate biomarker in the assessment of tinnitus.
title_fullStr Systematic review and meta-analysis of late auditory evoked potentials as a candidate biomarker in the assessment of tinnitus.
title_full_unstemmed Systematic review and meta-analysis of late auditory evoked potentials as a candidate biomarker in the assessment of tinnitus.
title_short Systematic review and meta-analysis of late auditory evoked potentials as a candidate biomarker in the assessment of tinnitus.
title_sort systematic review and meta analysis of late auditory evoked potentials as a candidate biomarker in the assessment of tinnitus
url https://doi.org/10.1371/journal.pone.0243785
work_keys_str_mv AT emiliecardon systematicreviewandmetaanalysisoflateauditoryevokedpotentialsasacandidatebiomarkerintheassessmentoftinnitus
AT irisjoossen systematicreviewandmetaanalysisoflateauditoryevokedpotentialsasacandidatebiomarkerintheassessmentoftinnitus
AT hannevermeersch systematicreviewandmetaanalysisoflateauditoryevokedpotentialsasacandidatebiomarkerintheassessmentoftinnitus
AT laurejacquemin systematicreviewandmetaanalysisoflateauditoryevokedpotentialsasacandidatebiomarkerintheassessmentoftinnitus
AT grietmertens systematicreviewandmetaanalysisoflateauditoryevokedpotentialsasacandidatebiomarkerintheassessmentoftinnitus
AT oliviermvanderveken systematicreviewandmetaanalysisoflateauditoryevokedpotentialsasacandidatebiomarkerintheassessmentoftinnitus
AT vedattopsakal systematicreviewandmetaanalysisoflateauditoryevokedpotentialsasacandidatebiomarkerintheassessmentoftinnitus
AT paulvandeheyning systematicreviewandmetaanalysisoflateauditoryevokedpotentialsasacandidatebiomarkerintheassessmentoftinnitus
AT vincentvanrompaey systematicreviewandmetaanalysisoflateauditoryevokedpotentialsasacandidatebiomarkerintheassessmentoftinnitus
AT annickgilles systematicreviewandmetaanalysisoflateauditoryevokedpotentialsasacandidatebiomarkerintheassessmentoftinnitus