{
  "abstract": "Background: Pure-tone audiometry (PTA) does not fully capture functional hearing difficulties. This study examined relationships between audiometric thresholds, self-reported hearing quality (SSQ12), and cognitive screening in patients with auditory complaints, as well as the association of other factors such as age and noise exposure with these measures. Methods: Data from 178 patients complaining about subjective hearing loss (mean age 55 ± 17.4 years; 43.3% male), including PTA and SSQ12, were analyzed. A subgroup of 60 patients aged ≥ 60 years also completed the Subjective Cognitive Decline Questionnaire (MiCog/SuCog). Associations were assessed via bivariate correlation and multiple linear regression analyses. Results: Age was independently associated with higher PTA4 thresholds in both ears (right: B = 0.60 dB HL per year, 95% CI 0.47-0.73; left: B = 0.61 dB HL per year, 95% CI 0.48-0.74; p < 0.001). SSQ12 scores correlated with PTA (right ear ρ = -0.532) and age (ρ = -0.283; both p < 0.001) and were lower in noise-exposed participants after adjusting for PTA, age, sex and tinnitus (B = -1.005, 95% CI -1.565 to -0.446, p < 0.001). In the cognitive subgroup, right-ear PTA showed an unadjusted correlation with MiCog (ρ = 0.332, p = 0.010); in the adjusted model, neither PTA nor any other predictor was independently associated with MiCog (PTA: B = 0.095, 95% CI -0.075 to 0.264, p = 0.266). No significant association was found between MiCog and the SSQ12 total score (Pearson r = -0.166, p = 0.204; Spearman ρ = -0.241, p = 0.064). Conclusions: Audiometric thresholds, self-reported hearing quality, and cognitive screening capture partially distinct, interrelated dimensions of auditory function. Self-reported measures revealed noise-related difficulties undetected by audiometry. These findings support incorporating patient- and informant-reported outcomes alongside audiometry to support a more comprehensive, patient-centered approach to hearing and cognitive care.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Otolaryngology, Head and Neck Surgery, De La Merced University Hospital, 41640 Osuna, Spain.",
    "Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, Spain."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Marta Álvarez-Cendrero",
      "orcid": "0000-0002-2522-652X"
    },
    {
      "affs": [
        0
      ],
      "name": "Andrea Rodríguez Rodero"
    },
    {
      "affs": [
        1
      ],
      "name": "María A Callejón-Leblic",
      "orcid": "0000-0001-9336-2411"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/faan3e4ecrc9t.bib",
  "cited_by": 0,
  "doi": "10.3390/audiolres16050150",
  "fulltext_url": "https://europepmc.org/articles/PMC13701541",
  "id": "faan3e4ecrc9t",
  "issns": [
    "2039-4330",
    "2039-4349"
  ],
  "landing_url": "https://europepmc.org/article/MED/42930348",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2805|Hearing Loss and Rehabilitation"
    ]
  ],
  "openalex": "W7215030120",
  "pdf_url": "https://europepmc.org/articles/PMC13701541?pdf=render",
  "pmcid": "PMC13701541",
  "pmid": "42930348",
  "published": "2026-10-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/faan3e4ecrc9t.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:22:01Z",
      "native_id": "MED:42930348",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42930348"
    }
  ],
  "subjects": [
    {
      "field": "biology",
      "origin": "openalex:2805|Hearing Loss and Rehabilitation",
      "subfield": "neuroscience"
    }
  ],
  "title": "Audiometric, Perceptual and Subjective Cognitive Assessment of Hearing Loss in Adults with Hearing-Related Complaints.",
  "title_text": "Audiometric, Perceptual and Subjective Cognitive Assessment of Hearing Loss in Adults with Hearing-Related Complaints.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:22:01Z",
  "url": "https://research.draconitic.com/paper/faan3e4ecrc9t",
  "venue": "Audiology research",
  "versions": []
}