Evidence map›Paper›PMID 34948824›Full record

ArticleInternational journal of environmental research and public health2021

Diagnostic Validity of Self-Reported Hearing Loss in Elderly Taiwanese Individuals: Diagnostic Performance of a Hearing Self-Assessment Questionnaire on Audiometry.

Tzong-Hann Yang, Yuan-Chia Chu, Yu-Fu Chen, Meng-Yu Chen, Yen-Fu Cheng, Chuan-Song Wu, Hung-Meng Huang

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Suicidality in Individuals With Hearing Loss: A Systematic Review and Meta-Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Pooled it
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  11. Association of Dual Sensory Impairment with Declining Physical Function in Community-Dwelling Older Adults.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Tzong-Hann YangDepartment of Otorhinolaryngology, Taipei City Hospital, Taipei 100, Taiwan.ORCID 0000-0003-1276-6292
Yuan-Chia ChuInformation Management Office, Taipei Veterans General Hospital, Taipei 112, Taiwan.ORCID 0000-0002-0997-5168
Yu-Fu ChenDepartment of Speech-Language Pathology and Audiology, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan.
Meng-Yu ChenDepartment of Otorhinolaryngology, Taipei City Hospital, Taipei 100, Taiwan.
Yen-Fu ChengDepartment of Medical Research, Taipei Veterans General Hospital, Taipei 112, Taiwan.ORCID 0000-0003-1995-5854
Chuan-Song WuDepartment of Otorhinolaryngology, Taipei City Hospital, Taipei 100, Taiwan.
Hung-Meng HuangDepartment of Otorhinolaryngology, Taipei City Hospital, Taipei 100, Taiwan.
National Taipei University of Nursing and Health Science · TWTaipei City Hospital · TWFu Jen Catholic University · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

key pointsQuestion: Can the traditional Chinese version of the hearing handicap inventory for elderly screening (HHIE-S) checklist screen for age-related hearing loss (ARHL) in elderly individuals?

findingsIn this cross-sectional study of 1696 Taiwanese patients who underwent annual government-funded geriatric health checkups, the Chinese version of the HHIE-S had a sensitivity of 76.9% and a specificity of 79.8% with a cutoff score greater than 6 for identifying patients with disabled hearing loss (defined as a PTA > 40 dB). Meaning: The traditional Chinese version of the HHIE-S is an effective test to detect ARHL and can improve the feasibility of large-scale hearing screening among elderly individuals. PURPOSE: The traditional Chinese version of the hearing handicap inventory for elderly screening (TC-HHIE-S) was translated from English and is intended for use with people whose native language is traditional Chinese, but its effectiveness and diagnostic performance are still unclear. The purpose of this study was to evaluate the validity and reliability of the traditional Chinese version of the HHIE-S for screening for age-related hearing loss (ARHL).

methodsA total of 1696 elderly people underwent the government's annual geriatric medical examination at community hospitals. In this cross-sectional study, we recorded average conducted pure-tone averages (PTA) (0.5 kHz, 1 kHz, 2 kHz, 4 kHz), age, sex, and HHIE-S data. Receiver operating characteristic (ROC) curve analysis was used to identify the best critical point for detecting hearing impairment, and the validity of the structure was verified by the agreement between the TC-HHIE-S and PTA results.

resultsThe HHIE-S scores were correlated with the better-ear pure-tone threshold averages (PTAs) at 0.5-4 kHz (correlation coefficient r = 0.45). The internal consistency of the total HHIE-S score was excellent (Cronbach's alpha = 0.901), and the test-retest reliability was also excellent (Spearman's correlation coefficient = 0.60, intraclass correlation coefficient = 0.75). In detecting disabled hearing loss (i.e., PTA at 0.5-4 kHz > 40 dB), the HHIE-S cutoff score of > 6 had a sensitivity of 76.9% and a specificity of 79.8%.

conclusionsThe traditional Chinese version of the HHIE-S is a valid, reliable, and efficient tool for large-scale screening for ARHL.

Indexed as

Hearing LossSelf-AssessmentAgedAudiometry, Pure-ToneCross-Sectional StudiesHearingHumansReproducibility of ResultsSelf ReportSurveys and Questionnairesage-related hearing losscommunity-based studyhearing screeningHHIE-Squestionnairereliabilityvalidity

Identifiers

PMID34948824
PMCPMC8707226
OpenAlexW4200532611

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.