Langguth, Berthold and Kleinjung, Tobias and Schlee, Winfried and Vanneste, Sven and De Ridder, Dirk (2023) Tinnitus Guidelines and Their Evidence Base. JOURNAL OF CLINICAL MEDICINE, 12 (9): 3087. ISSN , 2077-0383
Full text not available from this repository. (Request a copy)Abstract
Evidence-based medicine (EBM) is generally accepted as the gold standard for high-quality medicine and, thus, for managing patients with tinnitus. EBM integrates the best available scientific information with clinical experience and patient values to guide decision-making about clinical management. To help health care providers and clinicians, the available evidence is commonly translated into medical or clinical guidelines based on a consensus. These involve a systematic review of the literature and meta-analytic aggregation of research findings followed by the formulation of clinical recommendations. However, this approach also has limitations, which include a lack of consideration of individual patient characteristics, the susceptibility of guideline recommendations to material and immaterial conflicts of interest of guideline authors and long latencies till new knowledge is implemented in guidelines. A further important aspect in interpreting the existing literature is that the absence of evidence is not evidence of absence. These circumstances could result in the decoupling of recommendations and their supporting evidence, which becomes evident when guidelines from different countries differ in their recommendations. This opinion paper will discuss how these weaknesses can be addressed in tinnitus.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ENRICHED ACOUSTIC ENVIRONMENT; DOUBLE-BLIND; CLINICAL GUIDELINES; HEARING-AIDS; COMPLEXITY; MELATONIN; THERAPY; AMPLIFICATION; METAANALYSIS; STIMULATION; tinnitus; evidence; meta-analysis; treatment guidelines; evidence-based medicine; living guideline; decision support system |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 11 Mar 2024 14:49 |
| Last Modified: | 11 Mar 2024 14:49 |
| URI: | https://pred.uni-regensburg.de/id/eprint/59670 |
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