1 Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, Maryland Department of Otolaryngology-Head and Neck Surgery, The University of Iowa, Iowa City, Iowa Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, Maryland Department of Epidemiology, Johns Hopkins University, Baltimore, Maryland Department Mental Health, Johns Hopkins University, Baltimore, Maryland Department of Geriatric Medicine, Johns Hopkins University, Baltimore, Maryland.