A Research on the Quality of Life of Individuals and Cost-Utility Analysis of Cochlear Implantation
Abstract views: 71
/ 
PDF downloads: 19
DOI:
https://doi.org/10.5281/zenodo.13623718Keywords:
Bilateral Cochlear Implant, Cost-Utility Analysis, Unilateral Cochlear ImplantAbstract
Objective: This study aims to research a comparison of the effects of unilateral and bilateral cochlear implant procedures on quality of life and cost-utility analysis in individuals with hearing loss.
Material and Methods: The effects of cochlear implant procedures on individuals' quality of life and cost-value analyses were examined by evaluating the articles obtained by scanning the keywords "unilateral cochlear implant", bilateral cochlear implant" and "cost-utility analysis" from the research published in PubMed in the last 20 years.
Results: The Health Utilization Index-3 (HUI3) has generally been accepted as the most conservative and consistent measure of Health-Related Quality of Life (HRQoL) for cost-value studies of cochlear implant procedures. It has been observed that children who received implants at an earlier age have higher quality of life scores. When deciding whether to have a unilateral or bilateral cochlear implant, it is thought that it would be more appropriate to choose a bilateral cochlear implant because the quality of life gain of the bilateral cochlear implant is higher and the incremental cost-value ratio is lower.
Conclusion: Statistically significant increases in quality of life are found before and after unilateral or bilateral cochlear implantation, with extremely favorable cost-value ratios. It is recommended to conduct cost-utility analysis studies of cochlear implant procedures performed in Turkey and compare them with developed countries.
References
Barton, G.R., Stacey, P.C., Fortnum, H.M. and Summerfield, A.Q. (2006). Hearing-impaired children in the United Kingdom, II: cochlear implantation and the cost of compulsory education. Ear Hear; 27:187–588
Bichey, B.G. and Miyamoto, R.T. (2008). Outcomes in bilateral cochlear implantation. Otolaryngol Head Neck Surg; 138:655–661.
Bond, M., Mealing, S., Anderson, R., et al (2009). The effectiveness and cost-effectiveness of cochlear implants for severe to profound deafness in children and adults: a systematic review and economic model. Health Technol Assess;13:1–330.
Buhagiar, R. and Lutman, M. (2010). Quality of life measures for patients with bilateral cochlear implants. Cochlear Implants Int;11(Suppl 1):264–267.
Chen, J.M., Amoodi, H. and Mittmann, N. (2014). Cost-utility analysis of bilateral cochlear implantation in adults: a health economic assessment from the perspective of a publicly funded program. Laryngoscope; 124:1452–1458.
Cheng, A.K., Rubin, H.R., Powe, N.R., Mellon, N.K., Francis, H.W. and Niparko, J.K. (2000). Cost-utility analysis of the cochlear implant in children. JAMA;284:850–856.
Chung, J., Chueng, K., Shipp, D., Friesen, L., Chen, J.M., Nedzelski, J.M. and Lin, V.Y. (2012). Unilateral multi-channel cochlear implantation results in significant improvement in quality of life. Otol Neurotol; 33: 566–571.
Clark, J.H., Wang, N.Y., Riley, A.W., Carson, C.M., Meserole, R.L., Lin, F.R., Eisenberg, L.S., Tobey, E.A., Quittner, A.L., Francis, H.W., Team, C.D.I. and Niparko, J.K. (2012). Timing of cochlear implantation and parents’ global ratings of children’s health and development. Otol Neurotol; 33: 545–552.
Cohen, S.M., Labadie, R.F., Dietrich, M.S. and Haynes, D.S. (2004). Quality of life in hearing-impaired adults: the role of cochlear implants and hearing aids. Otolaryngol Head Neck Surg; 131: 413–422.
Crowson, M.G., Semenov, Y.R., Tucci D.L. and Niparko J.K. (2017). Quality of Life and Cost-Effectiveness of Cochlear Implants: A Narrative Review. Audiol Neurotol; 22:236–258 DOI: 10.1159/000481767
Damen, G.W., Beynon, A.J., Krabbe, P.F., Mulder, J.J. and Mylanus, E.A. (2007). Cochlear implantation and quality of life in postlingually deaf adults: long-term follow-up. Otolaryngol Head Neck Surg; 136: 597–604.
