Prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis

BACKGROUND: Better epidemiologic information on childhood hearing loss would inform research priorities and efforts to prevent its progression. OBJECTIVES: To estimate prevalence and secular trends in children’s hearing loss. DATA SOURCES: We searched MEDLINE and Embase from January 1996 to Aug...

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Main Authors:	Wang, Jing, Sung, Valerie, Carew, Peter, Burt, Rachel A., Liu, Mengjiao, Wang, Yichao, Afandi, Aflah, Wake, Melissa
Format:	Article
Language:	English English English
Published:	Elsevier 2019
Subjects:	RB Pathology RF Otorhinolaryngology
Online Access:	http://irep.iium.edu.my/75966/ http://irep.iium.edu.my/75966/ http://irep.iium.edu.my/75966/ http://irep.iium.edu.my/75966/1/75966_Prevalence%20of%20Childhood%20Hearing%20Loss_article.pdf http://irep.iium.edu.my/75966/2/75966_Prevalence%20of%20Childhood%20Hearing%20Loss_scopus.pdf http://irep.iium.edu.my/75966/3/75966_Prevalence%20of%20Childhood%20Hearing%20Loss_wos.pdf

id	iium-75966
recordtype	eprints
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	RB Pathology RF Otorhinolaryngology
spellingShingle	RB Pathology RF Otorhinolaryngology Wang, Jing Sung, Valerie Carew, Peter Burt, Rachel A. Liu, Mengjiao Wang, Yichao Afandi, Aflah Wake, Melissa Prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis
description	BACKGROUND: Better epidemiologic information on childhood hearing loss would inform research priorities and efforts to prevent its progression. OBJECTIVES: To estimate prevalence and secular trends in children’s hearing loss. DATA SOURCES: We searched MEDLINE and Embase from January 1996 to August 2017. STUDY ELIGIBILITY CRITERIA: We included epidemiologic studies in English reporting hearing loss prevalence. STUDY APPRAISAL AND SYNTHESIS METHODS: The modified Leboeuf-Yde and Lauritsen tool was used to assess methodological quality. Meta-analyses combined study-specific estimates using random-effects models. PARTICIPANTS: Children 0 to 18 years of age. RESULTS: Among 88 eligible studies, 43.2% included audiometric measurement of speech frequencies. In meta-analyses, pooled prevalence estimates of slight or worse bilateral speech frequency losses >15 decibels hearing level (dB HL) were 13.1% (95% confidence interval [CI], 10.0−17.0). Using progressively more stringent cutpoints, pooled prevalence estimates were 8.1% (95% CI, 1.3−19.8) with >20 dB HL, 2.2% (95% CI, 1.4−3.0) with >25 dB HL, 1.8% (95% CI, 0.4−4.1) with >30 dB HL, and 0.9% (95% CI, 0.1−2.6) with >40 dB HL. Also, 8.9% (95% CI, 6.4−12.3) had likely sensorineural losses >15 dB HL in 1 or both ears, and 1.2% (95% CI, 0.5−2.1) had self-reported hearing loss. From 1990 to 2010, the prevalence of losses >15 dB HL in 1 or both ears rose substantially (all P for trend <.001). LIMITATIONS: The studies had high heterogeneity and offered limited information for hearing loss types and secular trend. CONCLUSIONS AND IMPLICATIONS: Childhood slight or worse hearing loss is prevalent and may be increasing. Advances in understanding hearing loss trajectories, causes, and prevention would require international repositories and longitudinal studies with audiometric data beginning in childhood
format	Article
author	Wang, Jing Sung, Valerie Carew, Peter Burt, Rachel A. Liu, Mengjiao Wang, Yichao Afandi, Aflah Wake, Melissa
author_facet	Wang, Jing Sung, Valerie Carew, Peter Burt, Rachel A. Liu, Mengjiao Wang, Yichao Afandi, Aflah Wake, Melissa
author_sort	Wang, Jing
title	Prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis
title_short	Prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis
title_full	Prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis
title_fullStr	Prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis
title_full_unstemmed	Prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis
title_sort	prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis
publisher	Elsevier
publishDate	2019
url	http://irep.iium.edu.my/75966/ http://irep.iium.edu.my/75966/ http://irep.iium.edu.my/75966/ http://irep.iium.edu.my/75966/1/75966_Prevalence%20of%20Childhood%20Hearing%20Loss_article.pdf http://irep.iium.edu.my/75966/2/75966_Prevalence%20of%20Childhood%20Hearing%20Loss_scopus.pdf http://irep.iium.edu.my/75966/3/75966_Prevalence%20of%20Childhood%20Hearing%20Loss_wos.pdf
first_indexed	2023-09-18T21:47:26Z
last_indexed	2023-09-18T21:47:26Z
_version_	1777413543613693952
