July 2010. Volume 6. Number 2

Universal screening for hearing disability has only shown a small advantage in language development in childhood, based on studies with a low level of scientific evidence

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Wolff R, Hommerich J, Riemsma R, Antes G, Lange S, Kleijnen J. Hearing screening in newborns: systematic review of accuracy, effectiveness, and effects of interventions after screening. Arch Dis Child.2010;95:130-5.
Reviewers: González de Dios J1, Ortega Páez E2, Perdikidis Olivieri L3, Esparza Olcina MJ4.
1Departamento de Pediatría. Hospital General Universitario de Alicante. España.
2CS Maracena. Distrito metropolitano. Granada. España.
3EAP Juncal. Torrejón de Ardoz. Madrid. España.
4Centro de Salud Barcelona. Móstoles. Madrid. España.
Correspondence: Javier González de Dios. Email: javier.gonzalezdedios@gmail.com
Acceptance date: 07/06/2010
Publication date: 21/06/2010

Abstract

Title: Universal screening for hearing disability has only shown a small advantage in language development in childhood, based on studies with a low level of scientific evidence.

Authors’ conclusions: the early identification and treatment of severe bilateral hearing disability may be associated with some advantages in relation to language development, even though the studies on which this hypothesis is based have a low level of scientific evidence. There is a lack of studies of other result variables of interest, like educational development, social aspects and quality of life.

Reviewers’ commentary: the universal screening program for hearing impairment must be based on greater level of scientific evidence to establish the cost-benefit-harm relations. There is a lack of studies that pose a special emphasis on long term results that imply a better quality of life (the apparent improvement on early language development should imply better educational, occupational and social outcomes), as well as the potential damage of over diagnosis (false positive results, with wrong labelling and cascading consequences) and the screening bias (early diagnosis bias, duration of disease bias and participation bias).

How to cite this article

González de Dios J, Ortega Páez E, Perdikis Olivieri L, Esparza Olcina MJ. El cribado universal de hipoacusia sólo ha demostrado a medio plazo una leve mejoría en el desarrollo del lenguaje, fundamentado en estudios de bajo nivel de evidencia científica. Evid Pediatr. 2010;6:32.

AVC | Critically appraised articles

Wolff R, Hommerich J, Riemsma R, Antes G, Lange S, Kleijnen J. Hearing screening in newborns: systematic review of accuracy, effectiveness, and effects of interventions after screening. Arch Dis Child.2010;95:130-5.
Reviewers: González de Dios J1, Ortega Páez E2, Perdikidis Olivieri L3, Esparza Olcina MJ4.
1Departamento de Pediatría. Hospital General Universitario de Alicante. España.
2CS Maracena. Distrito metropolitano. Granada. España.
3EAP Juncal. Torrejón de Ardoz. Madrid. España.
4Centro de Salud Barcelona. Móstoles. Madrid. España.
Correspondence: Javier González de Dios. Email: javier.gonzalezdedios@gmail.com
Acceptance date: 07/06/2010
Publication date: 21/06/2010

How to cite this article

González de Dios J, Ortega Páez E, Perdikis Olivieri L, Esparza Olcina MJ. El cribado universal de hipoacusia sólo ha demostrado a medio plazo una leve mejoría en el desarrollo del lenguaje, fundamentado en estudios de bajo nivel de evidencia científica. Evid Pediatr. 2010;6:32.

References

  1. Yoshinaga-Itano C, Coulter D, Thomson V. Developmental outcomes of children with hearing loss born in Colorado hospitals with and without universal newborn hearing screening programs. Semin Neonatol. 2001;6:521-9.
  2. Kennedy CR, McCann DC, Campbell MJ, Law CM, Mullee M, Petrou S, et al. Language ability after early detection of permanent childhood hearing impairment. N Engl J Med. 2006;354:2131-41.
  3. González de Dios J, Mollar Maseres J, Rebagliato Russo M. Evaluación del programa de detección precoz universal de la hipoacusia en el recién nacido. An Pediatr (Barc). 2005;63:230-7.
  4. US Preventive Services Task Force. Universal screening for hearing loss in newborns: US Preventive Services Task Force recommendation statement. Pediatrics. 2008;122:143-8.
  5. US Preventive Service Task Force. Newborn hearing screening. Am Fam Physician. 2001;64:1995-9.

21/06/2010

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