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Tinnitus (ORL) ECPG

"last update: 10 June 2024"  

- Annexes

Editorial Independence:

· This guideline was developed without any external funding.

· All the guideline development group members have declared that they do not have any competing interests.

Annex 1: A flow chart of the Tinnitus guideline.


Annex 2: Assessment of Currency Table

Number

Name

Responsible organization

Date of Publication

Expected Review Date

Date of original details in the references

1

Practice Guidance: Fitting of combination hearing aids for subjects with tinnitus

British Society of Audiology

2020

NR

recent references

2

NICE Guideline

National Institute for Health and Care Excellence

2020

NR

recent references

3

A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment

European

2019

NR

recent references

4

Clinical practice guideline: tinnitus

AAO-HNSF

2014

NR

Not recent references

5

 

 Clinical practice guidelines for diagnosis and treatment of chronic tinnitus in Japan

Oto-Rhino-Laryngological Society of Japan

2019

NR

recent references


Annex 3: Assessment of Content Table

Score Items (each to be given score from (1-9)

British Society Of Audiology (2020)

NICE Guideline

 

 

European guideline

AAO-HNSF

Japanese guidelines

Credibility

9

9

9

9

9

Observability

8

7

8

9

7

Relevance

9

9

7

9

9

Relative advantage

8

5

8

9

8

Easy to Install

9

7

9

9

6

Compatibility

8

7

7

8

7

Testability

5

7

-

9

7

Total score

56

51

48

62

53


Annex 4: Assessment of Quality Table

Domain

British Society Of Audiology (2020)

NICE Guideline

 

 

European guideline

AAO-HNSF

Japanese guidelines

Transparency

A

A

A

A

A

Conflict of interest

A

A

A

A

A

Development group

A

A

A

A

A

Systematic review

A

A

A

A

A

Grading of evidence

A

A

A

A

A

Recommendation

A

A

A

A

A

External review

A

A

A

A

A

Updating

B

B

B

C

A


Annex 5: The risks and benefits of added and/or modified statements

Statement

Risk

Benefit

Imaging studies

No risk

We focused on the role of imaging studies to find the primary cause of tinnitus, which may improve the management outcomes.

Medical therapy

Side effects of the used medications.

This may improve the outcomes, especially in specific situations such as the associated depression of somatosensory manifestations.

 Intratympanic injection

Tympanic membrane residual perforation

It may be helpful in severe and resistant cases.