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Noise exposure as a risk factor for acoustic neuroma: a systematic review and meta-analysis.

Objective: To investigate whether acoustic neuroma is associated with noise. Design: PubMed, Cochrane, Embase and CINAHL databases were searched. A meta-analysis was performed to calculate odds ratio (OR) and 95% confidence interval (CI) using quality-effect models. Study sample: A total of eight st...

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Published in:International Journal of Audiology Vol. 58; no. 9; pp. 525 - 533
Main Authors: Cao, Zuwei, Zhao, Fei, Mulugeta, Helena
Format: meta analysis research systematic review tables/charts Journal Article
Published: Taylor & Francis Ltd Sep2019
Online Access:View this record in EBSCOhost
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        14992027
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      jtl: International Journal of Audiology
      issn: 14992027
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      dt: Sep2019
      vid: 58
      iid: 9
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        137989225
        10.1080/14992027.2019.1602289
        137989225
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      tig:
        atl: Noise exposure as a risk factor for acoustic neuroma: a systematic review and meta-analysis.
      aug:
        au:
          Cao, Zuwei
          Zhao, Fei
          Mulugeta, Helena
        affil: Center for Rehabilitative Auditory Research, Guizhou Provincial People's Hospital, Guiyang, China
      sug:
        subj:
          Occupational Exposure Adverse Effects
          Noise Adverse Effects
          Neuroma, Acoustic Risk Factors
          Risk Assessment
          Human
          Systematic Review
          Meta Analysis
          Funding Source
          Descriptive Statistics
          PubMed
          Cochrane Library
          Embase
          CINAHL Database
          Odds Ratio
          Confidence Intervals
          Time Factors
      ab: Objective: To investigate whether acoustic neuroma is associated with noise. Design: PubMed, Cochrane, Embase and CINAHL databases were searched. A meta-analysis was performed to calculate odds ratio (OR) and 95% confidence interval (CI) using quality-effect models. Study sample: A total of eight studies with moderate or high quality involving 75,571 participants met the inclusion criteria. Results: There was no significant relationship between overall noise exposure and acoustic neuroma (OR:1.02, 95% CI: 0.64–1.63). However, further subgroup analysis showed that leisure noise exposure (OR: 1.73, 95% CI: 1.10–2.73), above five years' exposure (OR: 1.81, 95% CI: 1.14–2.85) and continuous exposure (OR:2.77, 95% CI: 1.70–4.49) were associated with an increased risk of acoustic neuroma. Conclusions: These results suggest an elevated risk of acoustic neuroma among individuals who have been exposed to occupational noise when some subgroup analysis are conducted. Leisure noise in particular seems to play a significant role in the development of acoustic neuroma. However, due to the heterogeneity among the included studies, this conclusion should be interpreted with cautions, even though the continuous long-term consequences should not be ignored.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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