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Evaluation of cost-utility in middle ear implantation in the Nordic School: a multicenter study in Sweden and Norway
University of Uppsala Hospital, Sweden .
University of Uppsala Hospital, Sweden .
Umeå University Hospital, Sweden .
Oslo University Hospital, Norway .
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2014 (English)In: Acta Oto-Laryngologica, ISSN 0001-6489, 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
Informa Healthcare , 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
Health Sciences Clinical Medicine
URN: urn:nbn:se:liu:diva-103713DOI: 10.3109/00016489.2013.834459ISI: 000329058700004OAI: diva2:690713
Available from: 2014-01-24 Created: 2014-01-24 Last updated: 2015-04-01

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Harder, HenrikPeebo, Markus
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Division of NeuroscienceFaculty of Health SciencesDepartment of Otorhinolaryngology in Linköping
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Acta Oto-Laryngologica
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