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Treatment of tinnitus with a customized, dynamic acoustic neural stimulus: clinical outcomes in general private practice.
Ann Otol Rhinol Laryngol. 2008 Nov; 117(11):791-9.AO

Abstract

OBJECTIVES

We evaluate the relative effectiveness of a newly available tinnitus treatment approach for different categories of patients in general private practice.

METHODS

This was a cohort study, sponsored by Neuromonics, involving the first 470 patients to undertake the Neuromonics Tinnitus Treatment in 7 Neuromonics tinnitus clinics. All patients were provided with a dynamic acoustic neural stimulus, customized to each patient's audiometric profile, for daily use as part of a structured rehabilitation program. Tinnitus disturbance was assessed before, during, and after treatment with the Tinnitus Reaction Questionnaire.

RESULTS

The outcomes displayed a relation with patients' suitability according to predefined criteria: among the most suitable patients (tier 1 cohort), 92% exceeded the threshold for success (defined as a reduction in tinnitus-related disturbance of at least 40%), and the mean improvement in tinnitus disturbance was 72%; the discontinuance rate was 4%. For other suitability categories, the success rates and mean improvements were somewhat lower, and the discontinuance rates higher (tier 2: 60%, 49%, and 16%, respectively; tier 3: 39%, 32%, and 17%, respectively).

CONCLUSIONS

The results showed that the treatment is effective for suitable patients in the private practice setting, and they provide health-care professionals with guidance as to what patients might expect from treatment, depending on their degree of suitability.

Authors+Show Affiliations

Neuromonics Pty Limited, Chatswood, Australia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Controlled Clinical Trial
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19102123

Citation

Hanley, Peter J., et al. "Treatment of Tinnitus With a Customized, Dynamic Acoustic Neural Stimulus: Clinical Outcomes in General Private Practice." The Annals of Otology, Rhinology, and Laryngology, vol. 117, no. 11, 2008, pp. 791-9.
Hanley PJ, Davis PB, Paki B, et al. Treatment of tinnitus with a customized, dynamic acoustic neural stimulus: clinical outcomes in general private practice. Ann Otol Rhinol Laryngol. 2008;117(11):791-9.
Hanley, P. J., Davis, P. B., Paki, B., Quinn, S. A., & Bellekom, S. R. (2008). Treatment of tinnitus with a customized, dynamic acoustic neural stimulus: clinical outcomes in general private practice. The Annals of Otology, Rhinology, and Laryngology, 117(11), 791-9.
Hanley PJ, et al. Treatment of Tinnitus With a Customized, Dynamic Acoustic Neural Stimulus: Clinical Outcomes in General Private Practice. Ann Otol Rhinol Laryngol. 2008;117(11):791-9. PubMed PMID: 19102123.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of tinnitus with a customized, dynamic acoustic neural stimulus: clinical outcomes in general private practice. AU - Hanley,Peter J, AU - Davis,Paul B, AU - Paki,Bardia, AU - Quinn,Shaunine A, AU - Bellekom,Sandra R, PY - 2008/12/24/entrez PY - 2008/12/24/pubmed PY - 2009/1/10/medline SP - 791 EP - 9 JF - The Annals of otology, rhinology, and laryngology JO - Ann Otol Rhinol Laryngol VL - 117 IS - 11 N2 - OBJECTIVES: We evaluate the relative effectiveness of a newly available tinnitus treatment approach for different categories of patients in general private practice. METHODS: This was a cohort study, sponsored by Neuromonics, involving the first 470 patients to undertake the Neuromonics Tinnitus Treatment in 7 Neuromonics tinnitus clinics. All patients were provided with a dynamic acoustic neural stimulus, customized to each patient's audiometric profile, for daily use as part of a structured rehabilitation program. Tinnitus disturbance was assessed before, during, and after treatment with the Tinnitus Reaction Questionnaire. RESULTS: The outcomes displayed a relation with patients' suitability according to predefined criteria: among the most suitable patients (tier 1 cohort), 92% exceeded the threshold for success (defined as a reduction in tinnitus-related disturbance of at least 40%), and the mean improvement in tinnitus disturbance was 72%; the discontinuance rate was 4%. For other suitability categories, the success rates and mean improvements were somewhat lower, and the discontinuance rates higher (tier 2: 60%, 49%, and 16%, respectively; tier 3: 39%, 32%, and 17%, respectively). CONCLUSIONS: The results showed that the treatment is effective for suitable patients in the private practice setting, and they provide health-care professionals with guidance as to what patients might expect from treatment, depending on their degree of suitability. SN - 0003-4894 UR - https://www.unboundmedicine.com/medline/citation/19102123/Treatment_of_tinnitus_with_a_customized_dynamic_acoustic_neural_stimulus:_clinical_outcomes_in_general_private_practice_ L2 - https://journals.sagepub.com/doi/10.1177/000348940811701101?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -