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The economic costs of congenital bilateral permanent childhood hearing impairment

The economic costs of congenital bilateral permanent childhood hearing impairment
The economic costs of congenital bilateral permanent childhood hearing impairment
OBJECTIVE. The objective of this study was to estimate the economic costs of bilateral permanent childhood hearing impairment (PCHI) in the preceding year of life for children aged 7 to 9 years.METHODS. A cost analysis was conducted by using a birth cohort of children born between 1992 and 1997 in 8 districts of Southern England, of which half had been born into populations exposed to universal newborn screening (UNS). Unit costs were applied to estimates of health, social, and broader resource use made by 120 hearing-impaired children and 63 children in a normally hearing comparison group. Associations between societal costs per child and severity of hearing impairment, language ability score, exposure to UNS, and age of confirmation were analyzed, including adjustment for potential confounders in a linear regression model.RESULTS. The mean societal cost in the preceding year of life at 7 to 9 years of age was £14092.5 for children with PCHI, compared with £4206.8 for the normally hearing children, a cost difference of £9885.7. After adjusting for severity and other potential confounders in a linear regression model, mean societal costs among children with PCHI were reduced by £2553 for each unit increase in the z score for receptive language. Using similar regression models, exposure to a program of UNS was associated with a smaller cost reduction of £2213.2, whereas costs were similar between children whose PCHI was confirmed at <9 or >9 months.CONCLUSIONS. The study provides rigorous evidence of the annual health, social, and broader societal cost of bilateral PCHI in the preceding year of life at 7 to 9 years of age and shows that it is related to its severity and has an inverse relationship with language abilities after adjustment for severity.
cost analysis, universal neonatal screening, permanent childhood hearing impairment
0031-4005
1101-1112
Schroeder, Liz
61d0ec82-0102-475b-9428-35611b7b24d2
Petrou, Stavros
5ee930f5-99db-4fb8-b401-95584cff0e20
Kennedy, Colin
7c3aff62-0a86-4b44-b7d7-4bc01f23ec93
McCann, Donna
58efb042-4ad5-452e-94d3-f6ef7b460323
Law, Catherine
b90db04a-7a74-4211-8409-5aad234bca91
Watkin, Peter M.
1a28b980-c34c-425a-b39b-acac0421aa46
Worsfold, Sarah
9e3f6aa2-8c17-4965-adf4-b3bc1d04ab54
Yuen, Ho Ming
b1df4c57-0c2a-44ac-ab40-22b88e8effe8
Schroeder, Liz
61d0ec82-0102-475b-9428-35611b7b24d2
Petrou, Stavros
5ee930f5-99db-4fb8-b401-95584cff0e20
Kennedy, Colin
7c3aff62-0a86-4b44-b7d7-4bc01f23ec93
McCann, Donna
58efb042-4ad5-452e-94d3-f6ef7b460323
Law, Catherine
b90db04a-7a74-4211-8409-5aad234bca91
Watkin, Peter M.
1a28b980-c34c-425a-b39b-acac0421aa46
Worsfold, Sarah
9e3f6aa2-8c17-4965-adf4-b3bc1d04ab54
Yuen, Ho Ming
b1df4c57-0c2a-44ac-ab40-22b88e8effe8

Schroeder, Liz, Petrou, Stavros, Kennedy, Colin, McCann, Donna, Law, Catherine, Watkin, Peter M., Worsfold, Sarah and Yuen, Ho Ming (2006) The economic costs of congenital bilateral permanent childhood hearing impairment. Pediatrics, 117 (4), 1101-1112. (doi:10.1542/peds.2005-1335).

Record type: Article

Abstract

OBJECTIVE. The objective of this study was to estimate the economic costs of bilateral permanent childhood hearing impairment (PCHI) in the preceding year of life for children aged 7 to 9 years.METHODS. A cost analysis was conducted by using a birth cohort of children born between 1992 and 1997 in 8 districts of Southern England, of which half had been born into populations exposed to universal newborn screening (UNS). Unit costs were applied to estimates of health, social, and broader resource use made by 120 hearing-impaired children and 63 children in a normally hearing comparison group. Associations between societal costs per child and severity of hearing impairment, language ability score, exposure to UNS, and age of confirmation were analyzed, including adjustment for potential confounders in a linear regression model.RESULTS. The mean societal cost in the preceding year of life at 7 to 9 years of age was £14092.5 for children with PCHI, compared with £4206.8 for the normally hearing children, a cost difference of £9885.7. After adjusting for severity and other potential confounders in a linear regression model, mean societal costs among children with PCHI were reduced by £2553 for each unit increase in the z score for receptive language. Using similar regression models, exposure to a program of UNS was associated with a smaller cost reduction of £2213.2, whereas costs were similar between children whose PCHI was confirmed at <9 or >9 months.CONCLUSIONS. The study provides rigorous evidence of the annual health, social, and broader societal cost of bilateral PCHI in the preceding year of life at 7 to 9 years of age and shows that it is related to its severity and has an inverse relationship with language abilities after adjustment for severity.

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More information

Published date: 3 April 2006
Keywords: cost analysis, universal neonatal screening, permanent childhood hearing impairment
Organisations: Primary Care & Population Sciences

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Local EPrints ID: 62572
URI: http://eprints.soton.ac.uk/id/eprint/62572
ISSN: 0031-4005
PURE UUID: 3767f9ca-70bd-482b-90a6-5169a97d3c3e

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Date deposited: 08 Sep 2008
Last modified: 13 Mar 2019 20:27

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Contributors

Author: Liz Schroeder
Author: Stavros Petrou
Author: Colin Kennedy
Author: Donna McCann
Author: Catherine Law
Author: Peter M. Watkin
Author: Sarah Worsfold
Author: Ho Ming Yuen

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