DÄ internationalArchive11/2010Unacceptable Subgroups

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Unacceptable Subgroups

Dtsch Arztebl Int 2010; 107(11): 196-7. DOI: 10.3238/arztebl.2010.0196c

Egidi, G

LNSLNS In his CME article on the treatment of sudden idiopathic sensorineural hearing loss, Professor Suckfüll postulates several allegedly necessary diagnostic measures ranging from ear microscopy to tympanometry to acoustic evoked response audiometry. However, he does not deliver any proof of the benefits of these recommendations—decided on the basis of a consensus.

He rightly points out that no confirmed proofs exist for the treatment of sudden hearing loss. In this context, the “selective literature search” takes its revenge, so to speak: the studies by Desloovere (1, 2), which—in addition to the cited one by Klemm et al—disprove the benefits of treatment with plasma expanders, are not mentioned. It is entirely unacceptable to extract subgroups from studies with negative evidence, with the intention of deducing positive recommendations. The recommendation to offer HAES infusions—which are known for their potential to cause renal damage (3) and lifelong persistent pruritus (4, 5)—as individual health services is completely misplaced in a CME article.
DOI: 10.3238/arztebl.2010.0196c

Dr. med. Günther Egidi
Huchtinger Heerstr. 41
28259 Bremen, Germany
familie-egidi@nord-com.net
1.
Desloovere C, Lörz M, Klima A: Sudden sensorineural hearing loss—influence of hemodynamical and hemorheological factors on spontaneous recovery and therapy results. Acta Otorhinolaryngol Belg 1989; 43(1): 31–7. MEDLINE
2.
Bundes­ärzte­kammer – Arznei­mittel­kommission der deutschen Ärzteschaft: Rückenschmerzen bei Anwendung Hydroxyethylstärke-haltiger Infusionslösungen. Dtsch Arztebl 1995; 92(19): A-1402.
3.
Reimann S, et al.: Hydroxyethylstärke-Speicherung in der Haut unter besonderer Berücksichtigung des Hydroxyethylstärke-assoziierten Juckreizes. Dtsch Med Wschr 2000; 125: 280–5. MEDLINE
4.
Suckfüll M: Perspectives on the pathophysiology and treatment of sudden idiopathic sensorineural hearing loss [Hörsturz – Erwägung zur Pathophysiologie und Therapie]. Dtsch Arztebl Int 2009; 106 (41): 669–76. VOLLTEXT
1. Desloovere C, Lörz M, Klima A: Sudden sensorineural hearing loss—influence of hemodynamical and hemorheological factors on spontaneous recovery and therapy results. Acta Otorhinolaryngol Belg 1989; 43(1): 31–7. MEDLINE
2. Bundes­ärzte­kammer – Arznei­mittel­kommission der deutschen Ärzteschaft: Rückenschmerzen bei Anwendung Hydroxyethylstärke-haltiger Infusionslösungen. Dtsch Arztebl 1995; 92(19): A-1402.
3. Reimann S, et al.: Hydroxyethylstärke-Speicherung in der Haut unter besonderer Berücksichtigung des Hydroxyethylstärke-assoziierten Juckreizes. Dtsch Med Wschr 2000; 125: 280–5. MEDLINE
4. Suckfüll M: Perspectives on the pathophysiology and treatment of sudden idiopathic sensorineural hearing loss [Hörsturz – Erwägung zur Pathophysiologie und Therapie]. Dtsch Arztebl Int 2009; 106 (41): 669–76. VOLLTEXT