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Long Term Cost-Effectiveness of Screening Strategies for Hearing Loss

By Liu, Chuan-Fen; Collins, Margaret P.; Souza, Pamela E.; Yueh, Bevan; Journal of Rehabilitation Research and Development, Vol. 48, No. 3, pp. 235-244
Publication Date: 2011

Study explored the cost-effectiveness of hearing screening in a general population of older veterans. Participants were 2,251 older veterans. The cost effectiveness of 3 screening strategies: tone-emitting otoscope, hearing handicap questionnaire, and both together, were compared against no screening. The effectiveness measure for each participant 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 receiving no screening. The mean total audiology cost per patient was 77.04 dollars for the control group, 122.70 for the otoscope group, 121.37 for the questionnaire group, and 157.08 for the dual screening group. The tone-emitting otoscope appeared to be the most cost-effective approach for hearing loss screening, with a significant increase in hearing aid use of 2.8 percent 1 year after screening and an insignificant incremental cost-effectiveness of 1,439 dollars per additional hearing aid user compared with the control group. Based on study results, the authors conclude that for this population of older veterans, screening for hearing loss with the tone-emitting otoscope is cost-effective.
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VA Rehabilitation Research & Development Service    (Web Site: http://www.rehab.research.va.gov )
Link to text: http://www.rehab.research.va.gov/jour/11/483/liu.html
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