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TRI - CONSENSUS FOR PATIENT ASSESSMENT AND OUTCOME MEASUREMENTS In each category recommendations are ordered according to their level of significance:

: Essential

B: highly recommended

C: might be of interest

PATIENT ASSESSMENT

Physical examination

: Otologic examination by a specialist : Examination of the neck (range of motion, tenderness, muscle tension…) B: Examination of the temporomandibular function

udiologic Assessment : Audiometry (pure tone threshold; up to 8 kHz) B: Immitance Audiometry B: High Frequency Audiometry (at least up to 12 kHz) B: Otoacoustic Emissions B: Loudness Discomfort Level C: Auditory Evoked Potentials

Psychophysic Measures of Tinnitus B: Loudness match B: Pitch match B: Maskability (MML) B: Residual Inhibition

Case History

majority of participants preferred a questionnaire to be filled in by the patient (with access to someone for clarification) rather than at a structured interview. This was not a consensus. It

as agreed that as a first step towards consensus a list of those items common to most existing questionnaires should be made. A first attempt to extract such a list is attached.

Questionnaires

: Validated questionnaire for the assessment of tinnitus severity, which at present can be THI, THQ, TRQ or TQ (it was agreed that in the future a better and more widely validated questionnaire was required)

B: Assessment of tinnitus severity by additional questionnaires, and especially by the THI because it is believed that THI is validated in most languages

C: Assessment of depressive symptoms (e.g. BDI) C: Assessment of anxiety (e.g. STAI) C: Assessment of quality of life (e.g. WHODAS II) C: Assessment of Insomnia (e.g. PSQI)

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