Cost‐utility analysis of bilateral cochlear implantation in adults: A health economic assessment from the perspective of a publicly funded program

Chen, Joseph M.; Amoodi, Hossam; Mittmann, Nicole

doi:10.1002/lary.24537

Cited by 47 publications

(71 citation statements)

References 23 publications

(59 reference statements)

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“…Thus, we have a lot of pressure to provide bilateral CIs to adult patients as well to children. Interestingly, sequential bilateral cochlear implantation has been found to be cost-effective compared with unilateral cochlear implantation in longterm gains or cost-saving measures [20].…”

Section: Discussionmentioning

confidence: 99%

Sequential bilateral cochlear implantation improves working performance, quality of life, and quality of hearing

Härkönen

Kivekäs

Rautiainen

et al. 2015

Acta Oto-Laryngologica

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Section: Discussionmentioning

confidence: 99%

Sequential bilateral cochlear implantation improves working performance, quality of life, and quality of hearing

Härkönen

Kivekäs

Rautiainen

et al. 2015

Acta Oto-Laryngologica

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“…Evaluations conducted from the UK and Canadian healthcare perspectives showed that unilateral CI was cost-effective in adults when compared with HAs or no intervention (USD 33,144 per QALY; USD 9,624 per QALY; and USD 36,398 per QALY, respectively) (27,29,30). An earlier study (31) showed that unilateral CI in older adults aged more than 50 years is cost-effective from the US healthcare perspective (USD 12,954 per QALY).…”

Section: Discussionmentioning

confidence: 99%

Cost-Effectiveness of Pediatric Cochlear Implantation in Rural China

Qiu

Ariyaratne

et al. 2017

Otology &Amp; Neurotology

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Objectives:To evaluate the cost utility of cochlear implantation (CI) for severe to profound sensorineural hearing loss (SNHL) among children from rural settings in P.R. China (China).Research Design:A cost-utility analysis (CUA) was undertaken using data generated from a single-center substudy of the CochlearTM Pediatric Implanted Recipient Observational Study (Cochlear P-IROS). The data were projected over a 20-year time horizon using a decision tree model.Setting:The Chinese healthcare payer and patient perspectives were adopted.Intervention:Unilateral CI of children with a severe-to-profound SNHL compared with their preimplantation state of no treatment or amplification with hearing aids (“no CI” status).Main Outcome Measure/s:Incremental costs per quality adjusted life year (QALY) gained.Results:The mean total discounted cost of unilateral CI was CNY 252,506 (37,876 USD), compared with CNY 29,005 (4,351 USD) for the no CI status from the healthcare payer plus patient perspective. A total discounted benefit of 8.9 QALYs was estimated for CI recipients compared with 6.7 QALYs for the no CI status. From the healthcare payer plus patient perspective, incremental cost-effectiveness ratio (ICER) for unilateral CI compared with no CI was CNY 100,561 (15,084 USD) per QALY. The healthcare payer perspective yielded an ICER of CNY 40,929 (6,139 USD) per QALY. Both ICERs fell within one to three times China's gross domestic product per capita (GDP, 2011–2015), considered “cost-effective” by World Health Organization (WHO) standards.Conclusions:Treatment with unilateral CI is a cost-effective hearing solution for children with severe to profound SNHL in rural China. Increased access to mainstream education and greater opportunities for employment, are potential downstream benefits of CI that may yield further societal and economic benefits. CI may be considered favorably for broader inclusion in medical insurance schemes across China.

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“…More and more neurotology specialists in China and around the world have realized that bilateral CI can circumvent these issues and return some binaural advantages. Bilateral CI has been shown to be cost-effective when compared to no intervention, although most of the gains are made by the first implant (Chen et al, 2014). The cost-untility of bilateral CI when compared to unilateral CI varies depending on the analysis performed (Kuthubutheen et al, 2015).…”

Section: Cochlear Implants In Chinamentioning

confidence: 99%

The Advances in Hearing Rehabilitation and Cochlear Implants in China

Chen

Zhai

et al. 2017

Ear &Amp; Hearing

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Hearing loss (HL) is a common sensory impairment in humans, with significant economic and social impacts. With nearly 20% of the world’s population, China has focused on economic development and health awareness to improve the care for its hearing-impaired population. Recently the Chinese government has initiated national programs such as the China Disabled Persons Federation (CDPF) to fund prevention, treatment, and rehabilitation of hearing impairment. Newborn hearing screening and auditory rehabilitation programs in China have expanded exponentially with government support. While facing many challenges and overcoming obstacles, cochlear implantation (CI) programs in China have also experienced considerable growth. This review discusses the implementation of CI programs for hearing loss in China and presents current HL data including epidemiology, newborn hearing screening, and determination of genetic etiologies. Sharing the experience in Chinese auditory rehabilitation and CI programs will shine a light on the developmental pathway of healthcare infrastructure to meet emerging needs of the hearing-impaired population in other developing countries.

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Cost‐utility analysis of bilateral cochlear implantation in adults: A health economic assessment from the perspective of a publicly funded program

Abstract: 2C.

Cited by 47 publications

References 23 publications

Sequential bilateral cochlear implantation improves working performance, quality of life, and quality of hearing

Sequential bilateral cochlear implantation improves working performance, quality of life, and quality of hearing

Cost-Effectiveness of Pediatric Cochlear Implantation in Rural China

The Advances in Hearing Rehabilitation and Cochlear Implants in China

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