Systematic Review of Physicians' Knowledge of, Participation in, and Attitudes toward Hearing and Balance Screening in the Elderly Population

ABSTRACT

Physicians play an important role in screening for hearing loss and balance system disorders in elderly patients and in making appropriate referrals for diagnostic testing and treatment. Physicians are uniquely positioned to influence elderly patients about the importance of having good hearing and balance and to encourage them to accept these problems and to seek further testing and treatment when they exist. The segment of the U.S. population >65 years of age is expected to grow dramatically over the next few decades, which will undoubtedly increase both the incidence and prevalence of these disorders. Early detection of and intervention for these health-care conditions should improve the health-related quality of life for elderly patients and their families. Therefore, it is important to determine physicians' knowledge of, attitudes toward, and efforts to screen for hearing loss and balance system disorders in this population. This study used a systematic review as part of an evidence-based practice process to determine what types of information physicians might need to enhance their screening of hearing and falls risk in elderly patients. The results revealed that physicians could benefit from having additional information about this subject. Audiologists and their professional organizations should conduct physician outreach efforts to remind them of the important role they play in helping elderly persons deal with hearing and balance problems and provide physicians with basic knowledge and updates in preferred, time-sensitive formats.

KEYWORDS

Balance system disorders - hearing loss - physician outreach - referral - screening - systematic review

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