ArticleAnnals of family medicine2020
Effective Hearing Loss Screening in Primary Care: The Early Auditory Referral-Primary Care Study.
Article in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 52 citations in OpenAlex.
- Outcomes of a Large-Scale Pilot Hearing Screening Program at an Academic Medical Center.American journal of medicine open · 2026Article
- Factors associated with responses to hearing screening questions among older adults.American journal of medicine open · 2026Article
- Primary Care Screening and Management of Hearing Loss in Older Adults: A Systematic Review.Cureus · 2026Review
- Study protocol: feasibility of a hearing program in primary care for underserved older adults.Pilot and feasibility studies · 2026Article
- "Smashing through barriers"? A multimodal critical discourse analysis of media representations of hearing loss and D/deafness.PloS one · 2026Article
- Knowledge, Attitudes, and Practices (KAP) Regarding Diabetes-Related Hearing Loss Among Providers and Patients: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Understanding Primary Care Providers' Attitudes and Practices for Hearing Loss Screening, Diagnosis, and Treatment.Journal of the American Academy of Audiology · 2025Article
- Assessing hearing health inequalities using routine health information systems.Journal of public health policy · 2025Article
- Validation of the Effectiveness of Three-Step Hand Rub Hearing Screening.Journal of the American Academy of Audiology · 2025Article
- Perfecting Sensory Restoration and the Unmet Need for Personalized Medicine in Cochlear Implant Users: A Narrative Review.Brain sciences · 2025Review
- Expanding Access to Hearing Healthcare for Adults: How Interprofessional Collaboration Can Promote Care Equity From Clinics to Communities.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2025Article
- Age-Related Hearing Loss: Evidence-Based Strategies for Early Detection and Management.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2025Article
- The Medicare annual wellness visit: An opportunity to improve health system identification of hearing loss?Journal of the American Geriatrics Society · 2024Article
- Routine Hearing Screening for Older Adults in Primary Care: Insights of Patients and Clinic Personnel.The Gerontologist · 2024Article
- New Age Hearing Testing at your Fingertips: Shravana Mitra App.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024Article
- Knowledge, Attitudes, and Practice of General Practitioners Toward Screening of Age-Related Hearing Loss in Community: A Cross-Sectional Study in Shanghai, China.Journal of multidisciplinary healthcare · 2024Article
- Model-Projected Cost-Effectiveness of Adult Hearing Screening in the USA.Journal of general internal medicine · 2023Article
- Estimated Monetary Value of Future Research Clarifying Uncertainties Around the Optimal Adult Hearing Screening Schedule.JAMA health forum · 2022Article
- Reframing Our Health Care System for Patients With Hearing Loss.Journal of speech, language, and hearing research : JSLHR · 2022Review
- Preventable risk factors of dementia: Population attributable fractions in a Brazilian population-based study.Lancet regional health. Americas · 2022Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
Abstract
purposeHearing loss, the second most common disability in the United States, is under-diagnosed and under-treated. Identifying it in early stages could prevent its known substantial adverse outcomes.
methodsA multiple baseline design was implemented to assess a screening paradigm for identifying and referring patients aged ≥55 years with hearing loss at 10 family medicine clinics in 2 health systems. Patients completed a consent form and the Hearing Handicap Inventory for the Elderly (HHI). An electronic alert prompted clinicians to screen for hearing loss during visits.
resultsThe 14,877 eligible patients during the study period had 36,701 encounters. Referral rates in the family medicine clinics increased from a baseline rate of 3.2% to 14.4% in 1 health system and from a baseline rate of 0.7% to 4.7% in the other. A general medicine comparison group showed referral rate increase from the 3.0% baseline rate to 3.3%. Of the 5,883 study patients who completed the HHI 25.2% (n=1,484) had HHI scores suggestive of hearing loss; those patients had higher referral rates, 28% vs 9.2% (
conclusionAn electronic alert used to remind clinicians to ask patients aged ≥55 years about hearing loss significantly increased audiology referrals for at-risk patients. Audiologic and audiogram data support the effectiveness of the prompt. Clinicians should consider adopting this method to identify patients with hearing loss to reduce its known and adverse sequelae.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.