title: WITHDRAWN. Universal neonatal hearing screening versus selective screening as part of the management of childhood deafness.
abstract: BACKGROUND
  The principal factors that decide how deafness affects a child's development are the degree of hearing impairment and the age at which it is diagnosed. A number of factors are thought to increase the risk of hearing impairment: low birth weight, prematurity, perinatal hypoxia and jaundice, among others. The high incidence of deafness in children without risk factors and the introduction of simple new screening tests of high sensitivity and specificity have led many prestigious bodies to recommend universal early detection programmes for deafness rather than screening targeted only at high-risk groups.
  
  
  OBJECTIVE
  To compare the long-term effectiveness of a universal neonatal screening and early treatment programme for hearing impairment with: a) screening and treatment only of high-risk neonates and b) opportunistic screening and treatment.
  
  
  METHODS
  Databases searched included MEDLINE (1966 to 2006), EMBASE (1974 to 2006), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 2, 2006) and registers of health technology assessment agencies as well as registers of clinical guidelines. The date of the last search was June 2006.
  
  
  METHODS
  Randomised controlled trials comparing universal neonatal screening with either high-risk screening or opportunistic screening for hearing impairment.
  
  
  METHODS
  Two review authors independently screened the search results to identify suitable trials.
  
  
  RESULTS
  No studies were identified which fulfilled the inclusion criteria.
  
  
  CONCLUSIONS
  The long-term effectiveness of universal newborn hearing screening programmes has not been established to date. There is a need for controlled trials and before and after studies to address this issue further.
authors.affiliation: Servei d'Epidemiologia Clínica i Salut Pública, Hospital de la Santa Creu i Sant Pau. Universitat Autònoma de Barcelona, c/ Sant Antoni M. Claret 171, Barcelona, Spain, 08041.
authors.forename: M Teresa
authors.initials: MT
authors.lastname: Puig Reixach
authors.forename: Antonio
authors.initials: A
authors.lastname: Municio
authors.forename: M Carme
authors.initials: MC
authors.lastname: Medà
mesh_terms: D003638:Deafness / Q000175:diagnosis*; D006309:Hearing; D006311:Hearing Disorders / Q000175:diagnosis; D006320:Hearing Tests; D006801:Humans; D007231:Infant, Newborn; D015997:Neonatal Screening / Q000379:methods*