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

Nilsson 1980.

Methods CBA study
Participants Ship builders; n = 231
 Highly exposed group with > 94 dB(A); n = 1838
 Low exposed group with < 88 dB(A); n = 1354
 Sweden
 1 shipyard
Interventions Intervention: workers wearing earmuffs; n = 1883
 Control: workers wearing earplugs; n = 1309
Outcomes STS > 10 dB any frequency in either ear per 100 person‐years; frequencies tested: 0.25, 0.5, 1, 2, 3, 4, 6, 8 kHz
Notes Long‐term
Comparability ‐ intervention/control:
 age: ?
 hearing: both groups < 35 dB all frequencies
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 all about 3.3 years' follow‐up
18. Statistical tests Unclear risk one sided Chi2 test
19. Compliance Unclear risk not reported
20. Outcome measures Low risk audiometry quality reported
21. Selection bias (population) High risk same factory but different departments with different noise exposure
22. Selection bias (time) Unclear risk same time
23. Randomization High risk not randomised
24. Allocation concealment Unclear risk not randomised, not applicable
25. Adjustment for confounding High risk 5 years' difference in average age
26. Incomplete outcome data Unclear risk not reported