TABLE 2.
Results for each consensus statement in voting rounds 1, 2, and 3
| Consensus Statement | Voting Round 1 | Voting Round 2 | Voting Round 3 |
|---|---|---|---|
| PROMs, adult, recommended | |||
| Hearing handicap inventory adults (Newman et al., 1990) | ≥80% agreement (88%) | ≥80% agreement (100%)a | NI |
| Abbreviated profile of hearing aid benefit (Cox and Alexander, 1995) | <80% agreement (38%) | NI | NI |
| Hearing handicap inventory for the elderly (Ventry and Weinstein, 1982) | <80% agreement (50%) | NI | NI |
| Hearing handicap inventory for the elderly—screening/shortened version (Lichtenstein et al., 1988) | <80% agreement (25%) | NI | NI |
| Amsterdam inventory for auditory disability and handicap (Kramer et al., 1998) | <80% agreement (38%) | NI | NI |
| Speech, spatial and qualities of hearing scale (Gatehouse and Noble, 2004) | <80% agreement (75%) | NI | NI |
| Spatial hearing questionnaire (Tyler et al., 2009) | <80% agreement (25%) | NI | NI |
| PROMs, pediatric, not recommendedb | |||
| Any specific PROMS for use with children | NI | NI | >80% agreement (100%) |
| Overall, recommended | |||
| Genetic testing for everyone with OI | NI | ≥80% agreement (100%) | The consensus statement was reworded after Delphi consensus panel discussion, >80% agreement (100%) after rewording |
| CROMs, adults, recommended | |||
| Tympanometry | NI | ≥80% agreement (100%) | NI |
| Acoustic reflexes | NI | ≥80% agreement (100%) | NI |
| Pure tone audiometry (bone conduction and air conduction), up to 8 kHz | NI | ≥80% agreement (100%) | NI |
| Speech recognition testing in quiet (and aided in people with hearing loss) | NI | ≥80% agreement (88%) | The consensus statement was reworded after Delphi consensus panel discussion, >80% agreement (100%) after rewording |
| Only for adults with hearing loss speech in noise testing (aided), unaided is optional for this group, record normal/abnormal | NI | ≥80% agreement (88%) | NI |
| CROMs, adults, not recommendedb | |||
| Speech in noise testing in adults with normal hearing | NI | ≥80% agreement (88%) | NI |
| Wideband absorbance and wideband reflectance tympanometry | NI | ≥80% agreement (100%) | NI |
| A specific speech in noise test | NI | ≥80% agreement (88%) | NI |
| CROMs, pediatric ≥4 years, recommended | NI | NI | |
| Tympanometry | NI | ≥80% agreement (100%) | NI |
| Acoustic reflexes | NI | ≥80% agreement (100%) | NI |
| Pure tone audiometry (bone conduction and air conduction), up to 8 kHz | NI | ≥80% agreement (100%) | NI |
| Speech recognition in quiet (and aided in children with hearing loss) | NI | ≥80% agreement (88%) | The consensus statement was reworded after Delphi consensus panel discussion, ≥80% agreement (100%) after rewording |
| Only for children with hearing loss, aided speech in noise testing, unaided is optional for this group, record normal/abnormal | NI | <80% agreement (75%) | ≥80% agreement (88%) |
| CROMs, pediatric ≥4 years, not recommendedb | |||
| Speech in noise testing in children with normal hearing | NI | ≥80% agreement (100%) | NI |
| Wideband absorbance and wideband reflectance tympanometry | NI | ≥80% agreement (100%) | NI |
| A specific speech in noise | NI | ≥80% agreement (88%) | NI |
| CROMs, pediatric <4 years | |||
| Conditioned play audiometry or visual reinforcement audiometry dependent on cognitive abilities | NI | ≥80% agreement (100%) | NI |
| Tympanometry | NI | ≥80% agreement (100%) | NI |
| Acoustic reflexes | NI | ≥80% agreement (100%) | NI |
| If ear-independent audiometry cannot be performed: otoacoustic emissions (only without diagnosed hearing loss) | NI | ≥80% agreement (100%) | NI |
| If behavioral audiometry cannot be performed: ABR testing (air conduction and if elevated bone conduction) | NI | ≥80% agreement (100%) | NI |
| Follow-up adults | |||
| Adult without a hearing loss or with nonprogressive hearing loss: follow-up with a time interval of 5 years | NI | <80% agreement (50%) | ≥80% agreement (88%) |
| Adult with progressive hearing loss or hearing aids: assess annually | NI | ≥80% agreement (100%) | NI |
| Follow-up children | NI | ||
| Regular newborn screening | NI | ≥80% agreement (100%) | NI |
| No hearing loss: next assessment around the age of 3.5 and 5.5 years, thereafter every 3 years | NI | ≥80% agreement (100%) | NI |
| If speech and language development is delayed, earlier assessment required | NI | ≥80% agreement (100%) | NI |
| If progressive hearing loss or hearing aids: assess annually | NI | ≥80% agreement (100%) | NI |
| If family, including first grade, is affected by profound hearing loss or a genetic mutation correlated with higher risk of hearing loss: assess annually | NI | ≥80% agreement (100%) | NI |
CROMS, clinician-reported ouctome measures; PROMS, patient-reported outcome measures.
Original consensus statements, including those that were reworded, can be read in SDC Text 2 (http://links.lww.com/MAO/B664). NI indicates not included in the voting round.
aIn the second Delphi round, consensus was reached to use the HHIA instead of the RHHI.
bAgreement in the columns “CROMS or PROMS, not recommended” indicates that the consensus recommends to not include a specific CROM or PROM.