{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:28:48Z","timestamp":1761006528822,"version":"build-2065373602"},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,11,29]],"date-time":"2016-11-29T00:00:00Z","timestamp":1480377600000},"content-version":"vor","delay-in-days":12508,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1982,9]]},"abstract":"<jats:p>Otologic referral is an important component of an industrial hearing conservation program. Recent federal regulations in this area are reviewed, and suggestions for implementation of otologic referral are made. Criteria for otologic referral must be distinguished from a definition of significant threshold shift for internal program action. Test\u2010retest variability is higher in industrial than in clinical settings, and unduly stringent definitions of significant threshold shift will result in many spuriously identified cases. The American Council of Otolaryngology\u2014Head and Neck Surgery has proposed criteria for otologic referral that are probably the best available guidelines. Referrals should be made on the basis of both baseline and periodic audiometry. Most workers referred for substantial audiometric abnormalities have otologic diagnoses other than noise\u2010induced hearing loss, or require specific intervention, or both.<\/jats:p>","DOI":"10.1177\/019459988209000516","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:56:07Z","timestamp":1448434567000},"page":"598-601","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Otologic Referral Criteria"],"prefix":"10.1002","volume":"90","author":[{"given":"Robert A.","family":"Dobie","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Washington Seattle Washington"},{"name":"Veterans Administration Medical Center Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,29]]},"reference":[{"key":"e_1_2_1_2_1","unstructured":"OSHA Safety and Health Standards Section 1910.95.US Dept of Labor 1979."},{"volume-title":"Measurement and Classification of Noise Exposure","year":"1979","key":"e_1_2_1_3_1"},{"key":"e_1_2_1_4_1","first-page":"4078","article-title":"Occupational noise exposure; Hearing conservation amendment (29 CFR","volume":"46","year":"1910","journal-title":"Federal Register"},{"key":"e_1_2_1_5_1","first-page":"13193","article-title":"Executive order 12291","volume":"46","year":"1981","journal-title":"Federal Register"},{"key":"e_1_2_1_6_1","first-page":"42622","article-title":"Occupational noise exposure; Hearing conservation amendment; Rule and proposed rule (29 CFR 1910)","volume":"46","year":"1981","journal-title":"Federal Register"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988108900229"},{"volume-title":"Otologic Referral Criteria for Occupational Hearing Conservation Programs","year":"1980","key":"e_1_2_1_8_1"},{"key":"e_1_2_1_9_1","first-page":"300","volume-title":"Noise and Man","author":"Burns W","year":"1968"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988209000516","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988209000516","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:13:24Z","timestamp":1760951604000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988209000516"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1982,9]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1982,9]]}},"alternative-id":["10.1177\/019459988209000516"],"URL":"https:\/\/doi.org\/10.1177\/019459988209000516","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[1982,9]]},"assertion":[{"value":"1981-11-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-11-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}