Based on the expert consensus on parenteral and enteral nutrition support for geriatric patients in China in 2013, domestic multidisciplinary experts were gathered to summarize the new evidence in the field of elderly nutritional support at home and abroad. The 2013 consensus was comprehensively updated and upgraded to a guideline by referring to the World Health Organization (WHO) guidelines for the Grading of Recommendations Assessment, Development, and Evaluation system for grading evidence. These guidelines were divided into two parts: general conditions and common diseases. After discussion by all members of the academic group and consultation with relevant experts, 60 recommendations were ultimately established as standardized nutritional support in the field of geriatrics in China.

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Objectives The aim of this study is to assess the awareness of community general practitioners on hearing screening for the elderly. Methods From January to February 2019, 367 general practitioners from 12 community health service centers, distributed in urban and suburban areas of Pudong District, Shanghai, were investigated with self-designed questionnaires. Results The general practitioners had poor understandings of the definition and onset of presbycusis. The accuracy of answers regarding the high-risk factors of presbycusis was zero. The top-three common hearing screening methods selected by general practitioners were screening version of the Hearing Handicap Inventory for the Elderly (HHIE-s) (94.55%), self-auditory assessment (83.65%), and pure-tone audiometry (77.66%). As for the attitudinal evaluation of hearing screening, 49.59% of the participants thought it was highly meaningful, 48.77% thought that early intervention would have clinical benefits. However, 52.59% of the participants believed it was necessary for specialists to complete the auditory screening in the community, and 13.62% thought hearing screening was impracticable in community. Conclusion Our questionnaire suggested that general practitioners were aware of the knowledge of hearing screening and agreed with its significance. But further training is highly demanded to promote the professional skills for general practitioners in community.

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