{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T14:32:12Z","timestamp":1793457132082,"version":"4.5.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["Call No. 29\/2024"],"award-info":[{"award-number":["Call No. 29\/2024"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Objectives<\/jats:title>\n                    <jats:p>The high prevalence of hearing impairment in older adults and the scarcity of diagnostic resources in primary health care (PHC) highlight the need for solutions based on artificial intelligence. This study aimed to develop and evaluate a decision tree model to prioritize hearing examinations in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An observational study was conducted using 60 clinical profiles. The decision tree model was developed in R, using the Recursive Partitioning and Regression Trees (rpart) package after data preprocessing that included cleaning, dichotomization, and multiple imputations by chained equations (MICE). The algorithm was trained on 70% of the sample and tested on the remaining 30%. Its performance was evaluated using standard metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The model achieved satisfactory performance with good accuracy, sensitivity, and specificity. The area under the curve (AUC) was 0.825, outperforming a classic logistic regression model (AUC 0.700). Based on the model's key predictors, which include the presence of tinnitus, not having a partner, female sex, hypertension and\/or diabetes, and age\u2009\u2265\u200965\u2009years, a user\u2010friendly, interactive web\u2010based dashboard was developed for clinical use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The decision tree model is a promising tool that demonstrates technical viability for prioritizing hearing loss screening. While further large\u2010scale external validation is required, it serves as a foundational step for integrating AI\u2010driven prioritization in primary health care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70634","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T09:03:57Z","timestamp":1785488637000},"page":"2939-2946","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Effective Machine Learning for Prioritizing Hearing Loss Screening in Older Adults: A Primary Care Approach"],"prefix":"10.1111","volume":"74","author":[{"given":"Simone Seixas da","family":"Cruz","sequence":"first","affiliation":[{"name":"Federal University of Rec\u00f4ncavo da Bahia (UFRB)  Santo Ant\u00f4nio de Jesus Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edilson Jos\u00e9","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Federal University of ABC  S\u00e3o Bernardo Do Campo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle de Santana Xavier","family":"Ramos","sequence":"additional","affiliation":[{"name":"Federal University of Rec\u00f4ncavo da Bahia (UFRB)  Santo Ant\u00f4nio de Jesus Bahia Brazil"},{"name":"State University of Feira de Santana (UEFS)  Feira de Santana Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00e9bora Concei\u00e7\u00e3o Santos de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Federal University of Rec\u00f4ncavo da Bahia (UFRB)  Santo Ant\u00f4nio de Jesus Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Jos\u00e9 dos Santos de","family":"Matos","sequence":"additional","affiliation":[{"name":"State University of Feira de Santana (UEFS)  Feira de Santana Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julita Maria Freitas","family":"Coelho","sequence":"additional","affiliation":[{"name":"Federal Institute of Education, Science and Technology of Bahia (IFBA)  Salvador Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00f3ris Firmino","family":"Rabelo","sequence":"additional","affiliation":[{"name":"Federal University of Rec\u00f4ncavo da Bahia (UFRB)  Santo Ant\u00f4nio de Jesus Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre Marcelo","family":"Hintz","sequence":"additional","affiliation":[{"name":"State University of Feira de Santana (UEFS)  Feira de Santana Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johelle Santana","family":"Passos\u2010Soares","sequence":"additional","affiliation":[{"name":"Federal University of Bahia (UFBA)  Salvador Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Claudia Morais Godoy","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"Federal District Health State Department Epidemiology Surveillance  Bras\u00edlia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4270-8491","authenticated-orcid":false,"given":"Isaac Suzart","family":"Gomes\u2010Filho","sequence":"additional","affiliation":[{"name":"State University of Feira de Santana (UEFS)  Feira de Santana Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1590\/1414-462x202331040493"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-311X2011000700005"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2018.12.009"},{"key":"e_1_2_10_5_1","unstructured":"F. 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