Evaluation of cost-utility in middle ear implantation in the 'Nordic School': a multicenter study in Sweden and Norway

Edfeldt, LennartUppsala universitet,Öron-, näs- och halssjukdomar,University of Uppsala Hospital, Sweden (author)

Evaluation of cost-utility in middle ear implantation in the 'Nordic School' : a multicenter study in Sweden and Norway

Conclusion: Hearing restoration using an active middle ear implant (AMEI) is a highly cost-effective treatment for a selected group of patients with no other possibilities for auditory rehabilitation. Objectives: To evaluate the cost-utility of using an AMEI for hearing rehabilitation. Methods: This was a prospective, multicenter, single-subject repeated study in six tertiary referral centers. Twenty-four patients with sensorineural (SNHL), conductive (CHL), and mixed hearing loss (MHL) were implanted with the AMEI Vibrant Soundbridge (R) (VSB) for medical reasons. All patients were previously rehabilitated with conventional hearing aids. Multiple validated quality of life patient questionnaires, Health Utilities Index (HUI 2 and 3), and Glasgow Hearing Aid Benefit Profile (GHABP) were used to determine the utility gain and quality adjusted life years (QALY). Directly related treatment costs for the implantation were calculated and related to utility gain and QALY. Results: The cost/QALY for patients with SNHL was estimated at (sic)7260/QALY, and for patients with C/MHL at (sic)12 503/QALY.

Strömback, KarinUppsala universitet,Öron-, näs- och halssjukdomar,University of Uppsala Hospital, Sweden(Swepub:uu)karst188 (author)
Grendin, JoakimUmeå universitet,Medicinska fakulteten,ENT Clinic,Umeå University Hospital, Sweden (author)
Bunne, MarieOslo University Hospital, Norway (author)
Harder, HenrikÖstergötlands Läns Landsting,Linköpings universitet,Avdelningen för neurovetenskap,Hälsouniversitetet,Öron- näsa- och halskliniken US(Swepub:liu)henha88 (author)
Peebo, MarkusÖstergötlands Läns Landsting,Linköpings universitet,Avdelningen för neurovetenskap,Hälsouniversitetet,Öron- näsa- och halskliniken US(Swepub:liu)marpe74 (author)
Eeg-Olofsson, MansSahlgrens University Hospital, Sweden (author)
Petersson, Carl-MagnusSkåne University Hospital, Sweden (author)
Konradsson, KonradUppsala universitet,Öron-, näs- och halssjukdomar,University of Uppsala Hospital, Sweden(Swepub:uu)konko696 (author)
Uppsala universitetÖron-, näs- och halssjukdomar (creator_code:org_t)

By the author/editor: Edfeldt, Lennart; Strömback, Karin; Grendin, Joakim; Bunne, Marie; Harder, Henrik; Peebo, Markus; show more...; Eeg-Olofsson, Ma ...; Petersson, Carl- ...; Konradsson, Konr ...; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

By the university: Uppsala University; Umeå University; Linköping University

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