Screening and Management of Adult Hearing Loss in Primary Care: Clinical Applications | Otolaryngology | JAMA | JAMA Network
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Scientific Review and Clinical Applications
Clinician's Corner
April 16, 2003

Screening and Management of Adult Hearing Loss in Primary Care: Clinical Applications

Author Affiliations

Author Affiliations: Department of Medicine, Yale University School of Medicine, New Haven, Conn (Dr Bogardus); Health Services Research and Development and Surgical Services, Veterans Affairs Puget Sound Health Care System, Seattle, Wash (Dr Yueh); Departments of Otolaryngology–Head and Neck Surgery and Health Services, University of Washington, Seattle (Dr Yueh); and RAND Health and the Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, Calif (Dr Shekelle).


Scientific Review and Clinical Applications Section Editor: Wendy Levinson, MD, Contributing Editor.

JAMA. 2003;289(15):1986-1990. doi:10.1001/jama.289.15.1986

Hearing loss is one of the most common chronic health conditions and has important implications for patient quality of life. However, hearing loss is substantially underdetected and undertreated. We present clinical cases to illustrate common situations in which primary care physicians may be called on to identify or to manage hearing loss. With the data reported in the companion scientific review as a guide, we present potential answers to important questions pertaining to hearing loss and suggest ways in which primary care physicians can improve the detection, evaluation, and treatment of hearing loss. The cases focus on screening for chronic hearing loss, evaluation of hearing loss, and treatment of patients with presbycusis.