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Tieben, John E

Mayo Clinic

Department of Family Medicine, Mayo Clinic Health System, New Prague, Minnesota.

Citations 1

Proposed Development of a New Staging System for Hearing Loss: Countermeasure 2 of the Hearing Health Collaborative
Carlson, Matthew L., Zwolan, Teresa A. , Cosetti, Maura K. , Gubbels, Samuel P., Hashmi, Ardeshir Z. , Holcomb, Meredith A. , Jilla, Anna Maria, Kelley, Barbara, Lohse, Christine M. , Marinelli, John P. , McKee, Michael , Moody-Antonio, Stephanie A., Miller, Erin L. , Nassiri, Ashley M. , Reed, Nicholas S. , Spankovich, Christopher , Tieben, John, Zeitler, Daniel M. , Sydlowski, Sarah A., Tieben, John E, Carlson, Matthew L. , Bush, Matthew L. , Dunn, Camille C. , Gurgel, Richard Klaus , Hunter, Jacob B. , Jilla, Anna Marie , Moody‐Antonio, Stephanie , Miller, Erin L., Sladen, Douglas P. , Yueh, Bevan , Sydlowski, Sarah

Otology & Neurotology | December 22, 2025 | Volume: 47 | Issue: 2 | Pages: e158-e163

10.1097/mao.0000000000004700 Get It

Hearing loss is a highly prevalent disease state affecting almost 1 in 5 individuals globally. Growing research shows that untreated or undertreated hearing loss carries significant long-term sequelae, including increased risk of social isolation, depression, and cognitive decline, among other ramifications. Limited awareness and common misperceptions among the general US adult population and primary care providers contribute to low rates of referral to hearing specialty clinics and underutilization of hearing aids, cochlear implants, and other rehabilitative devices. Comprised of diverse membership, the Hearing Health Collaborative (HHC) was formed in May 2021 to identify and overcome challenges impacting good health care practices and public policy on hearing care in connection with healthy aging. This editorial documents a recent outcome of the HHC derived from a structured A3 process. Specifically, initiative 2, a proposal to develop a simple, clinically anchored staging system primarily for use by frontline providers and patients, is presented. Unlike other common disorders that harbor long-term health sequelae, a corresponding pragmatic clinical staging system—leveraging precedent disease staging convention, based on clinically meaningful outcomes and prognosis for acquired hearing loss—does not exist. The development of this staging system will potentially allow for improved communication across providers and patients, facilitate referral pathways, and ultimately enable patient access to timely and appropriate care.