TY - JOUR
T1 - Clinical guidelines and practice
T2 - A commentary on the complexity of tinnitus management
AU - Hoare, Derek J.
AU - Hall, Deborah A.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research and/or authorship of this article: National Biomedical Research Unit in Hearing (NBRUH) is funded by the National Institute for Health Research (NIHR).
PY - 2011/12/1
Y1 - 2011/12/1
N2 - Subjective tinnitus is an enigmatic and chronic condition that is predominantly managed as symptomatic. Little high-level evidence exists for the efficacy and specificity of the various tinnitus management strategies currently used, and this is reflected in documents that aim to guide clinicians. As a consequence, there are clear gaps in evidence-based practice linking diagnosis to the most effective management strategies as well as a general lack of consensus about which are appropriate strategies for assessment and management. Several guidelines have been produced from research efforts and from expert opinion. All recommend standardization of assessment and a range of management options but do not yet provide a means to link the two. The authors call for clinicians, scientists, and policy makers to work together to address this barrier to good practice.
AB - Subjective tinnitus is an enigmatic and chronic condition that is predominantly managed as symptomatic. Little high-level evidence exists for the efficacy and specificity of the various tinnitus management strategies currently used, and this is reflected in documents that aim to guide clinicians. As a consequence, there are clear gaps in evidence-based practice linking diagnosis to the most effective management strategies as well as a general lack of consensus about which are appropriate strategies for assessment and management. Several guidelines have been produced from research efforts and from expert opinion. All recommend standardization of assessment and a range of management options but do not yet provide a means to link the two. The authors call for clinicians, scientists, and policy makers to work together to address this barrier to good practice.
KW - department of health
KW - practice guidelines
KW - standardization
KW - tinnitus management
KW - tinnitus research initiative
UR - http://www.scopus.com/inward/record.url?scp=79961031380&partnerID=8YFLogxK
U2 - 10.1177/0163278710390355
DO - 10.1177/0163278710390355
M3 - Review article
C2 - 21177640
AN - SCOPUS:79961031380
SN - 0163-2787
VL - 34
SP - 413
EP - 420
JO - Evaluation and the Health Professions
JF - Evaluation and the Health Professions
IS - 4
ER -
