Davies 2008.
Methods | CBA study | |
Participants | Workers in lumber mills during 1979‐1996 who had at least 2 hearing tests n = 22,376 Canada, British Columbia | |
Interventions | Intervention: hearing conservation programme; n = 16,347 Control: those exposed to < 80 dB‐years plus those at their first hearing test following baseline; n = 6002 estimated from the number of person‐years of 41,357 with 6.8‐year follow‐up | |
Outcomes | STS: ≥ 10 dB at 2, 3 or 4 kHz in the better ear | |
Notes | Long‐term Comparability ‐ intervention/control: proportional hazards model to adjust for age and hearing ability at baseline |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
14. Blinding (subjects) | High risk | not blinded |
15. Blinding (outcome assessors) | High risk | not blinded |
16. Retrospective unplanned subgroup analyses | Low risk | no subgroup analyses |
17. Follow‐up | Low risk | same time period for cases and controls (dB‐years) |
18. Statistical tests | Low risk | multivariable (Cox) regression analyses, HR (95% CI) |
19. Compliance | Unclear risk | no information provided |
20. Outcome measures | Unclear risk | audiometry quality not reported (hearing thresholds, STS) |
21. Selection bias (population) | Low risk | same industry |
22. Selection bias (time) | High risk | different time period |
23. Randomization | High risk | no randomisation |
24. Allocation concealment | Unclear risk | no randomisation, not applicable |
25. Adjustment for confounding | Low risk | adjusted for age and hearing loss |
26. Incomplete outcome data | Unclear risk | not reported |