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Beitragstitel Age Dependent Cost-Effectiveness of Cochlear Implantation in Adults. Is There an Age Related Cut-off?
Beitragscode P10
Autor:innen
  1. Roman Laske HNO Wiedikon Präsentierende:r
  2. Michael Dreyfuss Jerusalem College of Technology
  3. Alan Stulman Jerusalem College of Technology
  4. Dorothe Veraguth University Hospital Zurich, University of Zurich
  5. Alexander Huber UniversitätsSpital & Universität Zürich
  6. Christof Röösli UniversitätsSpital Zürich
Präsentationsform Vortrag
Themengebiete
  • SGORL FV 2019
Abstract-Text Objective:
To analyze the impact of age at implantation on the cost-effectiveness of cochlear implantation (CI).

Study Design:
Cost-utility analysis in an adapted Markov model.

Setting:
Adults with profound postlingual hearing loss in a “high income” country (Switzerland).

Intervention:
Unilateral and sequential CI were compared to hearing aids (HA).

Main Outcome Measure:
Incremental cost-effectiveness ratio (ICER), calculated as costs per quality adjusted life year (QALY) gained (in CHF/QALY), for individual age and gender combinations in relation to two different willingness to pay thresholds (50,000 CHF/QALY and 100,000 CHF/QALY).

Results:
When a threshold of 50,000 CHF per QALY is applied, unilateral CI in comparison to HA is cost-effective up to an age of 91 for women and 89 for men. Sequential CI in comparison to HA is cost-effective up to an age of 87 for women and 85 for men. If a more contemporary threshold of 100,000 CHF per QALY is applied, sequential CI in comparison to unilateral CI is cost-effective up to an age of 80 for women and 78 for men.

Conclusions:
Performing both sequential and unilateral CI is cost-effective up to very advanced ages when compared to hearing aids.