Evidence map›Paper›PMID 41066358›Full record

SynthesisPloS one2025

Hearing loss and its association with all-cause and cause-specific mortality: A meta-analysis of cohort studies.

Jinli Jia, Hongyan Li, Chunlan Xu

Abstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

3 authors.

Jinli JiaDepartment of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Hongyan LiDepartment of Otorhinolaryngology Head and Neck Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Chunlan XuDepartment of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0009-0008-6834-3284

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to examine the epidemiological associations between hearing loss and the risk of all-cause mortality, cardiovascular mortality, and cancer mortality.

methodsA comprehensive search was performed in PubMed, Cochrane Library, and Embase for cohort studies published from database inception to January 12, 2025, using relevant MeSH terms and keywords. Study quality was assessed using the Newcastle-Ottawa Scale (NOS). A random-effects model was applied for the meta-analysis. Sensitivity analysis was conducted by sequentially excluding individual studies to assess the robustness of the results. Subgroup analyses were performed based on hearing function measurement methods, study design, and continent. Publication bias was evaluated using funnel plots and Egger's test. Statistical analyses were conducted using Stata 14.0.

resultsThis meta-analysis included 36 cohort studies with a total of 6,364,914 participants, published between 1992 and 2024. Hearing loss was significantly associated with all-cause mortality (HR: 1.21; 95% CI: 1.13-1.31; I² = 95.7%, P < 0.001), cardiovascular mortality (HR: 1.22; 95% CI: 1.12-1.33; I² = 52.4%, P < 0.001), and cancer mortality (HR: 1.11; 95% CI: 1.02-1.22; I² = 51.2%, P = 0.016), after adjusting for demographics and comorbidities. Subgroup analysis showed that audiometrically measured hearing loss had a stronger effect than self-reported hearing loss (HR: 1.28; 95% CI: 1.10-1.49; I² = 97.7%, P = 0.002). The risk of all-cause mortality was higher in prospective cohorts compared to retrospective cohorts (HR: 1.24; 95% CI: 1.05-1.46; I² = 97.2%, P = 0.012). Additionally, the risk of all-cause mortality was slightly higher in studies from Asia compared to other continents (HR: 1.33; 95% CI: 1.09-1.62; I² = 98.3%, P = 0.005).

conclusionsOur meta-analysis indicates that hearing loss is associated with an increased risk of all-cause, cardiovascular, and cancer mortality. Healthcare providers managing patients with hearing loss should consider its potential impact on overall health and longevity. PROSPERO REGISTRATION NUMBER: CRD 42025637635.

Indexed as

Cardiovascular DiseasesHearing LossNeoplasmsCause of DeathCohort StudiesHumansRisk Factors

Identifiers

PMID41066358
PMCPMC12510559

What OpenQuestion holds

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Registered trials

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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.