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. 2016 Jan 25;34(11):1248–1255. doi: 10.1200/JCO.2015.63.6738

Table 1.

Severity of Sensorineural Hearing Loss at Onset and at Last Evaluation by the Chang Ototoxicity Grading Scale (N = 235)

Grade Criteria Onset, No. (%) Last Evaluation, No. (%)
0 ≤ 20 dB at 1, 2, and 4 kHz 202 (86.0) 202 (86.0)
1a ≥ 40 dB at 6-12 kHz 10 (4.3) 3 (1.3)
1b > 20 and < 40 dB at 4 kHz 2 (0.9) 1 (0.4)
2a ≥ 40 dB at ≥ 4 kHz 3 (1.3) 1 (0.4)
2b > 20 and < 40 dB at < 4 kHz 12 (5.1) 9 (3.8)
3 ≥ 40 dB at ≥ 2 kHz 3 (1.3) 6 (2.6)
4 ≥ 40 dB at ≥ 1 kHz 3 (1.3) 13 (5.5)

NOTE. Sensorineural hearing threshold in decibel (dB) was assessed by bone conduction or air conduction with normal tympanogram. The worse ear was used when a patient had an asymmetric Chang grade.