Hearing impairment screening: Difference between revisions
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'''<u>Who should be screened ?</u>''' | |||
There are different recommendations for who should be screened for hearing loss and at what age:<ref name="pmid33253610">{{cite journal| author=Nieman CL, Oh ES| title=Hearing Loss. | journal=Ann Intern Med | year= 2020 | volume= 173 | issue= 11 | pages= ITC81-ITC96 | pmid=33253610 | doi=10.7326/AITC202012010 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33253610 }}</ref> | |||
* Screening should be done for at-risk adults, little consensus exists on universal screening of adults or suggested interval screening in any group. <ref name="pmid29608259">{{cite journal| author=| title=Integrated Care for Older People: Guidelines on Community-Level Interventions to Manage Declines in Intrinsic Capacity | journal=WHO Guidelines Approved by the Guidelines Review Committee | year= 2017 | volume= | issue= | pages= | pmid=29608259 | doi= | pmc= | url= }}</ref> | |||
* There is insufficient evidence to screening among asymptomatic adults aged 50 years or older by U.S. Preventive Services Task Force <ref name="pmid22893115">{{cite journal| author=Moyer VA, U.S. Preventive Services Task Force| title=Screening for hearing loss in older adults: U.S. Preventive Services Task Force recommendation statement. | journal=Ann Intern Med | year= 2012 | volume= 157 | issue= 9 | pages= 655-61 | pmid=22893115 | doi=10.7326/0003-4819-157-9-201211060-00526 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22893115 }}</ref> | |||
* Medicare mandates screening as part of the annual wellness examination for adults older than 65 years. | |||
* Screen all adults once every decade until age 50 years and every 3 years afterwards by American Speech–Language–Hearing Association. | |||
'''<big><u>How to screen?</u></big>''' <ref name="pmid332536102">{{cite journal| author=Nieman CL, Oh ES| title=Hearing Loss. | journal=Ann Intern Med | year= 2020 | volume= 173 | issue= 11 | pages= ITC81-ITC96 | pmid=33253610 | doi=10.7326/AITC202012010 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33253610 }}</ref> | |||
* Study showed that screening with simple office tests, such as the whisper test, audio-scope, a hand-held combination otoscope and audiometer, or a self-assessment questionnaire, leads to successful therapeutic or compensatory treatment. Single question assessment: Do you think you have hearing loss? (yes/no) | |||
<ref name="pmid12697801">{{cite journal| author=Yueh B, Shapiro N, MacLean CH, Shekelle PG| title=Screening and management of adult hearing loss in primary care: scientific review. | journal=JAMA | year= 2003 | volume= 289 | issue= 15 | pages= 1976-85 | pmid=12697801 | doi=10.1001/jama.289.15.1976 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12697801 }}</ref> | |||
* The Weber and Rinne tests should not be used for general screening as they have little sensitivity for detection of hearing loss. Elderly adults who know they have hearing impairment require audiometry, while those who don't know should be screened with the whispered-voice test. Elderly adults who perceive the whispered voice require no further testing, while those unable to perceive the voice require audiometry for screening.<ref name="pmid16434632">{{cite journal| author=Bagai A, Thavendiranathan P, Detsky AS| title=Does this patient have hearing impairment? | journal=JAMA | year= 2006 | volume= 295 | issue= 4 | pages= 416-28 | pmid=16434632 | doi=10.1001/jama.295.4.416 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16434632 }} [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=&cmd=prlinks&id=17076020 Review in: Evid Based Nurs. 2006 Oct;9(4):120] [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=&cmd=prlinks&id=17213129 Review in: Evid Based Med. 2006 Aug;11(4):116]</ref><ref name="pmid31750866">{{cite journal| author=Goman AM, Reed NS, Lin FR, Willink A| title=Variations in Prevalence and Number of Older Adults With Self-reported Hearing Trouble by Audiometric Hearing Loss and Sociodemographic Characteristics. | journal=JAMA Otolaryngol Head Neck Surg | year= 2020 | volume= 146 | issue= 2 | pages= 201-203 | pmid=31750866 | doi=10.1001/jamaoto.2019.3584 | pmc=6902177 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31750866 }}</ref> | |||
* | |||
==References== | ==References== | ||
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Who should be screened ?
There are different recommendations for who should be screened for hearing loss and at what age:[1]
- Screening should be done for at-risk adults, little consensus exists on universal screening of adults or suggested interval screening in any group. [2]
- There is insufficient evidence to screening among asymptomatic adults aged 50 years or older by U.S. Preventive Services Task Force [3]
- Medicare mandates screening as part of the annual wellness examination for adults older than 65 years.
- Screen all adults once every decade until age 50 years and every 3 years afterwards by American Speech–Language–Hearing Association.
How to screen? [4]
- Study showed that screening with simple office tests, such as the whisper test, audio-scope, a hand-held combination otoscope and audiometer, or a self-assessment questionnaire, leads to successful therapeutic or compensatory treatment. Single question assessment: Do you think you have hearing loss? (yes/no)
- The Weber and Rinne tests should not be used for general screening as they have little sensitivity for detection of hearing loss. Elderly adults who know they have hearing impairment require audiometry, while those who don't know should be screened with the whispered-voice test. Elderly adults who perceive the whispered voice require no further testing, while those unable to perceive the voice require audiometry for screening.[6][7]
References
- ↑ Nieman CL, Oh ES (2020). "Hearing Loss". Ann Intern Med. 173 (11): ITC81–ITC96. doi:10.7326/AITC202012010. PMID 33253610 Check
|pmid=value (help). - ↑ "Integrated Care for Older People: Guidelines on Community-Level Interventions to Manage Declines in Intrinsic Capacity". WHO Guidelines Approved by the Guidelines Review Committee. 2017. PMID 29608259.
- ↑ Moyer VA, U.S. Preventive Services Task Force (2012). "Screening for hearing loss in older adults: U.S. Preventive Services Task Force recommendation statement". Ann Intern Med. 157 (9): 655–61. doi:10.7326/0003-4819-157-9-201211060-00526. PMID 22893115.
- ↑ Nieman CL, Oh ES (2020). "Hearing Loss". Ann Intern Med. 173 (11): ITC81–ITC96. doi:10.7326/AITC202012010. PMID 33253610 Check
|pmid=value (help). - ↑ Yueh B, Shapiro N, MacLean CH, Shekelle PG (2003). "Screening and management of adult hearing loss in primary care: scientific review". JAMA. 289 (15): 1976–85. doi:10.1001/jama.289.15.1976. PMID 12697801.
- ↑ Bagai A, Thavendiranathan P, Detsky AS (2006). "Does this patient have hearing impairment?". JAMA. 295 (4): 416–28. doi:10.1001/jama.295.4.416. PMID 16434632. Review in: Evid Based Nurs. 2006 Oct;9(4):120 Review in: Evid Based Med. 2006 Aug;11(4):116
- ↑ Goman AM, Reed NS, Lin FR, Willink A (2020). "Variations in Prevalence and Number of Older Adults With Self-reported Hearing Trouble by Audiometric Hearing Loss and Sociodemographic Characteristics". JAMA Otolaryngol Head Neck Surg. 146 (2): 201–203. doi:10.1001/jamaoto.2019.3584. PMC 6902177 Check
|pmc=value (help). PMID 31750866.