Recurrence of Idiopathic Sudden Sensorineural Hearing Loss: A Retrospective Cohort Study
OBJECTIVETo explore the recurrence rate of idiopathic sudden sensorineural hearing loss (ISSNHL). DESIGNUsing the Taiwan Longitudinal Health Insurance Database, we compared in a retrospective cohort study 45,715 patients with ISSNHL between January 2001 and December 2006 with 45,715 age-, gender-, a...
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| Veröffentlicht in: | Otology & neurotology 2014-12, Vol.35 (10), p.1736-1741 |
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| container_title | Otology & neurotology |
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| creator | Wu, Che-Ming Lee, Kuan-Ji Chang, Shih-Lun Weng, Shih-Feng Lin, Yung-Song |
| description | OBJECTIVETo explore the recurrence rate of idiopathic sudden sensorineural hearing loss (ISSNHL).
DESIGNUsing the Taiwan Longitudinal Health Insurance Database, we compared in a retrospective cohort study 45,715 patients with ISSNHL between January 2001 and December 2006 with 45,715 age-, gender-, and comorbidity-matched controls without ISSNHL. We followed each patient from 180 days after the initial diagnosis until the end of 2009 and evaluated the incidence of ISSNHL for 3 years minimum.
RESULTSThe cumulative incidence of ISSNHL recurrence was 4.99%. Cox proportional hazard regressions showed that the 50- to 64-year-old age group had a higher adjusted hazard ratio (1.59; 95% confidence interval1.40–1.81) than did the 0- to 34-year-old age group. Different comorbidities did not significantly affect the incidence of ISSNHL relapse.
CONCLUSIONSThe risk of an ISSNHL relapse in patients with a history of ISSNHL was higher than was the risk of a first occurrence of ISSNHL in the Controls. We suggest that physicians counsel patients with a history of ISSNHL to seek medical attention if they have hearing impairments because they may also have a high risk of an ISSNHL relapse.Evidence Level2B |
| doi_str_mv | 10.1097/MAO.0000000000000630 |
| format | Article |
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DESIGNUsing the Taiwan Longitudinal Health Insurance Database, we compared in a retrospective cohort study 45,715 patients with ISSNHL between January 2001 and December 2006 with 45,715 age-, gender-, and comorbidity-matched controls without ISSNHL. We followed each patient from 180 days after the initial diagnosis until the end of 2009 and evaluated the incidence of ISSNHL for 3 years minimum.
RESULTSThe cumulative incidence of ISSNHL recurrence was 4.99%. Cox proportional hazard regressions showed that the 50- to 64-year-old age group had a higher adjusted hazard ratio (1.59; 95% confidence interval1.40–1.81) than did the 0- to 34-year-old age group. Different comorbidities did not significantly affect the incidence of ISSNHL relapse.
CONCLUSIONSThe risk of an ISSNHL relapse in patients with a history of ISSNHL was higher than was the risk of a first occurrence of ISSNHL in the Controls. We suggest that physicians counsel patients with a history of ISSNHL to seek medical attention if they have hearing impairments because they may also have a high risk of an ISSNHL relapse.Evidence Level2B</description><identifier>ISSN: 1531-7129</identifier><identifier>EISSN: 1537-4505</identifier><identifier>DOI: 10.1097/MAO.0000000000000630</identifier><identifier>PMID: 25303958</identifier><language>eng</language><publisher>United States: Copyright by Otology & Neurotology, Inc. Image copyright Wolters Kluwer Health/Anatomical Chart Company</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Cohort Studies ; Comorbidity ; Databases, Factual ; Female ; Hearing Loss, Sensorineural - diagnosis ; Hearing Loss, Sensorineural - epidemiology ; Hearing Loss, Sudden - diagnosis ; Hearing Loss, Sudden - epidemiology ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Recurrence ; Retrospective Studies ; Taiwan - epidemiology ; Young Adult</subject><ispartof>Otology & neurotology, 2014-12, Vol.35 (10), p.1736-1741</ispartof><rights>Copyright © 2014 by Otology & Neurotology, Inc. Image copyright © 2010 Wolters Kluwer Health/Anatomical Chart Company</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3750-f36d52f601d549d91535bf50ce400127d54d66896978d9c7aab1ab91ec5913543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25303958$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Che-Ming</creatorcontrib><creatorcontrib>Lee, Kuan-Ji</creatorcontrib><creatorcontrib>Chang, Shih-Lun</creatorcontrib><creatorcontrib>Weng, Shih-Feng</creatorcontrib><creatorcontrib>Lin, Yung-Song</creatorcontrib><title>Recurrence of Idiopathic Sudden Sensorineural Hearing Loss: A Retrospective Cohort Study</title><title>Otology & neurotology</title><addtitle>Otol Neurotol</addtitle><description>OBJECTIVETo explore the recurrence rate of idiopathic sudden sensorineural hearing loss (ISSNHL).
DESIGNUsing the Taiwan Longitudinal Health Insurance Database, we compared in a retrospective cohort study 45,715 patients with ISSNHL between January 2001 and December 2006 with 45,715 age-, gender-, and comorbidity-matched controls without ISSNHL. We followed each patient from 180 days after the initial diagnosis until the end of 2009 and evaluated the incidence of ISSNHL for 3 years minimum.
RESULTSThe cumulative incidence of ISSNHL recurrence was 4.99%. Cox proportional hazard regressions showed that the 50- to 64-year-old age group had a higher adjusted hazard ratio (1.59; 95% confidence interval1.40–1.81) than did the 0- to 34-year-old age group. Different comorbidities did not significantly affect the incidence of ISSNHL relapse.
