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Goal: hearing and vision

Evidence by Goal: Hearing and Vision

Every graded record measured on hearing, eyesight or the eye, including the ones that failed. A letter here describes the human trial evidence for that use; it is not advice.

13 graded uses, grouped by what the trials measured, highest letter first within each group. Every letter is copied at build time from the record that owns it, and records graded D, tested without benefit or not yet tested, are listed with the rest.

Measured on deaths and disease events

Trials that counted deaths, heart attacks, strokes, fractures, falls, cancers or other clinical events.

  • CSelf-report
    Protocol · Randomized trials and Cochrane reviews of falls interventions (falls counted as events) and of cataract surgery against waiting; population studies on dementia, crashes and mortality are listed as excluded evidence and carry no letter
    Grade for: Falls, expedited first-eye cataract surgery in women over 70
  • DSelf-report · Tested, no benefit
    Protocol · Randomized trials and Cochrane reviews of falls interventions (falls counted as events) and of cataract surgery against waiting; population studies on dementia, crashes and mortality are listed as excluded evidence and carry no letter
    Grade for: Falls, expedited second-eye cataract surgery in women over 70
  • DSelf-report · Tested, harm found
    Protocol · Randomized trials and Cochrane reviews of falls interventions (falls counted as events) and of cataract surgery against waiting; population studies on dementia, crashes and mortality are listed as excluded evidence and carry no letter
    Grade for: Falls, eye examination with treatment of vision problems in frail older people

Measured on function, or by a blinded clinician

Trials that measured performance with an instrument, or used a scale scored by a clinician who did not know the treatment.

  • BMeasured function
    Protocol · Randomized trials and Cochrane reviews of falls interventions (falls counted as events) and of cataract surgery against waiting; population studies on dementia, crashes and mortality are listed as excluded evidence and carry no letter
    Grade for: Measured eyesight, cataract surgery against waiting
  • CBlinded clinician rating
    Supplement · Meta-analyses A study that pools the numbers from several trials into one combined estimate. of randomized trials and a randomized trial
    Grade for: Slowing progression to advanced age-related macular degeneration in people at high risk (zinc 80 mg with copper)
  • CMeasured function
    Protocol · Randomized trials: one large multicenter trial with a prespecified subgroup analysis, one small trial in Alzheimer's disease
    Grade for: Cognitive decline over 3 years in older adults with hearing loss at higher risk of decline
  • CMeasured function
    Device or therapy · Randomized trials of hearing aids against placebo An inactive substitute made to look like the real treatment, so participants cannot tell which one they received. hearing aids, a waiting list, no hearing aid or health education, and their Cochrane meta-analysis
    Grade for: Speech understanding measured in a listening test, adults aged 55 to 79 with mild to moderate hearing loss
  • DMeasured function · Tested, no benefit
    Protocol · Randomized trials: one large multicenter trial with a prespecified subgroup analysis, one small trial in Alzheimer's disease
    Grade for: Cognitive decline over 3 years in adults aged 70 to 84 with untreated hearing loss, overall
  • DMeasured function · Tested, no benefit
    Protocol · Randomized trials: one large multicenter trial with a prespecified subgroup analysis, one small trial in Alzheimer's disease
    Grade for: Cognition in people with Alzheimer's disease and hearing loss
  • DMeasured function · Tested, no benefit
    Protocol · Randomized trials and Cochrane reviews of falls interventions (falls counted as events) and of cataract surgery against waiting; population studies on dementia, crashes and mortality are listed as excluded evidence and carry no letter
    Grade for: Cognitive test scores, cataract surgery in cognitively normal older adults
  • DMeasured function · Tested, no benefit
    Protocol · Randomized trials and Cochrane reviews of falls interventions (falls counted as events) and of cataract surgery against waiting; population studies on dementia, crashes and mortality are listed as excluded evidence and carry no letter
    Grade for: Eyesight, community vision screening of people aged 65 and older

Measured on what people reported

Trials that asked people how they felt or slept. These letters stop at B.

  • BSelf-report
    Device or therapy · Randomized trials of hearing aids against placebo hearing aids, a waiting list, no hearing aid or health education, and their Cochrane meta-analysis
    Grade for: Self-rated hearing-related quality of life and everyday communication, adults with mild to moderate hearing loss
  • CSelf-report
    Supplement · Meta-analyses of randomized trials and randomized trials
    Grade for: Screen-related eye strain in children
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