目的:急性感音神经性听力损失代表一系列以突发性听力损失为特征的病症。“急性感音神经性听力损失的诊断和管理临床实践指南”在日本作为第一个临床实践指南发布,概述了标准的诊断和治疗。本文的目的是通过增加科学证据来加强指南,包括对最新出版物的系统审查,并根据科学证据广泛介绍当前的治疗方案。
方法:完成临床实践指南:1)回顾性数据分析(使用全国调查数据),2)系统的文献综述,和3)选定的临床问题(CQs)。对每种疾病进行了额外的系统评价,以加强指南中诊断和治疗的科学证据。
结果:根据全国范围的调查结果和系统的文献综述总结,标准诊断流程图和治疗方案,包括CQ和建议,决心。
结论:指南总结了诊断和治疗急性感觉神经性听力损失的标准方法。我们希望这些指南将用于医疗实践,并将启动进一步的研究。
OBJECTIVE: Acute sensorineural hearing loss represents a spectrum of conditions characterized by sudden onset hearing loss. The \"Clinical Practice Guidelines for the Diagnosis and Management of Acute Sensorineural Hearing Loss\" were issued as the first clinical practice guidelines in Japan outlining the standard diagnosis and treatment. The purpose of this article is to strengthen the guidelines by adding the scientific evidence including a systematic review of the latest publications, and to widely introduce the current treatment options based on the scientific evidence.
METHODS: The clinical practice guidelines were completed by 1) retrospective data analysis (using nationwide survey data), 2) systematic literature review, and 3) selected clinical questions (CQs). Additional systematic review of each disease was performed to strengthen the scientific evidence of the diagnosis and treatment in the guidelines.
RESULTS: Based on the nationwide survey results and the systematic literature review summary, the standard diagnosis flowchart and treatment options, including the CQs and recommendations, were determined.
CONCLUSIONS: The guidelines present a summary of the standard approaches for the diagnosis and treatment of acute sensorineural hearing loss. We hope that these guidelines will be used in medical practice and that they will initiate further research.