HomeMy WebLinkAbout061125 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.
Hearing loss appears to be an independent risk factor for later development of Parkinson Disease. Hearing aids attenuate this risk.
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// Updated hyperlink in Forward March section for Department of Defense and Department of Veterans Affairs New Clinical Practice Guidelines to Improve Care for Patients with Tinnitus
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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
75fe6e2d3-3c7c7cc7-be2f-4ce1-86f4-cf0c8c30fa70-000000/KgRB02cOTBW9XLdgW2HR717s1O3aDJiwT1OAHPcUXiA=409>
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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%2F2824569/2/010001975fe6e2d3-3c7c7cc7-
be2f-4ce1-86f4-cf0c8c30fa70-000000/qAIwdzYpo2aKB56rS54RctdZ6sKRyKexW403KJG3MrQ=409> 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.
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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/1/010001975fe6e2d3-3c7c7cc7-be2
f-4ce1-86f4-cf0c8c30fa70-000000/RW7KFGpajihp4gvnwmC45id1Y6PEYNmsAtqC5PzWXS0=409> 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/1/010001975fe6e2d3-3c7c7cc7-be2f-4ce1-86f4-cf0c8c30fa70-000000/0RzKivSUV3aY3k0GVRV-iMmlrA
RQDDplkL8EBgU5zRU=409> . Specific eligibility rules apply to hearing aid services <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.prosthetics.va.gov%2Fpsas%2FHearing_Aids.asp/1/010001975fe6e2d3-
3c7c7cc7-be2f-4ce1-86f4-cf0c8c30fa70-000000/_J7bzo-DLMj5KzOAoH7gZSVubGFGpxe3O6M0WTPLxEo=409> . VA encourages Service members applying for VA disability benefits for hearing loss or tinnitus
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BR_ORTp-m5rD44fcd1hHM0=409> 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-cla
im%2F/1/010001975fe6e2d3-3c7c7cc7-be2f-4ce1-86f4-cf0c8c30fa70-000000/TLVul6gdHegZ11lf3r8n5DvcdYv__fM-ANZNlSFHFJ0=409> before leaving the service.
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.
About Lee Neilson, MD
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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/1/010001975fe6e2d3-3c7c7cc7-be2f-4ce1-86f4-cf0c8c30fa70-000000/txIZx5cMR1r2M67dRy4y880Yka2WDHKdSGOJ4v4cxjM=409> , 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%23our-history/1/010001975fe6e2d3-3c7c7cc7-be2f-4ce1-86f4-cf0c8c30fa70-000000/FkSh-KVefSJYdOt7K74iGzMfjRvg6QIuTvDruV2aL-g=409> . 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).
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About VISN 20 and NW MIRECC
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VA's NW MIRECC serves to improve the mental health and well-being of Veterans through research and dissemination of information to providers both within VA and the general public. VHA
continually evolves and cultivates ongoing cutting-edge medical research and innovation <https://links-1.govdelivery.com/CL0/https:%2F%2Fwww.mirecc.va.gov%2Fvisn20%2FAbout_NWMIRECC%2Fnwmirecc-histor
y.asp/2/010001975fe6e2d3-3c7c7cc7-be2f-4ce1-86f4-cf0c8c30fa70-000000/kDWdwWRXIqB0IaQATCutlardgrpzqQj2yrne8PV6BoA=409> to improve the lives of America’s patriots. VA's Veterans Integrated
Service Network (VISN) 20 serves Alaska, Washington, Oregon, most of Idaho, and one county each in Montana and California. Operating across three time zones over 817,417 square miles,
VISN 20 is home to 273 federally recognized American Indian and Alaskan Native tribes. Spanning 23% of US land mass, VISN 20 is the largest geographic region of VA. NW MIRECC brings
together complementary research, education, and clinical programs from VA Puget Sound (VAPSHCS) and the VA Portland Health Care System (VAPORHCS). The collaborative approach to mental
health research, education and treatment has had a profound impact on the lives of Veterans.
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VAPSHCS and VAPORHCS were commissioned by Congress and the VA as one of the first three MIRECCs in the United States <https://links-1.govdelivery.com/CL0/https:%2F%2Fgcc02.safelinks.protection.outloo
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to improve the quality of life and function of Veterans by developing, evaluating, and promoting the implementation of effective treatments for Posttraumatic Stress Disorder (PTSD)
and its complex comorbidities. PTSD comorbidities include the behavioral consequences of repetitive blast mild Traumatic Brain Injury (mTBI), Substance Use Disorder (SUD), chronic pain
(in particular, post-concussive headaches), cognitive impairment, and increased risk for neurodegenerative disorders (chronic traumatic encephalopathy [CTE] and Alzheimer’s disease
[AD]). VA MIRECC's provide for the improvement of the provision of health-care services and related counseling services to eligible veterans suffering from mental illness (especially
mental illness related to service-related conditions) through—
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* the conduct of research (including research on improving mental health service facilities of the Department and on improving the delivery of mental health services by the Department);
* the education and training of health care personnel of the Department; and
* the development of improved models and systems for the furnishing of mental health services by the Department.
As part of the VISN 20 NW MIRECC mission to enhance access to mental health expertise, the NW MIRECC collaborates and consults with other MIRECCs and Centers of Excellence, as well as
with other VA, Department of Defense (DoD), Federal, State departments of Veterans Affairs, community agencies, and experts. The close geographic proximity (40 miles) of DoD Joint Base
Lewis-McChord/Madigan Army Medical Center to VAPSHCS has provided an exciting opportunity to develop innovative and productive research, education, and clinical care collaborations
with DoD personnel that address PTSD and its associated conditions in their early stages in active-duty Servicemembers.
VA ranks as one of the nation's leaders in health research. Every year, thousands of research studies are conducted at VA medical centers, outpatient clinics, and nursing homes. For
example, the VA has:
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* Developed artificial limbs that allow amputees to have more independence and better quality of life
* Invented the cardiac pacemaker
* Performed the first successful liver transplantation
* Developed the nicotine patch to help people stop smoking
* Played a major role in the development of the CT/CAT scan to view the inside of the body
* Tested new drugs and treatments for diseases such as AIDS, Diabetes, Alzheimer's and Osteoporosis
NW MIRECC research studies significantly contribute to advancements in our understanding of medical problems that lead to health improvements for Veterans and civilians alike. Research
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Mail Stop: P3MIRECC
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out before handing over your hard-earned money <https://links-1.govdelivery.com/CL0/https:%2F%2Fadviserinfo.sec.gov%2F/1/010001975fe6e2d3-3c7c7cc7-be2f-4ce1-86f4-cf0c8c30fa70-000000/PQXceHEQCdK7cYQx
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