CONCLUSIONSThe risk of an ISSNHL relapse in patients with a history of ISSNHL was higher than was the risk of a first occurrence of ISSNHL in the Controls. We suggest that physicians counsel patients with a history of ISSNHL to seek medical attention if they have hearing impairments because they may also have a high risk of an ISSNHL relapse.Evidence Level2B</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>Hearing Loss, Sensorineural - diagnosis</subject><subject>Hearing Loss, Sensorineural - epidemiology</subject><subject>Hearing Loss, Sudden - diagnosis</subject><subject>Hearing Loss, Sudden - epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Taiwan - epidemiology</subject><subject>Young Adult</subject><issn>1531-7129</issn><issn>1537-4505</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UMFOAjEQbYxGEP0DY3r0stjS7ZZ6I0SFBEMCmnjbdNtZd3XZYrsr4e-tgsZ4cC4zmbz35s1D6JySPiVSXN2P5n3yuxJGDlCXciaimBN--DXTSNCB7KAT718IoYJxcYw6A84Ik3zYRU8L0K1zUGvANsdTU9q1aopS42VrDNR4CbW3rqyhdarCE1BhfsYz6_01HuEFNM76NeimfAc8toV1DV42rdmeoqNcVR7O9r2HHm9vHsaTaDa_m45Hs0gzwUmUs8TwQZ4QangsjQyWeZZzoiEOdgcibE2SDGUixdBILZTKqMokBc0lZTxmPXS50107-9aCb9JV6TVUlarBtj6lSXg2ZpzQAI13UB08ewd5unblSrltSkn6mWkaMk3_ZhpoF_sLbbYC80P6DjEAhjvAxlYNOP9atRtwaQGqaor_tT8AsfWB0Q</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Wu, Che-Ming</creator><creator>Lee, Kuan-Ji</creator><creator>Chang, Shih-Lun</creator><creator>Weng, Shih-Feng</creator><creator>Lin, Yung-Song</creator><general>Copyright by Otology & Neurotology, Inc. Image copyright Wolters Kluwer Health/Anatomical Chart Company</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201412</creationdate><title>Recurrence of Idiopathic Sudden Sensorineural Hearing Loss: A Retrospective Cohort Study</title><author>Wu, Che-Ming ; Lee, Kuan-Ji ; Chang, Shih-Lun ; Weng, Shih-Feng ; Lin, Yung-Song</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3750-f36d52f601d549d91535bf50ce400127d54d66896978d9c7aab1ab91ec5913543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Databases, Factual</topic><topic>Female</topic><topic>Hearing Loss, Sensorineural - diagnosis</topic><topic>Hearing Loss, Sensorineural - epidemiology</topic><topic>Hearing Loss, Sudden - diagnosis</topic><topic>Hearing Loss, Sudden - epidemiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Taiwan - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Che-Ming</creatorcontrib><creatorcontrib>Lee, Kuan-Ji</creatorcontrib><creatorcontrib>Chang, Shih-Lun</creatorcontrib><creatorcontrib>Weng, Shih-Feng</creatorcontrib><creatorcontrib>Lin, Yung-Song</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Otology & neurotology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Che-Ming</au><au>Lee, Kuan-Ji</au><au>Chang, Shih-Lun</au><au>Weng, Shih-Feng</au><au>Lin, Yung-Song</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrence of Idiopathic Sudden Sensorineural Hearing Loss: A Retrospective Cohort Study</atitle><jtitle>Otology & neurotology</jtitle><addtitle>Otol Neurotol</addtitle><date>2014-12</date><risdate>2014</risdate><volume>35</volume><issue>10</issue><spage>1736</spage><epage>1741</epage><pages>1736-1741</pages><issn>1531-7129</issn><eissn>1537-4505</eissn><abstract>OBJECTIVETo explore the recurrence rate of idiopathic sudden sensorineural hearing loss (ISSNHL).
DESIGNUsing the Taiwan Longitudinal Health Insurance Database, we compared in a retrospective cohort study 45,715 patients with ISSNHL between January 2001 and December 2006 with 45,715 age-, gender-, and comorbidity-matched controls without ISSNHL. We followed each patient from 180 days after the initial diagnosis until the end of 2009 and evaluated the incidence of ISSNHL for 3 years minimum.
RESULTSThe cumulative incidence of ISSNHL recurrence was 4.99%. Cox proportional hazard regressions showed that the 50- to 64-year-old age group had a higher adjusted hazard ratio (1.59; 95% confidence interval1.40–1.81) than did the 0- to 34-year-old age group. Different comorbidities did not significantly affect the incidence of ISSNHL relapse.
CONCLUSIONSThe risk of an ISSNHL relapse in patients with a history of ISSNHL was higher than was the risk of a first occurrence of ISSNHL in the Controls. We suggest that physicians counsel patients with a history of ISSNHL to seek medical attention if they have hearing impairments because they may also have a high risk of an ISSNHL relapse.Evidence Level2B</abstract><cop>United States</cop><pub>Copyright by Otology & Neurotology, Inc. Image copyright Wolters Kluwer Health/Anatomical Chart Company</pub><pmid>25303958</pmid><doi>10.1097/MAO.0000000000000630</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Child Child, Preschool Cohort Studies Comorbidity Databases, Factual Female Hearing Loss, Sensorineural - diagnosis Hearing Loss, Sensorineural - epidemiology Hearing Loss, Sudden - diagnosis Hearing Loss, Sudden - epidemiology Humans Incidence Infant Infant, Newborn Male Middle Aged Recurrence Retrospective Studies Taiwan - epidemiology Young Adult |
| title | Recurrence of Idiopathic Sudden Sensorineural Hearing Loss: A Retrospective Cohort Study |
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