Clinical practice guideline: tinnitus.

Area of Science:

• Otolaryngology
• Audiology
• Clinical Practice Guidelines

Background:

• Tinnitus affects 10-15% of US adults, significantly impacting quality of life.
• No current evidence-based guidelines exist for managing bothersome, persistent tinnitus.
• This guideline focuses on adults with primary tinnitus lasting 6+ months.

Purpose of the Study:

• Provide evidence-based recommendations for clinicians managing tinnitus patients.
• Establish a framework to improve patient care and mitigate tinnitus effects.
• Guide evaluation, diagnosis, and treatment of persistent, bothersome tinnitus.

Main Methods:

• Development of clinical practice guidelines based on evidence.
• Distinguishing between bothersome and non-bothersome tinnitus.
• Recommending specific diagnostic and therapeutic interventions.

Main Results:

• Strongly recommend distinguishing bothersome from non-bothersome tinnitus.
• Recommend targeted history, physical exam, and audiologic evaluation.
• Recommend hearing aids and cognitive behavioral therapy for persistent, bothersome tinnitus.
• Recommend against routine imaging, medications, and supplements.

Conclusions:

• Clinicians should differentiate tinnitus severity for appropriate management.
• Audiologic evaluation and targeted therapies are key for persistent tinnitus.
• Guidelines aim to improve quality of life for tinnitus sufferers.