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All Journal Sari Pediatri Oto Rhino Laryngologica Indonesiana Cermin Dunia Kedokteran Cermin Dunia Kedokteran
Brastho Bramantyo
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Indonesia Rumah Sakit Dr. Cipto Mangunkusumo Jakarta
Health Professions Medicine & Pharmacology Public Health

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Efektivitas Tinnitus Retraining Therapy (TRT) sebagai Upaya Meningkatkan Kualitas Hidup Pasien Tinitus: Laporan Kasus Berbasis Bukti Setiawan, Ramadhany Fikri; Suryoadji, Kemal Akbar; Bramantyo, Brastho; Alviandi, Widayat
Cermin Dunia Kedokteran Vol 50 No 5 (2023): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v50i5.890

Abstract

Latar Belakang: Tinnitus retraining therapy (TRT), yang terdiri dari counseling therapy dan acoustic therapy, menjadi salah satu alternatif terapi tinitus. Namun, efektivitas TRT belum diketahui pasti. Tujuan: Mengetahui efektivitas TRT dalam meningkatkan kualitas hidup pasien tinitus. Metode: Laporan kasus berbasis bukti dengan mencari literatur dari pertanyaan klinis pada database Cochrane Library, Embase, ProQuest, PubMed, ScienceDirect, dan Scopus, dengan kata kunci sesuai pertanyaan klinis. Seleksi berdasarkan kriteria eligibilitas dan kesesuaian PICO, menghasilkan satu artikel kajian sistematik dan meta-analisis. Studi telah lolos telaah kritis sesuai pedoman Centre for Evidence-Based Medicine (CEBM) University of Oxford. Hasil: TRT memiliki overall response rate lebih tinggi dibandingkan terapi standar pada pasien tinitus (OR=7,01; IK 95%=5.16,9.53; p<0,00001; I2=0%; p=0,82). TRT memiliki skor tinnitus handicap inventory (THI) lebih rendah dibandingkan dengan terapi standar pada pasien tinitus (MD=-14.50; IK 95%=-16.65,-12.36; p<0,00001; I2= 8%; p=0,30). Simpulan: TRT efektif memperbaiki response rate terhadap tinitus dan menurunkan skor THI.   Background: Tinnitus greatly affects daily activities, which can interfere with the quality of life. Tinnitus retraining therapy (TRT) which consists of counseling therapy and acoustic therapy, is an alternative therapy for tinnitus. However, its effectiveness is not yet known. Objective: To determine the effectivity of TRT in improving the quality of life of tinnitus patients. Methods: This study is an evidence-based case report that searches the literature from clinical questions in databases from Cochrane Library, Embase, ProQuest, PubMed, ScienceDirect, and Scopus, using keywords that matched the clinical question. Studies were selected based on the PICO and eligibility criteria. The result is one systematic review and meta-analysis article. The study has been critically appraised using the Center for Evidence-Based Medicine (CEBM) University of Oxford instruments. Result: TRT has a higher overall response rate than standard therapy in tinnitus patients (OR=7.01; CI 95%=5.16, 9.53; p<0.00001; I2=0%, p=0.82). TRT has a lower tinnitus handicap inventory (THI) scale than standard therapy in tinnitus patients (MD=-14.50; CI 95%=-16.65,-12.36; p<0.00001; I2= 8%; p=0.30). Conclusion: TRT effectively improves response rate to tinnitus and lowers THI score.
Co-Authors Aldri Frinaldi Antonius H. Pudjiadi Arman, Fitri Bashirudin, Jenny Cahyono, Arie Cahyono, Arie D. Daneswarry Dewi S. Soemarko Dewi Sumaryani Soemarko Farisa Rizky Firmansyah, Ugiadam Farhan Fitri Arman Jenny Bashiruddin Jenny Bashirudin Joedo Prihartanto Kemal Akbar Suryoadji Kemal Akbar Suryoadji Mariska, Tara Candida Munasir, Zakiudin Prasandhya Astagiri Yusuf Prihartanto, Joedo Priyono, Harim Ramadhany Fikri Setiawan Restuti, Ratna Dwi Risdawati Risdawati Setiawan, Ramadhany Fikri Siti Munawaroh Suryoadji, Kemal Akbar Tara Candida Mariska Ugiadam Farhan Firmansyah Widayat Alviandi