Publications by authors named "Veronica Kennedy"

Article Synopsis
  • The study aimed to evaluate how otitis media with effusion (OME) progresses in children under 12 who do not have hearing loss.
  • Nineteen observational studies were analyzed, revealing that the resolution rates of OME varied widely over time, from 10% to 99% by 12 months, with significant differences based on the population and the criteria for resolution.
  • Although there was a trend of improved resolution and recurring cases over longer follow-up, the results did not show a consistent pattern, indicating that varied populations and definitions played a role.
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Objective: To systematically assess the modifiable risk factors for developing otitis media with effusion (OME) in children under 12 years.

Methods: We searched Embase, MEDLINE, INAHTA database, CENTRAL, CDSR and Epistemonikos for cohort studies with ≥40 children per arm/prognostic factor, published in English from 2000 to November 2022. We assessed risk of bias using the Quality in Prognosis Studies checklist, and overall evidence quality was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology.

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Article Synopsis
  • The objective of the study was to evaluate the natural history of hearing loss related to otitis media with effusion (OME) in children under 12 years old.
  • A comprehensive search of multiple medical databases identified 13 relevant studies involving different sample sizes that examined the resolution rates of OME-related hearing loss over time.
  • Results showed that while OME-related hearing loss resolution improved significantly over longer follow-up periods, the rates varied considerably based on the duration of OME and the specific population studied, indicating a complex relationship and varying definitions of resolution.
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This perspective reviews the current state of the art and literature on tinnitus in children, prevalence and risk factors, clinical management, and future priorities for healthcare provision and research. Most research in the field to date appears to be prevalence studies, which have reached dramatically different estimates; this reflects the lack of a standard language when asking about the presence of tinnitus, or how bothersome, distressing, or negatively impacting it is for the child. Estimates are also likely affected by a lack of awareness of tinnitus amongst children and parents.

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Background: Hyperacusis is a chronic condition commonly defined as a lowered tolerance or increased sensitivity to everyday environmental sounds. It has been viewed as a paediatric disorder which can cause significant impairment to a child's normal functioning. Although clinical guidance highlights the importance of identifying whether the child has intolerance to loud sounds and managing this appropriately, there are currently no assessment or treatment methods that have been designed and tested for use with children with hyperacusis.

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Background: Whilst evidence indicates many children experience troublesome tinnitus, specialist services for children are far less established than those available for adults. To date, there is limited understanding of how paediatric tinnitus is managed in the UK, and to what extent current practice reflects what is recommended. This service evaluation aimed to 1) profile how tinnitus in children is managed in UK clinical practice, and assess to what extent care provided by services reflects advice included in the British Society of Audiology (BSA) Tinnitus in Children Practice Guidance, 2) collate clinician opinions on how services may be optimised, and 3) identify common problems experienced by children who present with bothersome tinnitus in clinic.

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Objective: To determine research priorities in hyperacusis that key stakeholders agree are the most important.

Design/setting: A priority setting partnership using two international surveys, and a UK prioritisation workshop, adhering to the six-staged methodology outlined by the James Lind Alliance.

Participants: People with lived experience of hyperacusis, parents/carers, family and friends, educational professionals and healthcare professionals who support and/or treat adults and children who experience hyperacusis, including but not limited to surgeons, audiologists, psychologists and hearing therapists.

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Background: The reported prevalence of tinnitus in children is similar to that in adults. However, unlike adults, there is relatively little understanding of the tinnitus-related problems children experience. Knowledge of the problems experienced by adults has led to the development of numerous clinical questionnaires used by health professionals in assessment and treatment practices; to date no child-specific questionnaire measure of tinnitus has been developed.

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Background: There are a large number of assessment tools for tinnitus, with little consensus on what it is important to measure and no preference for a minimum reporting standard. The item content of tinnitus assessment tools should seek to capture relevant impacts of tinnitus on everyday life, but no-one has yet synthesised information about the range of tinnitus complaints. This review is thus the first comprehensive and authoritative collection and synthesis of what adults with tinnitus and their significant others report as problems in their everyday lives caused by tinnitus.

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Objective: Hyperacusis is commonly seen in clinical paediatric practice and can be distressing for the children and their families. This paper looks at the clinical profile of children seen for hyperacusis in a paediatric audiology service and reviews the possible underlying mechanisms.

Methods: Retrospective study of case notes of 61 children with troublesome hyperacusis seen in the paediatric audiology service, looking at their clinical presentation and presence of other medical conditions.

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Introduction: Over 70 million people in Europe and >50 million people in the USA are reported to experience tinnitus (the sensation of noise in the absence of any corresponding sound source). Tinnitus is a multidimensional concept. Individual patients may report different profiles of tinnitus-related symptoms which may each require a tailored management approach and an appropriate measure of therapeutic benefit.

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Introduction: In Europe alone, over 70 million people experience tinnitus. Despite its considerable socioeconomic relevance, progress in developing successful treatments has been limited. Clinical effectiveness is judged according to change in primary outcome measures, but because tinnitus is a subjective condition, the definition of outcomes is challenging and it remains unclear which distinct aspects of tinnitus (ie, 'domains') are most relevant for assessment.

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Objective: To explore the benefits and shortcomings of cochlear implants as perceived by a cochlear implant user's significant other in the context of the World Health Organization's International Classification of Functioning, Disability and Health (ICF).

Study Design: An open-ended questionnaire concerning the perceived shortcomings and benefits of the implant was completed by the significant others of cochlear implants users.

Setting: The study involved the participants of an adult cochlear implant program.

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