Skip to main content
Log in

Outcome parameters in speech audiometry: retrospective analysis of data and reporting quality in clinical studies

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objectives

The use of standardized outcome parameters is essential for the comparability of clinical studies. Pure-tone audiometry and speech audiometry are widely used, but there is no systematic evaluation of the outcome parameters in clinical application. Nevertheless, there is presumably a great heterogeneity especially in the field of speech audiometry. This study presents a snapshot of the current situation of documentation and usage of outcome parameters in otologic research.

Study design

Retrospective study of existing literature analyzing common speech audiometric test material and procedure

Main outcome measures

Intervention Studies from 2012 to 2016 concerning hearing ability were eligible for evaluation. Studies were analyzed with regard to study design, pathology and intervention, speech audiometric parameters, pure-tone audiometry, implementation of reporting standards and journal related data.

Results

279 studies were included. Over 50% of the analyzed studies lacked proper documentation. In the remaining studies, there was a broad variance concerning the documented speech audiometric parameters, most often with a fixed presentation level of 65 dB SPL.

Conclusion

The lack of generally used standards for reporting hearing outcomes makes it difficult to compare results of different clinical studies. An adequate description of the methods would be a first and important step in improving reports on audiological outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Thorp MA, Shehab ZP, Bance ML, Rutka JA (2003) The AAO-HNS Committee on Hearing and Equilibrium Guidelines for the diagnosis and evaluation of therapy in Meniere’s disease: have they been applied in the published literature of the last decade? Clin Otolaryngol Allied Sci 28:173–176. https://doi.org/10.1046/j.1365-2273.2003.00687.x

    Article  CAS  PubMed  Google Scholar 

  2. Lailach S, Zahnert T, Neudert M (2017) Data and reporting quality in tympanoplasty and ossiculoplasty studies. Otolaryngol Head Neck Surg 157:281–288. https://doi.org/10.1177/0194599817707719

    Article  PubMed  Google Scholar 

  3. AAO-HNS (1995) Committee on hearing and equilibrium guidelines for the evaluation of hearing preservation in acoustic neuroma (vestibular schwannoma): committee on hearing and equilibrium. Otolaryngol Head Neck Surg 113:179–180. https://doi.org/10.1016/S0194-5998(95)70101-X

    Article  Google Scholar 

  4. AAO-HNS (1995) Committee on hearing and equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg 113:186–187. https://doi.org/10.1016/S0194-5998(95)70103-6

    Article  Google Scholar 

  5. Gurgel RK, Jackler RK, Dobie RA, Popelka GR (2012) A new standardized format for reporting hearing outcome in clinical trials. Otolaryngol Head Neck Surg 147:803–807. https://doi.org/10.1177/0194599812458401

    Article  PubMed  Google Scholar 

  6. Gardner G, Robertson JH (1988) Hearing preservation in unilateral acoustic neuroma surgery. Ann Otol Rhinol Laryngol 97:55–66. https://doi.org/10.1177/000348948809700110

    Article  CAS  PubMed  Google Scholar 

  7. Black B (2003) Reporting results in ossiculoplasty. Otol Neurotol 24:534–542

    Article  Google Scholar 

  8. Davis H (1948) The articulation area and the social adequacy index for hearing. Laryngoscope 58:761–778. https://doi.org/10.1288/00005537-194808000-00002

    Article  CAS  PubMed  Google Scholar 

  9. Lehnhardt E, Laszig R, Hesse G (2009) Praxis der Audiometrie, 9th edn. Thieme, Stuttgart

    Google Scholar 

  10. Martin FN, Champlin CA, Chambers JA (1998) Seventh survey of audiometric practices in the United States. J Am Acad Audiol 9:95–104

    CAS  PubMed  Google Scholar 

  11. Medwetsky L, Sanderson D, Young D (1999) A national survey of audiology clinical practices, Part 1. Hear Rev 6:24–32

    Google Scholar 

  12. Kamm CA, Morgan DE, Dirks DD (1983) Accuracy of adaptive procedure estimates of PF-max level. J Speech Hear Disord 48:202–209

    Article  CAS  Google Scholar 

  13. Müller J, Plontke SK, Rahne T (2017) Speech audiometric outcome parameters in clinical trials on hearing improvement. HNO 65:211–218. https://doi.org/10.1007/s00106-016-0298-4

    Article  PubMed  Google Scholar 

  14. Brandy WT (1966) Reliability of voice tests of speech discrimination. J Speech Lang Hear Res 9:461. https://doi.org/10.1044/jshr.0903.461

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joseph Morgenstern.

Ethics declarations

Conflict of interest

The authors declare that there is no conflict of interest.

Ethical standards

As it is a retrospective study of existing literature, this article does not contain any studies with human participants performed by any of the authors. Therefore, an institutional ethic board review was not required.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Morgenstern, J., Lailach, S., Zahnert, T. et al. Outcome parameters in speech audiometry: retrospective analysis of data and reporting quality in clinical studies. Eur Arch Otorhinolaryngol 277, 669–677 (2020). https://doi.org/10.1007/s00405-019-05734-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-019-05734-9

Keywords

Navigation