| Long-term cost-effectiveness of screening strategies for hearing loss. | |
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MedLine Citation:
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PMID: 21480098 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Routine hearing screening can identify patients who are motivated to seek out and adhere to treatment, but little information exists on the cost-effectiveness of hearing screening in a general population of older veterans. We compared the cost-effectiveness of three screening strategies (tone-emitting otoscope, hearing handicap questionnaire, and both together) against no screening (control group) in 2,251 older veterans. The effectiveness measure for each 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. The mean total audiology cost per patient was $77.04, $122.70, $121.37, and $157.08 for the control, otoscope, questionnaire, and dual screening groups, respectively. The tone-emitting otoscope appears to be the most cost-effective approach for hearing loss screening, with a significant increase in hearing aid use 1 year after screening (2.8%) and an insignificant incremental cost-effectiveness of $1,439.00 per additional hearing aid user compared with the control group. For this population of older veterans, screening for hearing loss with the tone-emitting otoscope is cost-effective. |
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Authors:
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Chuan-Fen Liu; Margaret P Collins; Pamela E Souza; Bevan Yueh |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of rehabilitation research and development Volume: 48 ISSN: 1938-1352 ISO Abbreviation: J Rehabil Res Dev Publication Date: 2011 |
Date Detail:
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Created Date: 2011-04-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8410047 Medline TA: J Rehabil Res Dev Country: United States |
Other Details:
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Languages: eng Pagination: 235-44 Citation Subset: IM |
Affiliation:
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Health Services Research and Development Service (152), VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101. fliu@u.washington.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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