Originally published November 7 2005
Pediatric expert finds major flaw in hearing tests for children
by Mike Adams, the Health Ranger, NaturalNews Editor
Donna R. Halloran, M.D., assistant professor of pediatrics at Saint Louis University School of Medicine, has authored a study that shows many doctors do not respond to failed hearing tests in children with follow up examinations of any kind.
"Stop doing the test if you are not going to pay attention to it.
Halloran and her colleagues evaluated hearing screening results during 1,061 routine doctors' visits at three academic and five private practices in Alabama.
"My biggest problem is it's such a waste of money," says Halloran, who also is a SLUCare pediatrician at SSM Cardinal Glennon Children's Hospital.
"It surprises me that in a litigious society we're ignoring screening results."
About 3 percent of the population has hearing impairment, Halloran says, which means the routine hearing screening picks up false positives.
However, if more than half of those who fail hearing screenings are not referred for in-depth evaluation by an audiologist, some children who have hearing problems might not get the help they need.
"At 4 years, they'll start to have some language delays that some people argue are not reversible," Halloran says.
While the study was conducted between 1998 and 2000, in 2003 the American Academy of Pediatrics revised its standards of hearing loss upwards -- to 25 decibels, Halloran says.
That's the equivalent, she says, to having 20:30 vision instead of 20:20, and likely fewer children would fail that screening.
However, the research brings a new question to light: How do doctors decide what to do when young patients have an abnormal screening result?
"The findings from this study are worrisome because physicians took no further action in more than 50 percent of the children who failed the hearing screening," Halloran says.
"Further evaluation or intervention must take place to allow children with possible hearing impairment to benefit from screening practices.
Screening that does not result in action for those failing the screening wastes resources and fails to initiate necessary intervention for hearing loss."
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