Screening for Hearing Loss in Older Adults: US Preventive Services Task Force Recommendation Statement

doi:10.1001/jama.2021.2566

Practice Guideline

. 2021 Mar 23;325(12):1196-1201.

doi: 10.1001/jama.2021.2566.

Screening for Hearing Loss in Older Adults: US Preventive Services Task Force Recommendation Statement

US Preventive Services Task Force; Alex H Krist^{1

2}, Karina W Davidson³, Carol M Mangione⁴, Michael Cabana⁵, Aaron B Caughey⁶, Esa M Davis⁷, Katrina E Donahue⁸, Chyke A Doubeni⁹, John W Epling Jr¹⁰, Martha Kubik¹¹, Li Li¹², Gbenga Ogedegbe¹³, Lori Pbert¹⁴, Michael Silverstein¹⁵, James Stevermer¹⁶, Chien-Wen Tseng^{17

18}, John B Wong¹⁹

Affiliations

¹ Fairfax Family Practice Residency, Fairfax, Virginia.
² Virginia Commonwealth University, Richmond.
³ Feinstein Institute for Medical Research at Northwell Health, Manhasset, New York.
⁴ University of California, Los Angeles.
⁵ University of California, San Francisco.
⁶ Oregon Health & Science University, Portland.
⁷ University of Pittsburgh, Pittsburgh, Pennsylvania.
⁸ University of North Carolina at Chapel Hill.
⁹ Mayo Clinic, Rochester, Minnesota.
¹⁰ Virginia Tech Carilion School of Medicine, Roanoke.
¹¹ George Mason University, Fairfax, Virginia.
¹² University of Virginia, Charlottesville.
¹³ New York University, New York, New York.
¹⁴ University of Massachusetts Medical School, Worcester.
¹⁵ Boston University, Boston, Massachusetts.
¹⁶ University of Missouri, Columbia.
¹⁷ University of Hawaii, Honolulu.
¹⁸ Pacific Health Research and Education Institute, Honolulu, Hawaii.
¹⁹ Tufts University School of Medicine, Boston, Massachusetts.

PMID: 33755083
DOI: 10.1001/jama.2021.2566

Practice Guideline

Screening for Hearing Loss in Older Adults: US Preventive Services Task Force Recommendation Statement

US Preventive Services Task Force et al. JAMA. 2021.

. 2021 Mar 23;325(12):1196-1201.

doi: 10.1001/jama.2021.2566.

Authors

Affiliations

¹ Fairfax Family Practice Residency, Fairfax, Virginia.
² Virginia Commonwealth University, Richmond.
³ Feinstein Institute for Medical Research at Northwell Health, Manhasset, New York.
⁴ University of California, Los Angeles.
⁵ University of California, San Francisco.
⁶ Oregon Health & Science University, Portland.
⁷ University of Pittsburgh, Pittsburgh, Pennsylvania.
⁸ University of North Carolina at Chapel Hill.
⁹ Mayo Clinic, Rochester, Minnesota.
¹⁰ Virginia Tech Carilion School of Medicine, Roanoke.
¹¹ George Mason University, Fairfax, Virginia.
¹² University of Virginia, Charlottesville.
¹³ New York University, New York, New York.
¹⁴ University of Massachusetts Medical School, Worcester.
¹⁵ Boston University, Boston, Massachusetts.
¹⁶ University of Missouri, Columbia.
¹⁷ University of Hawaii, Honolulu.
¹⁸ Pacific Health Research and Education Institute, Honolulu, Hawaii.
¹⁹ Tufts University School of Medicine, Boston, Massachusetts.

PMID: 33755083
DOI: 10.1001/jama.2021.2566

Abstract

Importance: Age-related sensorineural hearing loss is a common health problem among adults. Nearly 16% of US adults 18 years or older report difficulty hearing. The prevalence of perceived hearing loss increases with age. Hearing loss can adversely affect an individual's quality of life and ability to function independently and has been associated with increased risk of falls, hospitalizations, social isolation, and cognitive decline.

Objective: To update its 2012 recommendation, the US Preventive Services Task Force (USPSTF) commissioned a systematic review on screening for hearing loss in adults 50 years or older.

Population: Asymptomatic adults 50 years or older with age-related hearing loss.

Evidence assessment: Because of a lack of evidence, the USPSTF concludes that the benefits and harms of screening for hearing loss in asymptomatic older adults are uncertain and that the balance of benefits and harms cannot be determined. More research is needed.

Recommendation: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for hearing loss in older adults. (I statement).

PubMed Disclaimer

Comment in

Expanded Access to Lung Cancer Screening-Implementing Wisely to Optimize Health.
Melzer AC, Wilt TJ. Melzer AC, et al. JAMA Netw Open. 2021 Mar 1;4(3):e210275. doi: 10.1001/jamanetworkopen.2021.0275. JAMA Netw Open. 2021. PMID: 33687439 No abstract available.
Screening for Hearing Loss in Older Adults: Insufficient Evidence Does Not Mean Insufficient Benefit.
Yueh B, Piccirillo JF. Yueh B, et al. JAMA. 2021 Mar 23;325(12):1162-1163. doi: 10.1001/jama.2021.2020. JAMA. 2021. PMID: 33755056 No abstract available.
USPSTF Recommendations for Hearing Loss Screening in Asymptomatic Older Adults-A Case of Missing Evidence and Missing Treatment Options.
Deal JA, Lin FR. Deal JA, et al. JAMA Netw Open. 2021 Mar 1;4(3):e210274. doi: 10.1001/jamanetworkopen.2021.0274. JAMA Netw Open. 2021. PMID: 33755162 No abstract available.

Summary for patients in

Screening for Hearing Loss in Older Adults.
Jin J. Jin J. JAMA. 2021 Mar 23;325(12):1234. doi: 10.1001/jama.2021.2513. JAMA. 2021. PMID: 33755078 No abstract available.

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Screening for Hearing Loss in Older Adults: US Preventive Services Task Force Recommendation Statement

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Screening for Hearing Loss in Older Adults: US Preventive Services Task Force Recommendation Statement

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