Prevailing Practices in Ototoxicity Monitoring in Individuals With Head and Neck Cancer Undergoing Radiotherapy and Chemoradiotherapy: A Scoping Review.

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Title: Prevailing Practices in Ototoxicity Monitoring in Individuals With Head and Neck Cancer Undergoing Radiotherapy and Chemoradiotherapy: A Scoping Review.
Authors: Shankar, Varsha1, Seethapathy, Jayashree1 jayashrees@sriramachandra.edu.in, Srinivas, Satish2, Nandhan, Raghu3, Saravanam, Prasanna Kumar4
Source: American Journal of Audiology. Sep2024, Vol. 33 Issue 3, p1041-1069. 29p.
Subject Terms: *Health services accessibility, *Human services programs, *Audiometry, *Hearing disorders, *Health promotion, Head & neck cancer treatment, Deafness prevention, Medical protocols, Medical information storage & retrieval systems, Risk assessment, Radiotherapy, Head & neck cancer, Chemoradiotherapy, Diagnosis, Otoacoustic emissions, Systematic reviews, MEDLINE, Ototoxicity, Patient monitoring, Online information services, Radiation carcinogenesis, Vestibular function tests, Disease complications
Abstract: Purpose: The aim of the current scoping review is to identify the studies reporting ototoxicity monitoring in individuals with head and neck cancer (HNC) undergoing radiation therapy and/or chemoradiation therapy across the world. The specific objectives were to identify and report the test protocol used, identify the most common timeline of follow-up, and identify barriers and facilitators influencing the implementation of the monitoring program. Method: A comprehensive search was conducted across six electronic databases, including PubMed, Embase, Web of Science, Scopus, Google Scholar, and ProQuest. The scoping review method adhered to relevant guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) and frameworks. The database search was carried out by two independent researchers, and studies were selected based on specific inclusion and exclusion criteria. Results: This scoping review identified 13 studies that fulfilled the inclusion criteria of this study. Only one study reported findings from the perspective of ototoxicity monitoring. Another study explicitly mentioned that ototoxicity monitoring was a standard of care in their hospital. Only one study reported using the relevant guidelines for monitoring ototoxicity. Specialized tests such as high-frequency audiometry, distortion product otoacoustic emissions, and vestibular tests were rarely used. Ototoxicity monitoring was influenced by awareness-related factors, technical factors, treatment-related factors, and organizational factors. Conclusions: Research on ototoxicity monitoring programs is in its early stages, highlighting the need for standardized practices and multidisciplinary collaboration to enhance health care services for HNC patients. A standardized approach, improved awareness, and the incorporation of patient perspectives are crucial to enhancing ototoxicity monitoring in HNC patients. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Prevailing Practices in Ototoxicity Monitoring in Individuals With Head and Neck Cancer Undergoing Radiotherapy and Chemoradiotherapy: A Scoping Review.
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  Data: <searchLink fieldCode="AR" term="%22Shankar%2C+Varsha%22">Shankar, Varsha</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Seethapathy%2C+Jayashree%22">Seethapathy, Jayashree</searchLink><relatesTo>1</relatesTo><i> jayashrees@sriramachandra.edu.in</i><br /><searchLink fieldCode="AR" term="%22Srinivas%2C+Satish%22">Srinivas, Satish</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Nandhan%2C+Raghu%22">Nandhan, Raghu</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Saravanam%2C+Prasanna+Kumar%22">Saravanam, Prasanna Kumar</searchLink><relatesTo>4</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Sep2024, Vol. 33 Issue 3, p1041-1069. 29p.
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  Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br />*<searchLink fieldCode="DE" term="%22Audiometry%22">Audiometry</searchLink><br />*<searchLink fieldCode="DE" term="%22Hearing+disorders%22">Hearing disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Head+%26+neck+cancer+treatment%22">Head & neck cancer treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Deafness+prevention%22">Deafness prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Radiotherapy%22">Radiotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Head+%26+neck+cancer%22">Head & neck cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Chemoradiotherapy%22">Chemoradiotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Otoacoustic+emissions%22">Otoacoustic emissions</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Ototoxicity%22">Ototoxicity</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+monitoring%22">Patient monitoring</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Radiation+carcinogenesis%22">Radiation carcinogenesis</searchLink><br /><searchLink fieldCode="DE" term="%22Vestibular+function+tests%22">Vestibular function tests</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The aim of the current scoping review is to identify the studies reporting ototoxicity monitoring in individuals with head and neck cancer (HNC) undergoing radiation therapy and/or chemoradiation therapy across the world. The specific objectives were to identify and report the test protocol used, identify the most common timeline of follow-up, and identify barriers and facilitators influencing the implementation of the monitoring program. Method: A comprehensive search was conducted across six electronic databases, including PubMed, Embase, Web of Science, Scopus, Google Scholar, and ProQuest. The scoping review method adhered to relevant guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) and frameworks. The database search was carried out by two independent researchers, and studies were selected based on specific inclusion and exclusion criteria. Results: This scoping review identified 13 studies that fulfilled the inclusion criteria of this study. Only one study reported findings from the perspective of ototoxicity monitoring. Another study explicitly mentioned that ototoxicity monitoring was a standard of care in their hospital. Only one study reported using the relevant guidelines for monitoring ototoxicity. Specialized tests such as high-frequency audiometry, distortion product otoacoustic emissions, and vestibular tests were rarely used. Ototoxicity monitoring was influenced by awareness-related factors, technical factors, treatment-related factors, and organizational factors. Conclusions: Research on ototoxicity monitoring programs is in its early stages, highlighting the need for standardized practices and multidisciplinary collaboration to enhance health care services for HNC patients. A standardized approach, improved awareness, and the incorporation of patient perspectives are crucial to enhancing ototoxicity monitoring in HNC patients. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1044/2024_AJA-24-00028
    Languages:
      – Code: eng
        Text: English
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        StartPage: 1041
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Hearing disorders
        Type: general
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Head & neck cancer treatment
        Type: general
      – SubjectFull: Deafness prevention
        Type: general
      – SubjectFull: Medical protocols
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      – SubjectFull: Medical information storage & retrieval systems
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      – SubjectFull: Risk assessment
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      – SubjectFull: Radiotherapy
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      – SubjectFull: Head & neck cancer
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      – SubjectFull: Chemoradiotherapy
        Type: general
      – SubjectFull: Diagnosis
        Type: general
      – SubjectFull: Otoacoustic emissions
        Type: general
      – SubjectFull: Systematic reviews
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      – SubjectFull: MEDLINE
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      – SubjectFull: Ototoxicity
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      – SubjectFull: Radiation carcinogenesis
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      – SubjectFull: Vestibular function tests
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      – SubjectFull: Disease complications
        Type: general
    Titles:
      – TitleFull: Prevailing Practices in Ototoxicity Monitoring in Individuals With Head and Neck Cancer Undergoing Radiotherapy and Chemoradiotherapy: A Scoping Review.
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              M: 09
              Text: Sep2024
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