spelling	iium-759662019-12-03T08:08:51Z http://irep.iium.edu.my/75966/ Prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis Wang, Jing Sung, Valerie Carew, Peter Burt, Rachel A. Liu, Mengjiao Wang, Yichao Afandi, Aflah Wake, Melissa RB Pathology RF Otorhinolaryngology BACKGROUND: Better epidemiologic information on childhood hearing loss would inform research priorities and efforts to prevent its progression. OBJECTIVES: To estimate prevalence and secular trends in children’s hearing loss. DATA SOURCES: We searched MEDLINE and Embase from January 1996 to August 2017. STUDY ELIGIBILITY CRITERIA: We included epidemiologic studies in English reporting hearing loss prevalence. STUDY APPRAISAL AND SYNTHESIS METHODS: The modified Leboeuf-Yde and Lauritsen tool was used to assess methodological quality. Meta-analyses combined study-specific estimates using random-effects models. PARTICIPANTS: Children 0 to 18 years of age. RESULTS: Among 88 eligible studies, 43.2% included audiometric measurement of speech frequencies. In meta-analyses, pooled prevalence estimates of slight or worse bilateral speech frequency losses >15 decibels hearing level (dB HL) were 13.1% (95% confidence interval [CI], 10.0−17.0). Using progressively more stringent cutpoints, pooled prevalence estimates were 8.1% (95% CI, 1.3−19.8) with >20 dB HL, 2.2% (95% CI, 1.4−3.0) with >25 dB HL, 1.8% (95% CI, 0.4−4.1) with >30 dB HL, and 0.9% (95% CI, 0.1−2.6) with >40 dB HL. Also, 8.9% (95% CI, 6.4−12.3) had likely sensorineural losses >15 dB HL in 1 or both ears, and 1.2% (95% CI, 0.5−2.1) had self-reported hearing loss. From 1990 to 2010, the prevalence of losses >15 dB HL in 1 or both ears rose substantially (all P for trend <.001). LIMITATIONS: The studies had high heterogeneity and offered limited information for hearing loss types and secular trend. CONCLUSIONS AND IMPLICATIONS: Childhood slight or worse hearing loss is prevalent and may be increasing. Advances in understanding hearing loss trajectories, causes, and prevention would require international repositories and longitudinal studies with audiometric data beginning in childhood Elsevier 2019-07 Article PeerReviewed application/pdf en http://irep.iium.edu.my/75966/1/75966_Prevalence%20of%20Childhood%20Hearing%20Loss_article.pdf application/pdf en http://irep.iium.edu.my/75966/2/75966_Prevalence%20of%20Childhood%20Hearing%20Loss_scopus.pdf application/pdf en http://irep.iium.edu.my/75966/3/75966_Prevalence%20of%20Childhood%20Hearing%20Loss_wos.pdf Wang, Jing and Sung, Valerie and Carew, Peter and Burt, Rachel A. and Liu, Mengjiao and Wang, Yichao and Afandi, Aflah and Wake, Melissa (2019) Prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis. Academic Pediatrics, 19 (5). pp. 504-514. ISSN 18762859 E-ISSN 1876-2867 https://pdf.sciencedirectassets.com/277741/1-s2.0-S1876285918X00072/1-s2.0-S187628591830528X/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjENj%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIFpWVkpaHNHtFsNOj6BQcGy7dUfxJ4TdUOIkbO0gwn%2FdAiEA%2FtjdHxFV13%2BwmvbW2N8Fwb0GUjsPASGJyPXkqM%2BWRLEq0QIIERACGgwwNTkwMDM1NDY4NjUiDKXIn03gWFd3LrnowCquAn7Lh9hdeaPfCGMGuKkS1SLW%2BAbY1MPqTqG9X4P2ITWnR0U0wnLxXSJvtAoD%2Bjj2ZXeXTAA4%2BttqQZCLaVBFW4KPDOGC1JQZcNyPzkvMhtIhl33uU9InTcXL7EdrA4CGNfGKCeBDkYCDvQM0JjJ7QroL%2FtnCB3%2BLqgyeQrh5zRBO1xjEi9UOCwqfVmO4mQzFSNZMWbKQCbU9NMTSm%2FY7zyXc8gvbTILLUUgPEwJsaVn0HbIuxsDK68583A556TpwfDmpymYOsznRWLzZP2VlUEw75S8gXPyOddha7uiCFuV7Kb62hdgoS%2BD9jjHnByIxBj%2B%2Bp7eGJo16hKjdap3YboQTn%2Beou3zJkt88F%2FjNIU8JIGbg3pLfYAU1bPWb%2FY%2F864nqhOqoDyaXgxFT6WI1MJ2b3u4FOs4CAoa3wK%2BFMX%2Bu%2B5GvGIdcFMpDwjAsVYXpviTV3xvXIA1XqwmtSYAZpNZ062W%2FPy4y8shvrll2mXiJNbXBROHxVA%2FVOA6B%2Be2BrLFnKtTn5WrBDvaRpybsSY0WLU37gcKZ6xxxBR5US%2FZDvs9PhxggaIGVE%2BHABPSvCVS2eGJak5%2BH8A%2BlPfSoYVvAvAkR8zSmMKIYQ1u94rPVXRaIbFR53VP2igF9mcScBeBs5JNIr2YTeqcOYh38JutcbjrNiF5b8Y8VaH99FzMKZpkY0VehNbAw8QkNt0wRjAlp4GJtkcmghcmEbA5IHce4281VdAaQdw00Q1ue9odOKYm8rEpgK9sUAOToY1tvx6YhfYxMGLlaF1bHoD9DmoP4xbYZW7bLngEU4gIPPZdBBBmaijrNKygNz%2FVh9RlRe1c6G9zD7fVhpIZ3WyOsVjneD1blQw%3D%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20191122T075448Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYVQJFGUS2%2F20191122%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=9771f7aead5e6acc11d3519afa1c392b00ed83d92230b1ff5b7a1de60ce2cb3a&hash=5cf8bd93879149dad4de65c3d081265f327eb0a3ed0008d0e25ca58d04fdf029&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S187628591830528X&tid=spdf-42310968-1cca-4756-baab-3076ac5ef135&sid=27f6091710532745f77b4629ecb951047a81gxrqb&type=client 10.1016/j.acap.2019.01.010

Prevalence of childhood hearing loss and secular trends: a systematic review and meta-analysis

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