Evidence map›Paper›PMID 38312514›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

Cochlear dysfunction as an early biomarker of cognitive decline in normal hearing and mild hearing loss.

Vicente Medel, Paul H Delano, Chama Belkhiria, Alexis Leiva, Cristina De Gatica, Victor Vidal, Carlos F Navarro, Simon San Martín, Melissa Martínez, Christine Gierke and 5 more

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. White matter hyperintensities are associated with locus coeruleus atrophy and astrocytic βAlzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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

15 authors at 5 institutions in 1 country.

Vicente MedelDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.ORCID https://orcid.org/0000-0003-2443-8683
Paul H DelanoDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.
Chama BelkhiriaDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.
Alexis LeivaDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.
Cristina De GaticaDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.
Victor VidalDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.
Carlos F NavarroBiomedical Neuroscience Institute (BNI) Facultad de Medicina Universidad de Chile Santiago Chile.
Simon San MartínDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.
Melissa MartínezServicio Neurología y Neurocirugía Hospital Clínico de la Universidad de Chile Santiago Chile.
Christine GierkeDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.
Ximena GarcíaDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.
Mauricio CerdaBiomedical Neuroscience Institute (BNI) Facultad de Medicina Universidad de Chile Santiago Chile.
Rodrigo VergaraFacultad de Psicología y Humanidades Universidad San Sebastián Sede Valdivia Chile.
Carolina DelgadoDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.
Gonzalo A FaríasDepartamento de Neurociencia Facultad de Medicina Universidad de Chile Santiago Chile.ORCID https://orcid.org/0000-0002-7979-8398
Hospital Clínico de la Universidad de Chile · CLUniversity of Chile · CLInstituto de Neurociencia Biomédica · CLAdolfo Ibáñez University · CLSan Sebastián University · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAge-related hearing loss is an important risk factor for cognitive decline. However, audiogram thresholds are not good estimators of dementia risk in subjects with normal hearing or mild hearing loss. Here we propose to use distortion product otoacoustic emissions (DPOAEs) as an objective and sensitive tool to estimate the risk of cognitive decline in older adults with normal hearing or mild hearing loss.

methodsWe assessed neuropsychological, brain magnetic resonance imaging, and auditory analyses on 94 subjects > 64 years of age.

resultsWe found that cochlear dysfunction, measured by DPOAEs-and not by conventional audiometry-was associated with Clinical Dementia Rating Sum of Boxes (CDR-SoB) classification and brain atrophy in the group with mild hearing loss (25 to 40 dB) and normal hearing (<25 dB). DISCUSSION: Our findings suggest that DPOAEs may be a non-invasive tool for detecting neurodegeneration and cognitive decline in the older adults, potentially allowing for early intervention.

Indexed as

agingbiomarkerbrain atrophycognitive declineDPOAEpresbycusis

Identifiers

PMID38312514
PMCPMC10835081
OpenAlexW4391487825

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.