A narrative synthesis of research evidence for tinnitus-related complaints as reported by patients and their significant others
Abstract Background There are a large number of assessment tools for tinnitus, with little consensus on what it is important to measure and no preference for a minimum reporting standard. The item content of tinnitus assessment tools should seek to capture relevant impacts of tinnitus on everyday li...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-04-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12955-018-0888-9 |
| _version_ | 1818160265782362112 |
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| author | Deborah Ann Hall Kathryn Fackrell Anne Beatrice Li Rachel Thavayogan Sandra Smith Veronica Kennedy Catarina Tinoco Evelina D. Rodrigues Paula Campelo Tânia D. Martins Vera Martins Lourenço Diogo Ribeiro Haúla F. Haider |
| author_facet | Deborah Ann Hall Kathryn Fackrell Anne Beatrice Li Rachel Thavayogan Sandra Smith Veronica Kennedy Catarina Tinoco Evelina D. Rodrigues Paula Campelo Tânia D. Martins Vera Martins Lourenço Diogo Ribeiro Haúla F. Haider |
| author_sort | Deborah Ann Hall |
| collection | DOAJ |
| description | Abstract Background There are a large number of assessment tools for tinnitus, with little consensus on what it is important to measure and no preference for a minimum reporting standard. The item content of tinnitus assessment tools should seek to capture relevant impacts of tinnitus on everyday life, but no-one has yet synthesised information about the range of tinnitus complaints. This review is thus the first comprehensive and authoritative collection and synthesis of what adults with tinnitus and their significant others report as problems in their everyday lives caused by tinnitus. Methods Electronic searches were conducted in PubMed, Embase, CINAHL, as well as grey literature sources to identify publications from January 1980 to June 2015 in which participants were enrolled because tinnitus was their primary complaint. A manual search of seven relevant journals updated the search to December 2017. Of the 3699 titles identified overall, 84 records (reporting 86 studies) met our inclusion criteria and were taken through to data collection. Coders collated generic and tinnitus-specific complaints reported by people with tinnitus. All relevant data items were then analyzed using an iterative approach to narrative synthesis to form domain groupings representing complaints of tinnitus, which were compared patients and significant others. Results From the 86 studies analyzed using data collected from 16,381 patients, 42 discrete complaints were identified spanning physical and psychological health, quality of life and negative attributes of the tinnitus sound. This diversity was not captured by any individual study alone. There was good convergence between complaints collected using open- and closed-format questions, with the exception of general moods and perceptual attributes of tinnitus (location, loudness, pitch and unpleasantness); reported only using closed questions. Just two studies addressed data from the perspective of significant others (n = 79), but there was substantial correspondence with the patient framework, especially regarding relationships and social life. Conclusions Our findings contribute fundamental new knowledge and a unique resource that enables investigators to appreciate the broad impacts of tinnitus on an individual. Our findings can also be used to guide questions during diagnostic assessment, to evaluate existing tinnitus-specific HR-QoL questionnaires and develop new ones, where necessary. Trial Registration PROSPERO registration number: CRD42015020629. Protocol published in BMJ Open. 2016;6e009171. |
| first_indexed | 2024-12-11T15:59:08Z |
| format | Article |
| id | doaj.art-a39b542de49642a79e67dae95c54e7a2 |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-11T15:59:08Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-a39b542de49642a79e67dae95c54e7a22022-12-22T00:59:21ZengBMCHealth and Quality of Life Outcomes1477-75252018-04-0116111510.1186/s12955-018-0888-9A narrative synthesis of research evidence for tinnitus-related complaints as reported by patients and their significant othersDeborah Ann Hall0Kathryn Fackrell1Anne Beatrice Li2Rachel Thavayogan3Sandra Smith4Veronica Kennedy5Catarina Tinoco6Evelina D. Rodrigues7Paula Campelo8Tânia D. Martins9Vera Martins Lourenço10Diogo Ribeiro11Haúla F. Haider12Otology and hearing group, Division of Clinical Neuroscience, School of Medicine, University of NottinghamOtology and hearing group, Division of Clinical Neuroscience, School of Medicine, University of NottinghamSchool of Medicine, University of NottinghamSchool of Medicine, University of NottinghamOtology and hearing group, Division of Clinical