Hearing outcome measures for conductive and mixed hearing loss treatment in adults: a scoping review

Penny R. Hill-Feltham, Martin L. Johansson, William E. Hodgetts, Amberley V. Ostevik, Brian J. McKinnon, Peter Monksfield, Ravi Sockalingam, Tracy Wright, James R. Tysome

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations


Objective: Rehabilitation options for conductive and mixed hearing loss are continually expanding, but without standard outcome measures comparison between different treatments is difficult. To meaningfully inform clinicians and patients core outcome sets (COS), determined via a recognised methodology, are needed. Following our previous work that identified hearing, physical, economic and psychosocial as core areas of a future COS, the AURONET group reviewed hearing outcome measures used in existing literature and assigned them into different domains within the hearing core area.  Design: Scoping review. Study Sample: Literature including hearing outcome measurements for the treatment of conductive and/or mixed hearing loss. Results: The literature search identified 1434 studies, with 278 subsequently selected for inclusion. A total of 837 hearing outcome measures were reported and grouped into nine domains. The largest domain constituted pure-tone threshold measurements accounting for 65% of the total outcome measures extracted, followed by the domains of speech testing (20%) and questionnaires (9%). Studies of hearing implants more commonly included speech tests or hearing questionnaires compared with studies of middle ear surgery. Conclusions: A wide range of outcome measures are currently used, highlighting the importance of developing a COS to inform individual practice and reporting in trials/research.

Original languageEnglish (US)
Pages (from-to)239-245
Number of pages7
JournalInternational Journal of Audiology
Issue number4
StatePublished - 2021


  • Mixed hearing loss
  • conductive hearing loss
  • outcome measures
  • review

ASJC Scopus subject areas

  • Language and Linguistics
  • Linguistics and Language
  • Speech and Hearing


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