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Review: self report of hearing loss and the whispered voice test are useful for screening for hearing impairment

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 Q How useful are simple screening tests for diagnosing hearing impairment?

Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Internal medicine ★★★★★★☆ Geriatrics ★★★★★★☆

METHODS

Embedded ImageData sources:

Medline, EMBASE/Excerpta Medica (1966 to April 2005), bibliographies of relevant articles and a clinical skills textbook, and experts in the field.

Embedded ImageStudy selection and assessment:

English language studies that evaluated the accuracy or precision of bedside screening questions or physical examination manoeuvres for hearing impairment in symptomatic and asymptomatic people ⩾16 years of age. 24 studies (n = 12 645) met the selection criteria. The tests evaluated included a self report screening question (eg, “Do you feel you have a hearing loss?”); the Hearing Handicap Inventory for the Elderly, screening version (HHIE-S), a 10 item self administered questionnaire measuring the social and emotional …

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