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Current practice of ototoxicity management across the United Kingdom (UK)

Maru, D; Malky, G-A; (2018) Current practice of ototoxicity management across the United Kingdom (UK). International Journal of Audiology , 57 (S4) S29-S41. 10.1080/14992027.2018.1460495. Green open access

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Abstract

OBJECTIVE: Effective management of patients diagnosed with ototoxicity is needed to reduce hearing and balance damage which affects communication and life quality. Despite widespread recommendations to monitor and manage ototoxicity in an early and effective manner, there is limited evidence to support the actual implementation of these recommendations for affected patient groups in healthcare services across the UK with limited publications available. In this study, an online questionnaire analysed the current practice of ototoxicity management and patient pathways across the UK once the diagnosis of ototoxicity was confirmed, targeting Audiologists, ENTs/AVPs and GPs. DESIGN: Qualitative Survey Study. STUDY SAMPLE: A randomised sample of hearing services in the UK, including audiology departments; GP practices and local health settings were targeted with a total of 134 completed surveys. RESULTS: About 72% reported the absence of ototoxicity management protocols within their centre. Results depicted great inconsistency and variation across the UK in ototoxicity management services provided, treatment modification, monitoring and referral pathways. CONCLUSION: Developing and advocating national guidelines are intended not only to inform clinical decision making but to provide minimum standards of care in ototoxicity management and offer greater awareness and education to improve patients' quality of life.

Type: Article
Title: Current practice of ototoxicity management across the United Kingdom (UK)
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/14992027.2018.1460495
Publisher version: https://doi.org/10.1080/14992027.2018.1460495
Language: English
Additional information: Copyright © 2018 The Authors. Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of British Society of Audiology, International Society of Audiology, and Nordic Audiological Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Ototoxic agents, ototoxicity management, audiologists, ENTS/AVPs, GPs, aminoglycoside ototoxicity, cisplatin ototoxicity, ototoxicity monitoring, paediatric ototoxicity management, balance management, ototoxicity education
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10048168
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