Questionnaire survey on medical practice for acute low-tone sensorineural hearing loss in the fukuoka area

Toshifumi Sakata, Satoru Ohba, Takashi Nakagawa

Research output: Contribution to journalArticle

Abstract

As suitable practice guidelines have not yet been established for acute low-tone sensorineural hearing loss (ALHL), many doctors feel unsure about making a diagnosis based on their own methods for judgment. We administered questionnaire surveys on the conditions surrounding ALHL diagnoses to otolaryngologists in the Fukuoka area in Japan for the purpose of sharing medical practice-related information and to identify controversial issues. The results showed that suspected cases of ALHL had been treated as certain cases. During the year-long survey period, it was also estimated that about 50% of the total diagnosed patients completed treatment within 2 months, about 30% continued treatment for 2 months or more, and about 20% elected to discontinue treatment. For the treatment drug, isosorbide was used less frequently than steroids. When making a diagnosis, doctors did not limit themselves to diagnostic criteria, and aggressively tried to treat symptoms as ALHL when that was the suspected diagnosis. As criteria for determining the end of treatment, the survey results showed that treatment was sometimes concluded despite instability in either subjective symptoms or hearing impairment, and that it was sometimes concluded based on the patient's wishes. Half of the patients referred from another hospital did not have actual written referrals, and some patients dropped out of treatment on their own accord, suggesting that some patients were concerned about the course of ALHL.

Original languageEnglish
Pages (from-to)687-691
Number of pages5
JournalPractica Oto-Rhino-Laryngologica
Volume106
Issue number8
DOIs
Publication statusPublished - Aug 1 2013

Fingerprint

Sensorineural Hearing Loss
Therapeutics
Isosorbide
Surveys and Questionnaires
Hearing Loss
Practice Guidelines
Japan
Referral and Consultation
Steroids
Pharmaceutical Preparations

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Questionnaire survey on medical practice for acute low-tone sensorineural hearing loss in the fukuoka area. / Sakata, Toshifumi; Ohba, Satoru; Nakagawa, Takashi.

In: Practica Oto-Rhino-Laryngologica, Vol. 106, No. 8, 01.08.2013, p. 687-691.

Research output: Contribution to journalArticle

@article{56ac93c7f2c942ae9a8403ed0d50b89a,
title = "Questionnaire survey on medical practice for acute low-tone sensorineural hearing loss in the fukuoka area",
abstract = "As suitable practice guidelines have not yet been established for acute low-tone sensorineural hearing loss (ALHL), many doctors feel unsure about making a diagnosis based on their own methods for judgment. We administered questionnaire surveys on the conditions surrounding ALHL diagnoses to otolaryngologists in the Fukuoka area in Japan for the purpose of sharing medical practice-related information and to identify controversial issues. The results showed that suspected cases of ALHL had been treated as certain cases. During the year-long survey period, it was also estimated that about 50{\%} of the total diagnosed patients completed treatment within 2 months, about 30{\%} continued treatment for 2 months or more, and about 20{\%} elected to discontinue treatment. For the treatment drug, isosorbide was used less frequently than steroids. When making a diagnosis, doctors did not limit themselves to diagnostic criteria, and aggressively tried to treat symptoms as ALHL when that was the suspected diagnosis. As criteria for determining the end of treatment, the survey results showed that treatment was sometimes concluded despite instability in either subjective symptoms or hearing impairment, and that it was sometimes concluded based on the patient's wishes. Half of the patients referred from another hospital did not have actual written referrals, and some patients dropped out of treatment on their own accord, suggesting that some patients were concerned about the course of ALHL.",
author = "Toshifumi Sakata and Satoru Ohba and Takashi Nakagawa",
year = "2013",
month = "8",
day = "1",
doi = "10.5631/jibirin.106.687",
language = "English",
volume = "106",
pages = "687--691",
journal = "Practica Otologica",
issn = "0032-6313",
publisher = "Society of Practical Otolaryngology",
number = "8",

}

TY - JOUR

T1 - Questionnaire survey on medical practice for acute low-tone sensorineural hearing loss in the fukuoka area

AU - Sakata, Toshifumi

AU - Ohba, Satoru

AU - Nakagawa, Takashi

PY - 2013/8/1

Y1 - 2013/8/1

N2 - As suitable practice guidelines have not yet been established for acute low-tone sensorineural hearing loss (ALHL), many doctors feel unsure about making a diagnosis based on their own methods for judgment. We administered questionnaire surveys on the conditions surrounding ALHL diagnoses to otolaryngologists in the Fukuoka area in Japan for the purpose of sharing medical practice-related information and to identify controversial issues. The results showed that suspected cases of ALHL had been treated as certain cases. During the year-long survey period, it was also estimated that about 50% of the total diagnosed patients completed treatment within 2 months, about 30% continued treatment for 2 months or more, and about 20% elected to discontinue treatment. For the treatment drug, isosorbide was used less frequently than steroids. When making a diagnosis, doctors did not limit themselves to diagnostic criteria, and aggressively tried to treat symptoms as ALHL when that was the suspected diagnosis. As criteria for determining the end of treatment, the survey results showed that treatment was sometimes concluded despite instability in either subjective symptoms or hearing impairment, and that it was sometimes concluded based on the patient's wishes. Half of the patients referred from another hospital did not have actual written referrals, and some patients dropped out of treatment on their own accord, suggesting that some patients were concerned about the course of ALHL.

AB - As suitable practice guidelines have not yet been established for acute low-tone sensorineural hearing loss (ALHL), many doctors feel unsure about making a diagnosis based on their own methods for judgment. We administered questionnaire surveys on the conditions surrounding ALHL diagnoses to otolaryngologists in the Fukuoka area in Japan for the purpose of sharing medical practice-related information and to identify controversial issues. The results showed that suspected cases of ALHL had been treated as certain cases. During the year-long survey period, it was also estimated that about 50% of the total diagnosed patients completed treatment within 2 months, about 30% continued treatment for 2 months or more, and about 20% elected to discontinue treatment. For the treatment drug, isosorbide was used less frequently than steroids. When making a diagnosis, doctors did not limit themselves to diagnostic criteria, and aggressively tried to treat symptoms as ALHL when that was the suspected diagnosis. As criteria for determining the end of treatment, the survey results showed that treatment was sometimes concluded despite instability in either subjective symptoms or hearing impairment, and that it was sometimes concluded based on the patient's wishes. Half of the patients referred from another hospital did not have actual written referrals, and some patients dropped out of treatment on their own accord, suggesting that some patients were concerned about the course of ALHL.

UR - http://www.scopus.com/inward/record.url?scp=84882779849&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84882779849&partnerID=8YFLogxK

U2 - 10.5631/jibirin.106.687

DO - 10.5631/jibirin.106.687

M3 - Article

AN - SCOPUS:84882779849

VL - 106

SP - 687

EP - 691

JO - Practica Otologica

JF - Practica Otologica

SN - 0032-6313

IS - 8

ER -