Cochrane method for systematic review and meta-analysis of interventions to prevent occupational noise-induced hearing loss – abridged
ABSTRACT Purpose Assess the effect of non-pharmaceutical interventions at work on noise exposure or occupational hearing loss compared to no or alternative interventions. Research strategies Pubmed, Embase, Web of Science, OSHupdate, Cochrane Central and Cumulative Index to Nursing and Allied Heal...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Fonoaudiologia
2020-04-01
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| Series: | CoDAS |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822020000200601&tlng=en |
| _version_ | 1818731505525981184 |
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| author | Christina Tikka Jos Verbeek Erik Kateman Thais Catalani Morata Wouter Dreschler Silvia Ferrite |
| author_facet | Christina Tikka Jos Verbeek Erik Kateman Thais Catalani Morata Wouter Dreschler Silvia Ferrite |
| author_sort | Christina Tikka |
| collection | DOAJ |
| description | ABSTRACT Purpose Assess the effect of non-pharmaceutical interventions at work on noise exposure or occupational hearing loss compared to no or alternative interventions. Research strategies Pubmed, Embase, Web of Science, OSHupdate, Cochrane Central and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched. Selection criteria Randomized Controlled Trials (RCT), Controlled Before-After studies (CBA) and Interrupted Time-Series studies (ITS) evaluating engineering controls, administrative controls, personal hearing protection devices, and hearing surveillance were included. Case studies of engineering controls were collected. Data analysis Cochrane methods for systematic reviews, including meta-analysis, were followed. Results 29 studies were included. Stricter legislation can reduce noise levels by 4.5 dB(A) (very low-quality evidence). Engineering controls can immediately reduce noise (107 cases). Eleven RCTs and CBA studies (3725 participants) were evaluated through Hearing Protection Devices (HPDs). Training of earplug insertion reduces noise exposure at short term follow-up (moderate quality evidence). Earmuffs might perform better than earplugs in high noise levels but worse in low noise levels (very low-quality evidence). HPDs might reduce hearing loss at very long-term follow-up (very low-quality evidence). Seventeen studies (84028 participants) evaluated hearing loss prevention programs. Better use of HPDs might reduce hearing loss but other components not (very low-quality evidence). Conclusion Hearing loss prevention and interventions modestly reduce noise exposure and hearing loss. Better quality studies and better implementation of noise control measures and HPDs is needed. |
| first_indexed | 2024-12-17T23:18:45Z |
| format | Article |
| id | doaj.art-806826f375bb43da863d4a2f640ce444 |
| institution | Directory Open Access Journal |
| issn | 2317-1782 |
| language | English |
| last_indexed | 2024-12-17T23:18:45Z |
| publishDate | 2020-04-01 |
| publisher | Sociedade Brasileira de Fonoaudiologia |
| record_format | Article |
| series | CoDAS |
| spelling | doaj.art-806826f375bb43da863d4a2f640ce4442022-12-21T21:28:57ZengSociedade Brasileira de FonoaudiologiaCoDAS2317-17822020-04-0132210.1590/2317-1782/20192019127Cochrane method for systematic review and meta-analysis of interventions to prevent occupational noise-induced hearing loss – abridgedChristina Tikkahttps://orcid.org/0000-0003-2078-8715Jos Verbeekhttps://orcid.org/0000-0002-6537-6100Erik Katemanhttps://orcid.org/0000-0003-4487-5039Thais Catalani Moratahttps://orcid.org/0000-0002-0320-9649Wouter Dreschlerhttps://orcid.org/0000-0002-4192-6104Silvia Ferritehttps://orcid.org/0000-0001-5344-3751ABSTRACT Purpose Assess the effect of non-pharmaceutical interventions at work on noise exposure or occupational hearing loss compared to no or alternative interventions. Research strategies Pubmed, Embase, Web of Science, OSHupdate, Cochrane Central and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched. Selection criteria Randomized Controlled Trials (RCT), Controlled Before-After studies (CBA) and Interrupted Time-Series studies (ITS) evaluating engineering controls, administrative controls, personal hearing protection devices, and hearing surveillance were included. Case studies of engineering controls were collected. Data analysis Cochrane methods for systematic reviews, including meta-analysis, were followed. Results 29 studies were included. Stricter legislation can reduce noise levels by 4.5 dB(A) (very low-quality evidence). Engineering controls can immediately reduce noise (107 cases). Eleven RCTs and CBA studies (3725 participants) were evaluated through Hearing Protection Devices (HPDs). Training of earplug insertion reduces noise exposure at short term follow-up (moderate quality evidence). Earmuffs might perform better than earplugs in high noise levels but worse in low noise levels (very low-quality evidence). HPDs might reduce hearing loss at very long-term follow-up (very low-quality evidence). Seventeen studies (84028 participants) evaluated hearing loss prevention programs. Better use of HPDs might reduce hearing loss but other components not (very low-quality evidence). Conclusion Hearing loss prevention and interventions modestly reduce noise exposure and hearing loss. Better quality studies and better implementation of noise control measures and HPDs is needed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822020000200601&tlng=enNoise-Induced Hearing LossOccupational NoiseHearing Protective DevicesSystematic ReviewMeta-Analysis |
| spellingShingle | Christina Tikka Jos Verbeek Erik Kateman Thais Catalani Morata Wouter Dreschler Silvia Ferrite Cochrane method for systematic review and meta-analysis of interventions to prevent occupational noise-induced hearing loss – abridged CoDAS Noise-Induced Hearing Loss Occupational Noise Hearing Protective Devices Systematic Review Meta-Analysis |
| title | Cochrane method for systematic review and meta-analysis of interventions to prevent occupational noise-induced hearing loss – abridged |
| title_full | Cochrane method for systematic review and meta-analysis of interventions to prevent occupational noise-induced hearing loss – abridged |
| title_fullStr | Cochrane method for systematic review and meta-analysis of interventions to prevent occupational noise-induced hearing loss – abridged |
| title_full_unstemmed | Cochrane method for systematic review and meta-analysis of interventions to prevent occupational noise-induced hearing loss – abridged |
| title_short | Cochrane method for systematic review and meta-analysis of interventions to prevent occupational noise-induced hearing loss – abridged |
| title_sort | cochrane method for systematic review and meta analysis of interventions to prevent occupational noise induced hearing loss abridged |
| topic | Noise-Induced Hearing Loss Occupational Noise Hearing Protective Devices Systematic Review Meta-Analysis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822020000200601&tlng=en |
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