Neuroscience, School of Medicine, University of NottinghamDepartment of Audiovestibular Medicine, Halliwell Health and Children’s Centre, Bolton NHS Foundation TrustENT Department, Hospital Cuf Infante Santo - Nova Medical SchoolWJCR - William James Center for Research, ISPA-Instituto UniversitárioENT Department, Hospital Cuf Infante Santo - Nova Medical SchoolENT Department, Hospital Cuf Infante Santo - Nova Medical SchoolENT Department, Hospital Cuf Infante Santo - Nova Medical SchoolENT Department, Hospital Cuf Infante Santo - Nova Medical SchoolENT Department, Hospital Cuf Infante Santo - Nova Medical SchoolAbstract Background There are a large number of assessment tools for tinnitus, with little consensus on what it is important to measure and no preference for a minimum reporting standard. The item content of tinnitus assessment tools should seek to capture relevant impacts of tinnitus on everyday life, but no-one has yet synthesised information about the range of tinnitus complaints. This review is thus the first comprehensive and authoritative collection and synthesis of what adults with tinnitus and their significant others report as problems in their everyday lives caused by tinnitus. Methods Electronic searches were conducted in PubMed, Embase, CINAHL, as well as grey literature sources to identify publications from January 1980 to June 2015 in which participants were enrolled because tinnitus was their primary complaint. A manual search of seven relevant journals updated the search to December 2017. Of the 3699 titles identified overall, 84 records (reporting 86 studies) met our inclusion criteria and were taken through to data collection. Coders collated generic and tinnitus-specific complaints reported by people with tinnitus. All relevant data items were then analyzed using an iterative approach to narrative synthesis to form domain groupings representing complaints of tinnitus, which were compared patients and significant others. Results From the 86 studies analyzed using data collected from 16,381 patients, 42 discrete complaints were identified spanning physical and psychological health, quality of life and negative attributes of the tinnitus sound. This diversity was not captured by any individual study alone. There was good convergence between complaints collected using open- and closed-format questions, with the exception of general moods and perceptual attributes of tinnitus (location, loudness, pitch and unpleasantness); reported only using closed questions. Just two studies addressed data from the perspective of significant others (n = 79), but there was substantial correspondence with the patient framework, especially regarding relationships and social life. Conclusions Our findings contribute fundamental new knowledge and a unique resource that enables investigators to appreciate the broad impacts of tinnitus on an individual. Our findings can also be used to guide questions during diagnostic assessment, to evaluate existing tinnitus-specific HR-QoL questionnaires and develop new ones, where necessary. Trial Registration PROSPERO registration number: CRD42015020629. Protocol published in BMJ Open. 2016;6e009171.http://link.springer.com/article/10.1186/s12955-018-0888-9SymptomsAdultsOtologyAudiologyPeople important outcomes |
| spellingShingle | Deborah Ann Hall Kathryn Fackrell Anne Beatrice Li Rachel Thavayogan Sandra Smith Veronica Kennedy Catarina Tinoco Evelina D. Rodrigues Paula Campelo Tânia D. Martins Vera Martins Lourenço Diogo Ribeiro Haúla F. Haider A narrative synthesis of research evidence for tinnitus-related complaints as reported by patients and their significant others Health and Quality of Life Outcomes Symptoms Adults Otology Audiology People important outcomes |
| title | A narrative synthesis of research evidence for tinnitus-related complaints as reported by patients and their significant others |
| title_full | A narrative synthesis of research evidence for tinnitus-related complaints as reported by patients and their significant others |
| title_fullStr | A narrative synthesis of research evidence for tinnitus-related complaints as reported by patients and their significant others |
| title_full_unstemmed | A narrative synthesis of research evidence for tinnitus-related complaints as reported by patients and their significant others |
| title_short | A narrative synthesis of research evidence for tinnitus-related complaints as reported by patients and their significant others |
| title_sort | narrative synthesis of research evidence for tinnitus related complaints as reported by patients and their significant others |
| topic | Symptoms Adults Otology Audiology People important outcomes |
| url | http://link.springer.com/article/10.1186/s12955-018-0888-9 |
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