{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:59:31Z","timestamp":1792083571682,"version":"4.4.0"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T00:00:00Z","timestamp":1787356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82573643"],"award-info":[{"award-number":["82573643"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.wneu.2026.125276","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:05:58Z","timestamp":1787925958000},"page":"125276","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Asymmetric Hearing Loss as a Population Screening Signal for Vestibular Schwannoma: A Number-Needed-To-Scan Analysis Using NHANES and SEER"],"prefix":"10.1016","volume":"214","author":[{"given":"Hui","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengdong","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuping","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Er","family":"Nie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6807-207X","authenticated-orcid":false,"given":"Hongfu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2026.125276_bib1","article-title":"Epidemiology of vestibular schwannoma in the United States, 2004-2016","volume":"2","author":"Cioffi","year":"2020","journal-title":"Neurooncol Adv"},{"key":"10.1016\/j.wneu.2026.125276_bib2","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1177\/0194599818770629","article-title":"Incidence of vestibular schwannoma over the past half-century: a population-based study of Olmsted County, Minnesota","volume":"159","author":"Marinelli","year":"2018","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"12 Suppl 2","key":"10.1016\/j.wneu.2026.125276_bib3","doi-asserted-by":"crossref","first-page":"iv1","DOI":"10.1093\/neuonc\/noad149","article-title":"CBTRUS statistical report: primary brain and other central nervous system tumors diagnosed in the United States in 2016-2020","volume":"25","author":"Ostrom","year":"2023","journal-title":"Neuro Oncol"},{"key":"10.1016\/j.wneu.2026.125276_bib4","doi-asserted-by":"crossref","first-page":"E29","DOI":"10.1093\/neuros\/nyx509","article-title":"Congress of neurological surgeons systematic review and evidence-based guidelines on otologic and audiologic screening for patients with vestibular schwannomas","volume":"82","author":"Sweeney","year":"2018","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2026.125276_bib5","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1227\/neu.0000000000003426","article-title":"Congress of neurological surgeons systematic review and evidence-based guidelines update for the role of audiologic screening in the diagnosis and management of patients with vestibular schwannomas","volume":"98","author":"Strickland","year":"2026","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2026.125276_bib6","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1097\/MAO.0b013e3181a5297a","article-title":"Asymmetric hearing loss: rule 3,000 for screening vestibular schwannoma","volume":"30","author":"Saliba","year":"2009","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.wneu.2026.125276_bib7","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/s00405-010-1378-9","article-title":"Rule 3,000: a more reliable precursor to perceive vestibular schwannoma on MRI in screened asymmetric sensorineural hearing loss","volume":"268","author":"Saliba","year":"2011","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"10.1016\/j.wneu.2026.125276_bib8","doi-asserted-by":"crossref","first-page":"1990","DOI":"10.1002\/lary.27118","article-title":"Which patients with asymmetric sensorineural hearing loss should undergo imaging?","volume":"128","author":"Gupta","year":"2018","journal-title":"Laryngoscope"},{"key":"10.1016\/j.wneu.2026.125276_bib9","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1017\/S0022215121002243","article-title":"Hear me out: rethinking internal auditory meatus magnetic resonance imaging in primary care. A cohort evaluation","volume":"136","author":"Sajid","year":"2022","journal-title":"J Laryngol Otol"},{"key":"10.1016\/j.wneu.2026.125276_bib10","doi-asserted-by":"crossref","DOI":"10.1111\/coa.70136","article-title":"Presenting complaint and diagnostic yield of MRIs for vestibular schwannomas","author":"Powell","year":"2026","journal-title":"Clin Otolaryngol"},{"key":"10.1016\/j.wneu.2026.125276_bib11","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1001\/jama.2021.2566","article-title":"Screening for hearing loss in older adults: US preventive services task force recommendation statement","volume":"325","author":"Krist","year":"2021","journal-title":"JAMA"},{"key":"10.1016\/j.wneu.2026.125276_bib12","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1136\/bmj.317.7154.307","article-title":"Number needed to screen: development of a statistic for disease screening","volume":"317","author":"Rembold","year":"1998","journal-title":"BMJ"},{"key":"10.1016\/j.wneu.2026.125276_bib13","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1001\/jamaoto.2016.3527","article-title":"Declining prevalence of hearing loss in US adults aged 20 to 69 years","volume":"143","author":"Hoffman","year":"2017","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.wneu.2026.125276_bib14","unstructured":"National Center for Health Statistics. National health and nutrition examination survey (NHANES), 1999-March 2020: Audiometry Component Data, Documentation, and Analytic and Reporting Guidelines. Hyattsville, MD: Centers for Disease Control and Prevention."