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. 2017 Jul 7;2017(7):CD006396. doi: 10.1002/14651858.CD006396.pub4

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