Journal article
Long-term cost-effectiveness of screening strategies for hearing loss
Journal of rehabilitation research and development, Vol.48(3), pp.235-243
01/01/2011
DOI: 10.1682/JRRD.2010.03.0041
PMID: 21480098
Abstract
Routine hearing screening can identify patients who are motivated to seek out and adhere to treatment, but little information exists on the cost-effectiveness of hearing screening in a general population of older veterans. We compared the cost-effectiveness of three screening strategies (tone-emitting otoscope, hearing handicap questionnaire, and both together) against no screening (control group) in 2,251 older veterans. The effectiveness measure for each group was the proportion of hearing aid use 1 year after screening. The audiology cost measure included costs of hearing loss screening and audiology care for 1 year after screening. Incremental cost-effectiveness was the audiology cost of additional hearing aid use for each screening group compared with the control group. The mean total audiology cost per patient was $77.04, $122.70, $121.37, and $157.08 for the control, otoscope, questionnaire, and dual screening groups, respectively. The tone-emitting otoscope appears to be the most cost-effective approach for hearing loss screening, with a significant increase in hearing aid use 1 year after screening (2.8%) and an insignificant incremental cost-effectiveness of $1,439.00 per additional hearing aid user compared with the control group. For this population of older veterans, screening for hearing loss with the tone-emitting otoscope is cost-effective.
Details
- Title: Subtitle
- Long-term cost-effectiveness of screening strategies for hearing loss
- Creators
- Chuan-Fen Liu - Cancer Genomics CentreMargaret P CollinsPamela E SouzaBevan Yueh
- Resource Type
- Journal article
- Publication Details
- Journal of rehabilitation research and development, Vol.48(3), pp.235-243
- DOI
- 10.1682/JRRD.2010.03.0041
- PMID
- 21480098
- NLM abbreviation
- J Rehabil Res Dev
- ISSN
- 0748-7711
- eISSN
- 1938-1352
- Language
- English
- Date published
- 01/01/2011
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984966755202771
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