A177school 4 years after implantation. This prospective economic analysis adopted the health care payer's perspective and took into account direct medical, direct non-medical and indirect costs RESULTS: Two hundred and three implanted children were included in the study and followed during four years. The rate of school children implanted later (i.e. after 2 years) goes from 71,4% to 95,3% four year after implantation and goes from 28,6% to 87,5% for children implanted earlier (i.e. before 2 years). If children are implanted earlier (i.e. < 2 years), they are more likely to integrate ordinary classroom four years after implantation (69.0%) than if children were implanted later (46,9%). The mean total costs over one year period were €34,703 (+/-5,231). The preoperative, implantation and one year follow-up mean costs were €1,304 (+/-1,014), €24,285
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