Evidence map›Paper›PMID 41370826›Full record

ArticleInteractive journal of medical research2025

Predicting Age-Related Hearing Loss in Community-Dwelling Older Adults: Multicenter Retrospective Cohort Study.

Jing Li, Shuai Jin, Liu Sun, Jun-E Liu, Qiang Shen, Miao Shang, Hanting Wang, Yuanyuan Zhao

Abstract read
In one paragraph

Article in Interactive journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Jing LiSchool of Nursing, Capital Medical University, Beijing, Beijing, China.ORCID https://orcid.org/0000-0002-1795-3612
Shuai JinSchool of Nursing, Capital Medical University, Beijing, Beijing, China.ORCID https://orcid.org/0000-0003-2469-0563
Liu SunSchool of Nursing, Capital Medical University, Beijing, Beijing, China.ORCID https://orcid.org/0009-0003-5095-2157
Jun-E LiuSchool of Nursing, Capital Medical University, Beijing, Beijing, China.ORCID https://orcid.org/0000-0002-6843-9322
Qiang ShenDongcheng District Community Health Service Management Center, Beijing, China.ORCID https://orcid.org/0009-0004-7104-6425
Miao ShangDepartment of Otolaryngology, Beijing Tongren Hospital, Beijing, China.ORCID https://orcid.org/0009-0003-8610-7115
Hanting WangSchool of Nursing, Capital Medical University, Beijing, Beijing, China.ORCID https://orcid.org/0009-0008-7342-7909
Yuanyuan ZhaoSchool of Nursing, Capital Medical University, Beijing, Beijing, China.ORCID https://orcid.org/0009-0001-9185-3716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAge-related hearing loss (ARHL) is associated with severe negative outcomes, including social isolation, depression, and cognitive decline. Despite this, routine ARHL screening is often neglected in primary care due to low awareness, resource limitations, and inefficiencies. A practical risk assessment tool could effectively address this gap.

objectiveThis study aims to develop and validate a user-friendly nomogram for identifying older adults at high risk of ARHL in community settings, thereby facilitating targeted screening and timely interventions.

methodsThis multicenter retrospective cohort study included 34,983 older adults from 3 primary health care centers in Beijing (January 2020 to October 2023). Data from center A (n=18,707) were used for model development, with external validation performed on cohorts from center B (n=11,008) and center C (n=5268). Least absolute shrinkage and selection operator and logistic regression identified the final predictors. Model performance was evaluated using discrimination, calibration, and decision curve analysis, leading to the development of an online nomogram.

resultsIn the training cohort (center A), 1177 participants (6.3%) had hearing loss. Six key predictors were identified: age, education, exercise frequency, physical function, dietary habits, and hypertension. The multivariate logistic regression model demonstrated good discrimination in internal validation (area under the curve [AUC] 0.806, 95% CI 0.782-0.831; sensitivity 0.774; specificity 0.820). External validation confirmed its generalizability (AUC 0.720, 95% CI 0.670-0.771 and AUC 0.747, 95% CI 0.712-0.782). Decision curve analysis highlighted a substantial clinical net benefit. A user-friendly online prediction web page was also developed.

conclusionsWe successfully developed and validated a dynamic, online nomogram for predicting ARHL in older adults. Comprising 6 readily available predictors, this model shows potential as a practical, online tool for proactive risk identification in primary care. However, further validation in larger and more diverse populations is essential to confirm its generalizability and real-world clinical utility.

Indexed as

age-related hearing lossmulticenter studynomogramprediction modelprimary health care

Identifiers

PMID41370826
PMCPMC12739456

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.