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Related Experiment Video

Updated: Jun 27, 2025

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Clinical Practice Guideline: Age-Related Hearing Loss.

Betty S Tsai Do1, Matthew L Bush2, Heather M Weinreich3

  • 1The Permanente Medical Group, Walnut Creek, California, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 30, 2024
PubMed
Summary

This clinical practice guideline provides evidence-based recommendations for clinicians to identify and manage age-related hearing loss (ARHL) in individuals over 50. Key actions include screening, audiograms, amplification, and patient education to improve quality of life.

Keywords:
age‐related hearing lossamplificationcochlear implantationpresbycusissensorineural hearing loss

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Area of Science:

  • Gerontology
  • Audiology
  • Public Health

Background:

  • Age-related hearing loss (ARHL) is common in individuals over 50, often underdiagnosed and undertreated.
  • ARHL is linked to serious health issues like dementia, depression, cardiovascular disease, and falls.
  • Current clinical practice lacks sufficient priority and guidance for ARHL identification and management.

Purpose of the Study:

  • To provide evidence-based recommendations for quality improvement in ARHL identification and management.
  • To offer actionable statements for clinicians across all care settings.
  • To focus on the most critical quality improvement opportunities for ARHL.

Main Methods:

  • Development of a clinical practice guideline based on evidence.
  • Formulation of key action statements (KASs) by a guideline development group (GDG).
  • Recommendations cover screening, diagnosis, treatment, and patient counseling for ARHL.

Main Results:

  • Strong recommendations for audiogram referral, hearing amplification, and cochlear implantation evaluation.
  • Recommendations for screening, otoscopy, sociodemographic factor assessment, and treatment referrals.
  • Emphasis on patient education, communication strategies, assistive devices, and follow-up quality of life assessment.

Conclusions:

  • Systematic screening and management of ARHL are crucial for individuals aged 50 and older.
  • Timely intervention with audiograms, amplification, and counseling can mitigate the negative impacts of ARHL.
  • This guideline aims to improve clinical practice and patient outcomes related to age-related hearing loss.