Fairfax Family Practice Residency, Fairfax, Virginia.
Virginia Commonwealth University, Richmond.
JAMA. 2021 Mar 23;325(12):1196-1201. doi: 10.1001/jama.2021.2566.
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.
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.
Asymptomatic adults 50 years or older with age-related hearing loss.
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.
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).
与年龄相关的感音神经性听力损失是成年人中常见的健康问题。近 16%的美国 18 岁或以上的成年人报告存在听力困难。感知到的听力损失的患病率随着年龄的增长而增加。听力损失会对个人的生活质量和独立生活能力产生不利影响,并且与跌倒、住院、社会隔离和认知能力下降的风险增加有关。
为了更新其 2012 年的建议,美国预防服务工作组(USPSTF)委托对 50 岁及以上成年人听力损失的筛查进行了系统评价。
无症状的、有与年龄相关的听力损失的 50 岁及以上成年人。
由于缺乏证据,USPSTF 得出结论,筛查无症状老年人群听力损失的益处和危害尚不确定,无法确定利弊的平衡。需要更多的研究。
USPSTF 得出结论,目前的证据不足以评估筛查老年人听力损失的利弊平衡。(I 级推荐)