Estimates of the Cost-Effectiveness of Pediatric Bilateral Cochlear Implantation

Summerfield, A. Quentin; Lovett, Rosemary; Bellenger, Hannah; Batten, Georgina

doi:10.1097/aud.0b013e3181de40cd

Cited by 47 publications

(82 citation statements)

References 25 publications

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“…Cheng, Rubin et al 2000;Barton, Stacey et al 2006;Uus, Bamford et al 2006;Chao and Chen 2008;Bond, Mealing et al 2009;Bond, Elston et al 2010;Summerfield, Lovett et al 2010) but studies estimating the total societal costs for hearing disorders are limited. This literature review found few studies addressing the societal costs of hearing disorders.…”

Section: Discussion Concluding Remarks and Future Researchmentioning

confidence: 99%

“…Several studies have examined the cost-utility and cost-effectiveness of interventions such as screening programmes and hearing aids (Cheng, Rubin et al 2000;Barton, Stacey et al 2006;Uus, Bamford et al 2006;Chao and Chen 2008;Bond, Mealing et al 2009;Bond, Elston et al 2010;Summerfield, Lovett et al 2010) but few studies provide comprehensive estimations of total societal costs for hearing disorders. Only four published studies were identified; three from the US and one from the UK, although some of them were limited to specific patient populations.…”

Section: Published Studies Based On Data From Other Countriesmentioning

confidence: 99%

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Societal costs of hearing disorders: A systematic and critical review of literature

Hjalte

Brännström

Gerdtham

2012

International Journal of Audiology

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Acronyms and abbreviations:COI Abstract ObjectiveThe objective of this study was to perform a critical and systematic literature review of studies on societal costs due to hearing disorders. DesignWe used pre-defined search terms and inclusion/exclusion criteria. Systematic searches were conducted in Medline, Cochrane Library, Google scholar and other relevant websites. The review included studies written in English or Swedish between 1995 and the end of January 2012. Study sampleWe identified 4 published studies and 4 reports that met the pre-defined inclusion criteria. ResultsSwedish cost studies primarily focused on costs of hearing aids. International studies with a societal perspective used different costing approaches and were limited to specific patient populations. Hearing disorders impact the social welfare system more than the medical care system. Indirect costs account for the major part and direct medical costs for a minor part of the total costs of hearing disorders. ConclusionsThere is a need for further studies estimating societal costs for all degrees of hearing disorders, in particular since a large part of the people with hearing disorders are of working age. Hjalte Societal costs of hearing disorders

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Section: Discussion Concluding Remarks and Future Researchmentioning

confidence: 99%

Section: Published Studies Based On Data From Other Countriesmentioning

confidence: 99%

Societal costs of hearing disorders: A systematic and critical review of literature

Hjalte

Brännström

Gerdtham

2012

International Journal of Audiology

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“…This was done in order to try to determine the minimum necessary costs which would need to be covered if an individual were to receive a cochlear implant. Currently most individuals still use one implant, though bilateral implantation is becoming the treatment of choice, especially for children (Johnston, Durieux-Smith, Angus, O'Connor & Fitzpatrick, 2009;Ramsden et al, 2012;Summerfield, Lovett, Bellenger & Batten, 2010). In this study, 30 participants (19%) were bilaterally implanted.…”

Section: Data Collectionmentioning

confidence: 99%

Costs involved in using a cochlear implant in South Africa

Kerr

Tuomi

Müller

2012

South African Journal of Communication Disorders

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Cochlear implantation is an expensive but effective lifelong intervention for individuals with a severe-to-profound hearing loss. The primary aim of this study was to survey the short-and long-term costs of cochlear implantation. Individuals (N=154) using cochlear implants obtained from the University of Stellenbosch-Tygerberg Hospital Cochlear Implant Unit in Cape Town, South Africa were surveyed using a questionnaire and patient record review. The questionnaire used a combination of closed and open-ended questions to gather both quantitative and qualitative information. Costs were categorised as short-and long-term costs. All costs were converted to constant rands (June 2010) using the Consumer Price Index to allow for comparison in real terms over time. In the first 10 years of implantation the average estimated costs incurred by adults totalled R379 626, and by children R455 225. The initial purchase of the implant system was the most substantial cost, followed by upgrading of the processor. Travel and accommodation costs peaked in the first 2 years. On average the participants spent R2 550 per year on batteries and spares. Rehabilitation for children cost an average of R7 200. Insurance costs averaged R4 040 per year, and processor repairs R3 000 each. In addition to the upfront expense of obtaining the cochlear implant system, individuals using a cochlear implant in South Africa should be prepared for the long-term costs of maintenance, accessing the unit, support services and additional costs associated with use. Knowledge of these costs is important to ensure that individuals are successful users of their cochlear implants in the long term.

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“…Bilateral implantation have added benefits (over unilateral) to recipients with bilateral profound hearing loss including improved sound localization and speech perception in noise [28,29]. This follows on to provide improved quality of life in a way that can be measured as a positive over the economic cost [10][11][12][13]. A randomized control trial on cost utility of bilateral implants concluded that bilateral implants is cost effective if the patient has a life expectancy of five to ten years or longer [30].…”

Section: The Second Side In Bilateral Cochlear Implantationmentioning

confidence: 99%

“…Patient audiological benefits are often balanced with the costs associated with cochlear implantation to justify the health economics, many such analyses take into account the direct and indirect surgical and device costs but do not directly evaluate the costs associated with rehabilitation afterwards [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Variables that Effect Psychophysical Parameters and Duration to Stability in Cochlear Implant Mapping

Cs¹,

Pls²

2016

Otolaryngol

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The process of rehabilitation after cochlear implant surgery involves programming the psychophysical parameters of the implant in a process called mapping. The audiology appointments involved in the mapping process are large contributors to cost of implant rehabilitation. The map is defined as stable when there is little variation over time.Once an implant map is stable there is reduced need for intensive rehabilitation and an increase in implant patient satisfaction. A literature search was conducted using the terms "map cochlear implant", "mapping cochlear implant", "psychophysical cochlear implant" with a date range from August 1957 to February 2016. A total of 560 articles were identified and 29 articles were retrieved for detailed evaluation. The most important factor identified, that determines map stability, is the patient's subjective implant experience. Patient demographics and implant variables have not been identified as significant. The second side implant in bilateral implantation has been shown to have significantly less time to map stability. There is a need for further studies to examine relationships between preoperative variables and the mapping process, rather than applying a "one size fits all approach", which is the current standard of care. This is of particular need in the setting of the second side in bilateral implantation.

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Estimates of the Cost-Effectiveness of Pediatric Bilateral Cochlear Implantation

Cited by 47 publications

References 25 publications

Societal costs of hearing disorders: A systematic and critical review of literature

Societal costs of hearing disorders: A systematic and critical review of literature

Costs involved in using a cochlear implant in South Africa

Variables that Effect Psychophysical Parameters and Duration to Stability in Cochlear Implant Mapping

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