Designing clinical trials for assessing the effectiveness of interventions for tinnitus

In the face of finite resources, allocations of research and healthcare funding are dependent upon high-quality evidence. Historically, tinnitus has been the poor cousin of hearing science, with low-quality clinical research providing unreliable estimates of effect, and with devices marketed for tin...

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Main Author: Hall, Deborah A.
Format: Article
Published: Sage 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/46495/
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author Hall, Deborah A.
author_facet Hall, Deborah A.
author_sort Hall, Deborah A.
building Nottingham Research Data Repository
collection Online Access
description In the face of finite resources, allocations of research and healthcare funding are dependent upon high-quality evidence. Historically, tinnitus has been the poor cousin of hearing science, with low-quality clinical research providing unreliable estimates of effect, and with devices marketed for tinnitus without strong evidence for those product claims. However, the tinnitus field is changing. Key opinion leaders have recently made calls to the field to improve the design, implementation and reporting of clinical trials, and there is growing intersectoral collaboration. The Tonndorf Lecture presented at the 1st World Tinnitus Congress and 12th International Tinnitus Seminar in Warsaw, Poland provided an opportunity to reflect on the present and future progress of tinnitus research and treatment and what is needed for the field to achieve success. The content of that lecture is summarised in this review article. The main debate concerns the selection and reporting of outcomes in clinical trials of tinnitus. Comprehensive reviews of the literature confirm the diversity of the personal impact of tinnitus, and illustrate a lack of consensus in what aspects of tinnitus should be assessed and reported in a clinical trial. An innovative project is described which engages the global tinnitus community (patients and professionals alike) in working together. This project seeks to improve future tinnitus research by creating an evidence-based consensus about minimum reporting standards for outcomes in clinical trials of a tinnitus intervention. The output will be a core set of important and critical outcomes to be measured and reported in all clinical trials.
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spelling nottingham-464952020-05-04T19:14:10Z https://eprints.nottingham.ac.uk/46495/ Designing clinical trials for assessing the effectiveness of interventions for tinnitus Hall, Deborah A. In the face of finite resources, allocations of research and healthcare funding are dependent upon high-quality evidence. Historically, tinnitus has been the poor cousin of hearing science, with low-quality clinical research providing unreliable estimates of effect, and with devices marketed for tinnitus without strong evidence for those product claims. However, the tinnitus field is changing. Key opinion leaders have recently made calls to the field to improve the design, implementation and reporting of clinical trials, and there is growing intersectoral collaboration. The Tonndorf Lecture presented at the 1st World Tinnitus Congress and 12th International Tinnitus Seminar in Warsaw, Poland provided an opportunity to reflect on the present and future progress of tinnitus research and treatment and what is needed for the field to achieve success. The content of that lecture is summarised in this review article. The main debate concerns the selection and reporting of outcomes in clinical trials of tinnitus. Comprehensive reviews of the literature confirm the diversity of the personal impact of tinnitus, and illustrate a lack of consensus in what aspects of tinnitus should be assessed and reported in a clinical trial. An innovative project is described which engages the global tinnitus community (patients and professionals alike) in working together. This project seeks to improve future tinnitus research by creating an evidence-based consensus about minimum reporting standards for outcomes in clinical trials of a tinnitus intervention. The output will be a core set of important and critical outcomes to be measured and reported in all clinical trials. Sage 2017-10-27 Article PeerReviewed Hall, Deborah A. (2017) Designing clinical trials for assessing the effectiveness of interventions for tinnitus. Trends In Hearing, 21 . pp. 1-12. ISSN 2331-2165 heterogeneity outcomes assessment clinical trial synthesis population characteristics http://journals.sagepub.com/doi/10.1177/2331216517736689 doi:10.1177/2331216517736689 doi:10.1177/2331216517736689
spellingShingle heterogeneity
outcomes assessment
clinical trial
synthesis
population characteristics
Hall, Deborah A.
Designing clinical trials for assessing the effectiveness of interventions for tinnitus
title Designing clinical trials for assessing the effectiveness of interventions for tinnitus
title_full Designing clinical trials for assessing the effectiveness of interventions for tinnitus
title_fullStr Designing clinical trials for assessing the effectiveness of interventions for tinnitus
title_full_unstemmed Designing clinical trials for assessing the effectiveness of interventions for tinnitus
title_short Designing clinical trials for assessing the effectiveness of interventions for tinnitus
title_sort designing clinical trials for assessing the effectiveness of interventions for tinnitus
topic heterogeneity
outcomes assessment
clinical trial
synthesis
population characteristics
url https://eprints.nottingham.ac.uk/46495/
https://eprints.nottingham.ac.uk/46495/
https://eprints.nottingham.ac.uk/46495/