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We appreciate the opportunity to respond to the letter of Dr Engdahl1 regarding our article ‘Incidence and relative risk of hearing disorders in professional musicians’.2 Dr Engdahl raises the concern that the observed risk of musicians to suffer from noise-induced hearing loss (NIHL) is explained by detection bias.
As NIHL and sensorineural hearing loss cannot be differentiated solely based on hearing tests, the diagnosis may …
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