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The AAP recommends hearing screening at ages 4, 5, 6, 8, and 10 years, with risk assessment performed at other well-child visits to detect hearing loss early and minimize its impact on language and education. Most pediatricians use pure-tone audiometry to screen hearing because it can identify unilateral or bilateral sensorineural or conductive hearing losses. However, many factors can affect results, including ambient noise, environmental distractions, tester competence, and patient developmental stage and behavior. Investigators examined the validity of pure-tone auditory screening in the office setting in a convenience sample of 1061 children (age range, 3–19 years; 77% black; 77% Medicaid recipients) at eight academic and private practi…