},{"key":"10.1016\/j.wneu.2026.125276_bib15","series-title":"Surveillance Research Program","year":"2025"},{"key":"10.1016\/j.wneu.2026.125276_bib16","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1001\/archinternmed.2011.506","article-title":"Hearing loss prevalence in the United States","volume":"171","author":"Lin","year":"2011","journal-title":"Arch Intern Med"},{"issue":"suppl","key":"10.1016\/j.wneu.2026.125276_bib17","first-page":"S1","article-title":"Clinical practice guideline: sudden hearing loss (update)","volume":"161","author":"Chandrasekhar","year":"2019","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.wneu.2026.125276_bib18","article-title":"Number needed to scan: evidence-based point-of-care ultrasound (POCUS)","volume":"13","author":"Amini","year":"2021","journal-title":"Cureus"},{"key":"10.1016\/j.wneu.2026.125276_bib19","doi-asserted-by":"crossref","DOI":"10.1002\/ohn.70320","article-title":"Scan for success? Number needed to scan and management changes in preoperative otosclerosis: quantitative analysis","author":"Ungar","year":"2026","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.wneu.2026.125276_bib20","doi-asserted-by":"crossref","DOI":"10.1212\/WNL.0000000000218379","article-title":"Value of annual MRI monitoring in patients with multiple sclerosis treated with ocrelizumab: a number needed to scan analysis","volume":"107","author":"Schoof","year":"2026","journal-title":"Neurology"},{"key":"10.1016\/j.wneu.2026.125276_bib21","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1097\/MAO.0000000000003987","article-title":"Incidence of vestibular schwannoma in patients with unilateral tinnitus: a systematic review and meta-analysis","volume":"44","author":"Javed","year":"2023","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.wneu.2026.125276_bib22","doi-asserted-by":"crossref","first-page":"723","DOI":"10.2214\/AJR.11.7146","article-title":"Mammography screening: a new estimate of number needed to screen to prevent one breast cancer death","volume":"198","author":"Hendrick","year":"2012","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.wneu.2026.125276_bib23","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1007\/s00234-017-1859-2","article-title":"Cost-effectiveness analysis of a non-contrast screening MRI protocol for vestibular schwannoma in patients with asymmetric sensorineural hearing loss","volume":"59","author":"Crowson","year":"2017","journal-title":"Neuroradiology"},{"issue":"Suppl 1","key":"10.1016\/j.wneu.2026.125276_bib24","doi-asserted-by":"crossref","first-page":"S59","DOI":"10.1097\/MAO.0000000000002215","article-title":"To scan or not to scan: a cross-sectional analysis of the clinical efficacy and cost-effectiveness of audiometric protocols for magnetic resonance imaging screening of vestibular schwannomas","volume":"40","author":"Bhargava","year":"2019","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.wneu.2026.125276_bib25","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1016\/j.amjoto.2018.06.012","article-title":"Diagnostic yield of MRI of the brain and IAC in patients with neurotologic complaints","volume":"39","author":"Robinette","year":"2018","journal-title":"Am J Otolaryngol"},{"key":"10.1016\/j.wneu.2026.125276_bib26","first-page":"27","article-title":"Performance intensity functions in cochlear and eighth nerve disorders","volume":"1","author":"Bess","year":"1979","journal-title":"Am J Otol"},{"key":"10.1016\/j.wneu.2026.125276_bib27","doi-asserted-by":"crossref","first-page":"36","DOI":"10.7874\/jao.2021.00374","article-title":"Diagnostic validity of auditory brainstem response for the initial screening of vestibular schwannoma","volume":"26","author":"Park","year":"2022","journal-title":"J Audiol Otol"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875026004924?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875026004924?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:29:38Z","timestamp":1792081778000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875026004924"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":27,"alternative-id":["S1878875026004924"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2026.125276","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Asymmetric Hearing Loss as a Population Screening Signal for Vestibular Schwannoma: A Number-Needed-To-Scan Analysis Using NHANES and SEER","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2026.125276","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"125276"}}