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HomeMy WebLinkAbout021825 - Hearing Loss_ Incident Parkinson Disease (PD)_ and Treatment With Hearing AidsALERT: BE CAUTIOUS This email originated outside the organization. Do not open attachments or click on links if you are not expecting them. Is hearing loss associated with an increased risk of a diagnosis of incident Parkinson disease (PD) in US veterans? Having trouble viewing this email? <https://links-1.govdelivery.com/CL0/https:%2F%2Fcontent.govdelivery.com%2Faccounts%2FUSVHAVISN20%2Fbulletins%2F0/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d 431aeed-000000/C8r3Y7VmYzitOMt89RyIPG81gZihEn6qXoVwRrjxR8A=392> View it as a Web page <https://links-1.govdelivery.com/CL0/%2520/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/Li-2p2u ex6LBrzjMfgjCjPtnJb1kZXqTf9o2dYAzmao=392> . <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2Findex.asp/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/3wQeZ6-n3peteht2MFVT_3xD5IvUvrh681LnWldXYCY=392 > NewsFlash Hearing Loss, Incident Parkinson Disease, and Treatment With Hearing Aids <https://links-1.govdelivery.com/CL0/https:%2F%2Fjamanetwork.com%2Fjournals%2Fjamaneurology%2Ffullarticle%2F2824569/1/0100019 51aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/rdnlVwRCVpWw_9yoxGvKbEqV4tRpbRzXXytci3mSJAY=392> Hearing loss, while a common occurrence with aging, is more common and often more impactful to military Veterans. However, the influence of hearing loss on late-in-life risk for neurodegenerative disease is unknown. Dr. Lee Neilson's published study <https://links-1.govdelivery.com/CL0/https:%2F%2Fjamanetwork.com%2Fjournals%2Fjamaneurology%2Ffullarticle%2F2824569/2/010001951aa21021-26e7ccd7- 35e4-4d71-bd9a-9ba9d431aeed-000000/a2EWhjw-cLsQHF1erQapza5EJ8RJyD8bcO_-ZLVxAjY=392> looked to “evaluate whether hearing loss is associated with incident Parkinson Disease (PD)” utilizing the national database of US military veterans at the Department of Veterans Affairs (VA). In this cohort study of electronic health record data for more than 3 million US veterans with a mean 7.6 years of follow-up, hearing loss was associated with incident PD in a dose-dependent manner, even after adjusting for competing risk of death, age, head trauma (an important military-associated risk factor), frailty, and established prodromal disorders. Research also showed that those who have the worst hearing loss seemed to have the highest risk of developing PD. Interestingly, this risk was attenuated by hearing aid dispensation within 2 years of an abnormal hearing test. The study concluded that, "Hearing loss appears to be an independent risk factor for later development of PD. Hearing aids attenuate this risk, and therefore widespread screening for hearing loss and appropriate use of hearing aids may reduce the incidence of PD." Dr. Neilson's work also illustrates that additional studies are required for examination of mechanisms underlying associations of hearing loss and PD. <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FNewsflash%2Findex.asp/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/BwlGqXUavjKaeQqB8C_VuyLfyvzbOAF41zd m2Pn8q6M=392> ➤ NewsFlash <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FNewsflash%2Findex.asp/2/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/8E5SUxVQfACnVRU3HruEd1Vf hHPORQi7rfGFihWDToU=392> ➤ Resources <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FNewsflash%2Fresources.asp/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/gmmAiPZ9fdzT4qgZqVQX EQRE3kmIs_UdVY7_eLnwQZs=392> ➢ Adaptive Sports <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FNewsflash%2FAdaptiveSports.asp/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/F_LhNZ2 ME4jbzhCT3VdfTWzwFrt2dGwz3GS8B0ySujE=392> ➢ Financial Readiness <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FNewsflash%2FFinancialReadiness.asp/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000 /SQqviOJj4q4B74rzvO0b6q5Dhx1B3w7SuWJU7CGuH70=392> ➢ Service Dogs <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FNewsflash%2FServiceDogs.asp/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/NH00IB2ZZB0cE EtQFj4VSDz4HXxlIiuPPar0inM-Vco=392> ➢ Transition Assistance <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FNewsflash%2FTransitionAssistance.asp/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-00 0000/qee4qwuVXhnny5JPG6tF403zzvHN_6tpDO9CjLg2HGg=392> ➢ Warrior Care <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FNewsflash%2FWarriorCare.asp/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/FuuT_pLOmJvVv s0xB407cbMjFeOumctLrnoCvI5ynco=392> ➤ Brochures <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FNewsflash%2Fbrochures.asp/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/vVnMURisDtxAJCDVW6NH FoAwfmvYufNgEN0cNdZ7X2U=392> ➤ Digital Media <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FNewsflash%2FDigitalMedia.asp/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/Kn1RHwqrVfUN7 WgEFfILkqaIb4qqBBulhxWtdEFX7Bk=392> FORWARD MARCH: All Veterans enrolled in VA’s health care system <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.rehab.va.gov%2Ffactsheet%2FAudiology-FactSheet.pdf/1/010001951aa21021-26e7ccd7-35e 4-4d71-bd9a-9ba9d431aeed-000000/S-UH5iMdGw99OZ3Yx_gbKE3mJ6L6fxeUT_xmT2zCUHw=392> are eligible for comprehensive audiology diagnostic evaluations <https://links-1.govdelivery.com/CL0/https:%2F%2Fhear ing.health.mil%2FResources%2FHelp-and-Support%2FPost-Military-Service%2FVA-Auditory-Injury-Disability-Ratings/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/dldWssypXdNguthFdQ90EWUnyO HGHKHTUpb7do14Rn0=392> . Specific eligibility rules apply to hearing aid services <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.prosthetics.va.gov%2Fpsas%2FHearing_Aids.asp/1/010001951aa21021- 26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/6g0W_vez9Vp0bejPBKr1EHHOIMt-4860f5rTXaFAb_g=392> . VA encourages Service members applying for VA disability benefits for hearing loss or tinnitus <https://links-1.govdelivery.com/CL0/https:%2F%2Fhearing.health.mil%2FResources%2FHelp-and-Support%2FPost-Military-Service%2FVA-Disability-Benefits/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d43 1aeed-000000/FR3tE_MrtpDl4Li1dUcFo4y_LhClNWNjQpE4-anMYlE=392> to do so through its Pre-discharge Program <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.va.gov%2Fdisability%2Fhow-to-file-claim% 2Fwhen-to-file%2Fpre-discharge-claim%2F/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/vAxPW5z28j6pHE__qSvdI6Y_5mPyTM78VNGxP5V_T_E=392> before leaving the service. About Lee Neilson, M.D. <https://content.govdelivery.com/attachments/fancy_images/USVHAVISN20/2024/10/10446041/5800497/drleeneilsonmd_crop.jpg> Lee Neilson is a staff neurologist at the Portland VA Medical Center and an assistant professor of neurology at Oregon Health & Science University (OHSU). He finished his medical school and neurology residency training at Case Western Reserve University. He then continued with additional fellowship training in movement disorders with VA's Parkinson’s Disease Research, Education, Clinical Center (PADRECC) and mental health with MIRECC at VA Portland Health Care System (VAPORHCS). His research interests include better understanding trauma-related factors in Parkinson’s disease and in developing more sensitive biomarkers for Parkinson’s disease progression. Additional Author Affiliations and Funding Along with Dr. Neilson, co-authors of the study were Kelly M. Reavis, Ph.D., VA National Center for Rehabilitative Auditory Research (NCRAR) <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.ncrar .research.va.gov%2F/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/WwqAj0tWI-N8UFxf96uB6uoNfjB-rOKlbI6Ehse4KWU=392> , Jack Wiedrick, MS of OHSU-Portland State University School of Public Health, and Gregory D. Scott, M.D., Ph.D., of OHSU and VA Portland Medical Center Pathology Department <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.va.gov%2Fportland-health- care%2Fabout-us%2F/1/010001951aa21021-26e7ccd7-35e4-4d71-bd9a-9ba9d431aeed-000000/UIzZ0DWwgm3ErffIC0RgIkTFiVuxQyUy8-BlCiKQgjU=392> . This work was supported by VA Biomedical Laboratory Research and Development (CDA2 IK2BX005760-01A1), John and Tami Marick Family Foundation, Collins Medical Trust Award, OHSU Medical Research Foundation New Investigator Award and PCO Pilot Award (Dr Scott), and VA Clinical Science Research and Development (CDA2 IK2 CX00253-01A1; Dr Neilson).This work was also supported by NCRAR (C2361C/I50 RX002361) and the PADRECC at VAPORHCS. The Oregon Clinical and Translational Research Institute is supported by a grant from the National Institutes of Health (UL1TR002369). Use of these Materials and Finding VA Health Care Please note that the health care information provided in these materials is for educational purposes only. It does not replace the role of a medical practitioner for advice on care and treatment. 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