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Evaluation of cost-utility in middle ear implantation in the 'Nordic School': a multicenter study in Sweden and Norway
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
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2014 (English)In: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 134, no 1, 19-25 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2014. Vol. 134, no 1, 19-25 p.
Keyword [en]
Active middle ear implant, sensorineural hearing loss, conductive and mixed hearing loss, quality of life
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-216723DOI: 10.3109/00016489.2013.834459ISI: 000329058700004OAI: oai:DiVA.org:uu-216723DiVA: diva2:691221
Available from: 2014-01-27 Created: 2014-01-24 Last updated: 2017-12-06Bibliographically approved

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Edfeldt, LennartStrömback, Karin

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