Clinical recommendation	Evidence rating	References
The U.S. Preventive Services Task Force concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for hearing loss in asymptomatic adults 50 years and older.	C	3
Patients reporting regular exposure to loud music or occupational noise are good candidates for screening audiometry.	C	11–13
Patients should avoid loud noise for at least 14 hours before pure-tone testing to minimize temporary threshold shift confounding of test results.	C	31
Patients with persistent unilateral or asymmetrical hearing loss should be offered additional evaluation and imaging.	C	33, 34