{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T16:13:36Z","timestamp":1784564016011,"version":"3.55.0"},"reference-count":24,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"the National Research Foundation of Korea","doi-asserted-by":"crossref","award":["2020R1A2C1009789"],"award-info":[{"award-number":["2020R1A2C1009789"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"crossref"}]},{"name":"the Korean Fund for Regenerative Medicine","award":["21C0721L1"],"award-info":[{"award-number":["21C0721L1"]}]},{"DOI":"10.13039\/501100023443","name":"Commercializations Promotion Agency for R and D Outcomes","doi-asserted-by":"publisher","award":["1711199152"],"award-info":[{"award-number":["1711199152"]}],"id":[{"id":"10.13039\/501100023443","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objectives<\/jats:title>\n<jats:p>Hearing loss is the inability to hear speech or sounds well, owing to a number of causes. This study aimed to simultaneously determine the prevalence, incidence, and the Gap between them in hearing loss in South Korean patients at the same point in time as well as to identify patients who have not recovered from hearing loss.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We examined the prevalence and incidence of patients diagnosed with hearing loss in the National Health Insurance Service database over an 11-year period from 2010 to 2020. The difference between the prevalence and the incidence was defined in this study as the term \"Gap\". Gap is the number of patients converted into the number of patients per 100,000 people by subtracting the incidence from the prevalence. Clinical characteristics such as sex and age per 100,000 individuals were examined.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>As of 2020, the domestic prevalence obtained in this study was 1.84%, increasing annually, and the prevalence increased with age to 4.10% among those over 60. The domestic incidence was 1.57%, increasing annually, and the incidence increased with age to 3.36% for those over 60s. The Gap was 0.27%, showing a steady increase from 2011 to 2020 with a corresponding increase in insurance benefit expenses.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>To fully understand the burden of hearing loss and develop effective prevention and treatment strategies, it is important to measure the Gap between its prevalence and incidence. This Gap means a lot because hearing loss is an irreversible disease. Gap represents patients who have already been diagnosed with hearing loss and are being diagnosed every year, indicating that the number of patients who do not recover is increasing. In other words, the increase in Gap meant that there were many patients who constantly visited the hospital for diagnosis of hearing loss.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0299478","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T18:29:22Z","timestamp":1709922562000},"page":"e0299478","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical characteristics of the \u201cGap\u201d between the prevalence and incidence of hearing loss using National Health Insurance Service data"],"prefix":"10.1371","volume":"19","author":[{"given":"Junhun","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0162-1741","authenticated-orcid":true,"given":"Chul 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Hearing Loss by Severity in the United States","volume":"106","author":"AM Goman","year":"2016","journal-title":"Am J Public Health"},{"issue":"14","key":"pone.0299478.ref006","doi-asserted-by":"crossref","first-page":"1522","DOI":"10.1001\/archinte.168.14.1522","article-title":"Prevalence of Hearing Loss and Differences by Demographic Characteristics Among US Adults: Data From the National Health and Nutrition Examination Survey, 1999\u20132004","volume":"168","author":"Y Agrawal","year":"2008","journal-title":"Archives of Internal Medicine"},{"issue":"4","key":"pone.0299478.ref007","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1007\/s00405-019-05312-z","article-title":"The prevalence of hearing loss and use of hearing aids among adults in Germany: a systematic review","volume":"276","author":"J L\u00f6hler","year":"2019","journal-title":"European Archives of 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