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An economic evaluation of screening 60- to 70-year-old adults for hearing loss

An economic evaluation of screening 60- to 70-year-old adults for hearing loss
An economic evaluation of screening 60- to 70-year-old adults for hearing loss
BACKGROUND:Hearing loss is common among older adults and has consequences for sufferers, families and society, but there is substantial unmet need for intervention. Screening could expedite intervention and improve outcomes.

METHODS:We use Markov models to estimate the incremental cost-effectiveness ratio (ICER) of potential screening programmes compared with current provision (GP-referral), from a health service perspective. Alternative options are investigated through scenario analysis. One-way and probabilistic sensitivity analyses are undertaken.

RESULTS:All modelled screens are cost-effective and reduce unmet need for hearing aids. The most cost-effective option identified is a one-stage audiometric screen for bilateral hearing loss ?30 dB hearing level (HL) at age 60, repeated at ages 65 and 70. This option has an ICER of £1461 compared to GP-referral and would mean an additional 15 437 adults benefiting from hearing intervention per 100 000 population aged 60. The cost-effectiveness acceptability curve shows that screening is more cost-effective than GP-referral provided a Quality Adjusted Life Year is valued at £2000 or more.

CONCLUSIONS:Adult hearing screening would provide a cost-effective way to improve quality of life for older adults. We recommend piloting an audiometric screen offered to all adults age 60, 65 and 70 years to identify bilateral hearing loss of at least 30 dB HL.
1741-3842
139-146
Morris, Anna
69230276-48c9-4395-a9c6-725d8054df92
Lutman, Mark
add34340-3241-4346-a668-8f51fdea6692
Cook, Andrew
ab9c7bb3-974a-4db9-b3c2-9942988005d5
Turner, David
39dc4dc8-88b4-4950-8bbd-c647ff110ec9
Morris, Anna
69230276-48c9-4395-a9c6-725d8054df92
Lutman, Mark
add34340-3241-4346-a668-8f51fdea6692
Cook, Andrew
ab9c7bb3-974a-4db9-b3c2-9942988005d5
Turner, David
39dc4dc8-88b4-4950-8bbd-c647ff110ec9

Morris, Anna, Lutman, Mark, Cook, Andrew and Turner, David (2013) An economic evaluation of screening 60- to 70-year-old adults for hearing loss. Journal of Public Health, 35 (1), 139-146. (doi:10.1093/pubmed/fds058). (PMID:23027734)

Record type: Article

Abstract

BACKGROUND:Hearing loss is common among older adults and has consequences for sufferers, families and society, but there is substantial unmet need for intervention. Screening could expedite intervention and improve outcomes.

METHODS:We use Markov models to estimate the incremental cost-effectiveness ratio (ICER) of potential screening programmes compared with current provision (GP-referral), from a health service perspective. Alternative options are investigated through scenario analysis. One-way and probabilistic sensitivity analyses are undertaken.

RESULTS:All modelled screens are cost-effective and reduce unmet need for hearing aids. The most cost-effective option identified is a one-stage audiometric screen for bilateral hearing loss ?30 dB hearing level (HL) at age 60, repeated at ages 65 and 70. This option has an ICER of £1461 compared to GP-referral and would mean an additional 15 437 adults benefiting from hearing intervention per 100 000 population aged 60. The cost-effectiveness acceptability curve shows that screening is more cost-effective than GP-referral provided a Quality Adjusted Life Year is valued at £2000 or more.

CONCLUSIONS:Adult hearing screening would provide a cost-effective way to improve quality of life for older adults. We recommend piloting an audiometric screen offered to all adults age 60, 65 and 70 years to identify bilateral hearing loss of at least 30 dB HL.

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Journal of public health (Oxford England) 2013 Morris.pdf - Version of Record
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More information

Accepted/In Press date: 30 September 2012
Published date: 1 March 2013
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 368561
URI: http://eprints.soton.ac.uk/id/eprint/368561
ISSN: 1741-3842
PURE UUID: d01bce8f-e076-4047-85ea-00c1eb5b2b2b
ORCID for Andrew Cook: ORCID iD orcid.org/0000-0002-6680-439X

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Date deposited: 06 Sep 2014 15:08
Last modified: 18 Feb 2021 17:07

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Contributors

Author: Anna Morris
Author: Mark Lutman
Author: Andrew Cook ORCID iD
Author: David Turner

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