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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1991-10-8
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pubmed:abstractText |
Despite the recognized ototoxicity of cis-platinum, a clinical outline for the audiologic evaluation of patients receiving this drug has not been clearly defined. In a practical approach to this problem, the audiograms of 48 pediatric patients referred for monitoring during planned cis-platinum therapy were reviewed. Eleven patients tested with auditory brain-stem response (ABR) audiometry demonstrated several limitations of this modality. Fourteen children underwent initial ABR testing followed by at least two pure-tone audiograms. The remaining 23 patients had their hearing evaluated by pure-tone audiometry only. Various factors such as patient age, cis-platinum dosage, and cranial radiation exposure were analyzed for apparent effect. Younger patients tended to be more susceptible to audiologic changes with the administration of cis-platinum. The proportion of patients who demonstrated a hearing loss increased with successive dosing as did the severity of the hearing loss. Prior exposure to cranial radiation was strongly linked to the development of hearing loss following cis-platinum therapy. Guidelines are presented regarding the use of clinical audiometry in the screening of these pediatric oncology patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0023-852X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
101
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
917-24
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1886439-Adolescent,
pubmed-meshheading:1886439-Audiometry, Pure-Tone,
pubmed-meshheading:1886439-Brain,
pubmed-meshheading:1886439-Child,
pubmed-meshheading:1886439-Child, Preschool,
pubmed-meshheading:1886439-Cisplatin,
pubmed-meshheading:1886439-Dose-Response Relationship, Drug,
pubmed-meshheading:1886439-Evoked Potentials, Auditory, Brain Stem,
pubmed-meshheading:1886439-Female,
pubmed-meshheading:1886439-Hearing Loss, Sensorineural,
pubmed-meshheading:1886439-Humans,
pubmed-meshheading:1886439-Infant,
pubmed-meshheading:1886439-Male,
pubmed-meshheading:1886439-Neoplasms,
pubmed-meshheading:1886439-Retrospective Studies
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pubmed:year |
1991
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pubmed:articleTitle |
cis-platinum ototoxicity in children.
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pubmed:affiliation |
Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, TX 77030.
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pubmed:publicationType |
Journal Article
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