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Incident Hearing Loss and Comorbidity
Jennifer A. Deal, Nicholas Simon Reed, Alexander D. Kravetz, Heather M. Weinreich, Charlotte S. Yeh, Frank Robert Lin, Aylin Altan. JAMA Otolaryngology–Head & Neck Surgery, 2018-11-12
Topic: Risk, prevention and care in population studies
After cohort matching, 48% of participants were women (n = 74 464), 61% were white (n = 93 442), and 31% (n = 48 056) were Medicare Advantage insured, with a mean (SD) age of 64 (10) years. In a multivariate-adjusted modified Poisson regression with robust standard errors, relative associations were strongest for dementia (relative risk at 5 years, 1.50; 95% CI, 1.38-1.64) and depression (relative risk at 5 years, 1.41; 95% CI, 1.26-1.58). The absolute risk of all outcomes was greater in persons with hearing loss than in those without hearing loss at all times, with the greatest risk difference observed at 10 years for all outcomes. The 10-year risk attributable to hearing loss was 3.20 per 100 persons (95% CI, 1.76-4.63) for dementia, 3.57 per 100 persons (95% CI, 1.67-5.47) for falls, and 6.88 per 100 persons (95% CI, 4.62-9.14) for depression. Conclusions and Relevance: In this large observational study using administrative claims data, incident untreated hearing loss was associated with greater incident morbidity than no hearing loss across a range of health conditions. Future studies are needed to elucidate the mechanisms underlying these associations and to determine if treatment for hearing loss could reduce the risk of comorbidity.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Deal, J. A., Reed, N. S., Kravetz, A. D., Weinreich, H. M., Yeh, C. S., Lin, F. R., et al. (2018). Incident Hearing Loss and Comorbidity. JAMA Otolaryngology–Head & Neck Surgery. https://doi.org/10.1001/jamaoto.2018.2876
Vancouver
Deal JA, Reed NS, Kravetz AD, Weinreich HM, Yeh CS, Lin FR, et al. Incident Hearing Loss and Comorbidity. JAMA Otolaryngology–Head & Neck Surgery. 2018. doi:10.1001/jamaoto.2018.2876. PMID: 30419134.
BibTeX
@article{deal2018-30419134,
author = {Deal, Jennifer A. and Reed, Nicholas Simon and Kravetz, Alexander D. and Weinreich, Heather M. and Yeh, Charlotte S. and Lin, Frank Robert and Altan, Aylin},
title = {{Incident Hearing Loss and Comorbidity}},
journal = {JAMA Otolaryngology–Head \& Neck Surgery},
year = {2018},
doi = {10.1001/jamaoto.2018.2876},
pmid = {30419134},
url = {https://doi.org/10.1001/jamaoto.2018.2876}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 7 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- After cohort matching, 48% of participants were women (n = 74 464), 61% were white (n = 93 442), and 31% (n = 48 056) were Medicare Advantage insured, with a mean (SD) age of 64 (10) years.
- In a multivariate-adjusted modified Poisson regression with robust standard errors, relative associations were strongest for dementia (relative risk at 5 years, 1.50; 95% CI, 1.38-1.64) and depression (relative risk at 5 years, 1.41; 95% CI, 1.26-1.58).
- The absolute risk of all outcomes was greater in persons with hearing loss than in those without hearing loss at all times, with the greatest risk difference observed at 10 years for all outcomes.
- The 10-year risk attributable to hearing loss was 3.20 per 100 persons (95% CI, 1.76-4.63) for dementia, 3.57 per 100 persons (95% CI, 1.67-5.47) for falls, and 6.88 per 100 persons (95% CI, 4.62-9.14) for depression.
- Conclusions and Relevance: In this large observational study using administrative claims data, incident untreated hearing loss was associated with greater incident morbidity than no hearing loss across a range of health conditions.
Why it matters
This large observational study found that incident untreated hearing loss was associated with a higher risk of dementia and other health conditions. It does not prove that treating hearing loss prevents dementia, and future studies are needed to determine if treatment could reduce risk.
Study details
- Study designcohort study
- Participants154
- Evidence strengthModerate
How this study scored 59/100
Published in a peer-reviewed journal, and it is a cohort study following people over time. Scored zero for effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (JAMA Otolaryngology–Head & Neck Surgery) |
| Journal's citation record | 1 / 4 | JAMA Otolaryngology–Head & Neck Surgery: journal h-index 107 (OpenAlex, 2026-10-29) |
| Study design | 7 / 12 | A cohort study following people over time |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2018 — within 10 year(s) of the newest study here |
| Sample size | 2 / 4 | 154 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 5 / 7 | Cited 138 times (OpenAlex, 2026-10-10) |
| Citations per year | 3 / 5 | 13.8 citations a year over 10 year(s) since 2018 |
| Impact for its field and year | 3 / 6 | Cited 6.8× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 3 other studies in this library |
| Still being cited | 2 / 4 | Cited 48 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Aylin Altan: h-index 10 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Johns Hopkins University: institution h-index 2,306 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 4 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 30419134) |
| Free to read | 2 / 2 | Free to read |
| Total | 59 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1001/jamaoto.2018.2876
- PubMed: 30419134
- Original source →
- Free full text: JAMA Otolaryngology–Head & Neck Surgery →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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