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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 ★★★★★★☆
Medline, EMBASE/Excerpta Medica (1966 to April 2005), bibliographies of relevant articles and a clinical skills textbook, and experts in the field.
Study 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 …
For correspondence: Dr A S Detsky, Mount Sinai Hospital, Toronto, Ontario, Canada.
Source of funding: no external funding.
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