Kikidis Dimitrios, Vassou Evgenia, Markatos Nikolaos, Schlee Winfried, Iliadou Eleftheria
First Department of Otorhinolaryngology, Head and Neck Surgery, National and Kapodistrian University of Athens, Hippokration General Hospital, 11527 Athens, Greece.
Department of Psychiatry and Psychotherapy, Universität Regensburg, 93053 Regensburg, Germany.
J Clin Med. 2021 Jun 29;10(13):2896. doi: 10.3390/jcm10132896.
Current evidence on efficacy of hearing aids (HAs) on tinnitus perception and annoyance is considered insufficient due to the heterogeneity of tinnitus characteristics and of methods used in the relevant clinical studies. This is a scoping review focused on the methodological aspects of clinical studies evaluating the value of HA fitting as part of tinnitus management over the past 10 years. Thirty-four studies were included in the review, showing important heterogeneity in almost all aspects of inclusion criteria, comparators, outcome measures, follow-up time and HA fitting procedures. Although all studies show that HA fitting has a positive impact on tinnitus perception in patients with hearing loss, the methodological heterogeneity does not allow robust conclusions. Future studies taking into account the different nature and goals of each tinnitus therapeutic modality and adapting their methods, endpoints and timelines according to them could lay the groundwork for obtaining high-quality evidence on whether and how HA fitting shall be implemented in tinnitus management strategies.
由于耳鸣特征以及相关临床研究中所采用方法的异质性，目前关于助听器（HA）对耳鸣感知和烦恼影响效果的证据被认为是不充分的。这是一项范围综述，重点关注过去10年中评估HA验配作为耳鸣管理一部分的价值的临床研究的方法学方面。该综述纳入了34项研究，这些研究在纳入标准、对照、结局指标、随访时间和HA验配程序的几乎所有方面都显示出重要的异质性。尽管所有研究都表明HA验配对听力损失患者的耳鸣感知有积极影响，但方法学上的异质性不允许得出强有力的结论。未来的研究考虑到每种耳鸣治疗方式的不同性质和目标，并据此调整其方法、终点和时间线，可为获取关于HA验配是否以及如何在耳鸣管理策略中实施的高质量证据奠定基础。
