Age Dependent Cost-Effectiveness of Cochlear Implantation in Adults. Is There an Age Related Cut-off?. Issue 7 (August 2019)
- Record Type:
- Journal Article
- Title:
- Age Dependent Cost-Effectiveness of Cochlear Implantation in Adults. Is There an Age Related Cut-off?. Issue 7 (August 2019)
- Main Title:
- Age Dependent Cost-Effectiveness of Cochlear Implantation in Adults. Is There an Age Related Cut-off?
- Authors:
- Laske, Roman D.
Dreyfuss, Michael
Stulman, Alan
Veraguth, Dorothe
Huber, Alexander M.
Röösli, Christof - Abstract:
- Abstract : Objective: To analyze the impact of age at implantation on the cost-effectiveness of cochlear implantation (CI). Study Design: Cost-utility analysis in an adapted Markov model. Setting: Adults with profound postlingual hearing loss in a "high income" country. Intervention: Unilateral and sequential CI were compared with hearing aids (HA). Main Outcome Measure: Incremental cost-effectiveness ratio (ICER), calculated as costs per quality adjusted life year (QALY) gained (in CHF/QALY), for individual age and sex combinations in relation to two different willingness to pay thresholds. 1 CHF (Swiss franc) is equivalent to 1.01 USD. Results: When a threshold of 50, 000 CHF per QALY is applied, unilateral CI in comparison to HA is cost-effective up to an age of 91 for women and 89 for men. Sequential CI in comparison to HA is cost-effective up to an age of 87 for women and 85 for men. If a more contemporary threshold of 100, 000 CHF per QALY is applied, sequential CI in comparison to unilateral CI is cost-effective up to an age of 80 for women and 78 for men. Conclusions: Performing both sequential and unilateral CI is cost-effective up to very advanced ages when compared with hearing aids.
- Is Part Of:
- Otology & neurotology. Volume 40:Issue 7(2019)
- Journal:
- Otology & neurotology
- Issue:
- Volume 40:Issue 7(2019)
- Issue Display:
- Volume 40, Issue 7 (2019)
- Year:
- 2019
- Volume:
- 40
- Issue:
- 7
- Issue Sort Value:
- 2019-0040-0007-0000
- Page Start:
- Page End:
- Publication Date:
- 2019-08
- Subjects:
- Adults -- Age -- Cochlear implant -- Cost -- Cost-effectiveness -- Cost-utility -- Discount -- Effectiveness -- Implantation -- Markov -- Quality adjusted life year -- Quality -- Related -- Sensitivity -- Utility
Otology -- Periodicals
Ear -- Diseases -- Periodicals
Skull base -- Surgery -- Periodicals
617.8005 - Journal URLs:
- http://www.otology-neurotology.com ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/MAO.0000000000002275 ↗
- Languages:
- English
- ISSNs:
- 1531-7129
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 6313.528000
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 14180.xml