Di Nardo, W., Anzivino, R., Giannantonio, S., Schinaia, L. and Paludetti, G. (2014). The effects of cochlear implantation on quality of life in the elderly. Eur Arch Otorhinolaryngol; 271: 65–73.
Edejer TTT, Baltussin R, Adam T, et al. (2003). Making Choices in Health: WHO Guide to Cost-Effectiveness Analysis. Geneva, Switzerland: World Health Organization Press.
Edwards, L., Hill, T. and Mahon, M. (2012). Quality of life in children and adolescents with cochlear implants and additional needs. Int J Pediatr Otorhinolaryngol; 76: 851–857.
Fortunato-Tavares, T., Befi-Lopes, D., Bento, R.F. and De Andrade, C.R.F. (2012). Children with cochlear implants: communication skills and quality of life. Braz J Otorhinolaryngol; 78: 15–25.
Foteff, C., Kennedy, S., Milton, A.H., Deger, M., Payk, F. and Sanderson, G. (2016). Cost-utility analysis of cochlear implantation in Australian adults. Otol Neurotol; 37:454–461.
Francis, H.W., Chee, N., Yeagle, J., Cheng, A. and Niparko, J.K. (2002). Impact of cochlear implants on the functional health status of older adults. Laryngoscope;112(8 Pt 1):1482–1488.
Hawthorne, G., Hogan, A., Giles, E., Stewart, M., Kethel, L., White, K., Plaith, B., Pedley, K., Rushbrooke, E. and Taylor, A. (2004).
Evaluating the health-related quality of life effects of cochlear implants: a prospective study of an adult cochlear implant program. Int J Audiol; 43: 183–192.
Huber, M. (2005). Health-related quality of life of Austrian children and adolescents with cochlear implants. Int J Pediatr Otorhinolaryngol; 69: 1089–1101.
Klop, W.M., Boermans, P.P., Ferrier, M.B., Van Den Hout, W.B., Stiggelbout, A.M. and Frijns, J.H. (2008). Clinical relevance of quality of life outcome in cochlear implantation in postlingually deafened adults. Otol Neurotol; 29: 615–621.
Klop, W.M., Briaire, J.J., Stiggelbout, A.M. and Frijns, J.H. (2007). Cochlear implant outcomes and quality of life in adults with prelingual deafness. Laryngoscope; 117: 1982–1987.
Kuthubutheen, J., Mittmann, N., Amoodi, H., Qian, W. and Chen, J.M. (2015). The effect of different utility measures on the cost-effectiveness of bilateral cochlear implantation. Laryngoscope; 125: 442–447.
Lee, H.Y., Park, E.C., Kim, H.J., Choi, J.Y. and Kim, H.N. (2006). Cost-utility analysis of cochlear implants in Korea using different measures of utility. Acta Otolaryngol;126:817–823.
Looi, V., Mackenzie, M., Bird, P. and Lawrenson, R. (2011). Quality-of-life outcomes for adult cochlear implant recipients in New Zealand. NZ Med J; 124: 21–34.
Lovett, R.E.S., Kitterick, P.T., Hewitt, C.E. and Summerfield, A.Q. (2010). Bilateral or unilateral cochlear implantation for deaf children: an observational study. Arch Dis Child; 95:107–112.
Loy, B., Warner-Czyz, A.D., Tong, L., Tobey, E.A., and Roland, P.S. (2010). The Children Speak: an examination of the quality of life of pediatric cochlear implant users. Otolaryngol Head Neck Surg; 142: 247–253.
Magro, I., Emmett, S.D. and Saunders, J., (2018). Cost-effectiveness of CI in developing countries. Current Opinion Otolaryngol Head Neck Surgical, www.co-otolaryngology.com Volume 26 DOI:10.1097/MOO.0000000000000451
Manrique, M., Ramos, A., Morera, C., et al (2006). Analysis of the cochlear implant as a treatment technique for profound hearing loss in pre and post-locative patients (in Spanish). Acta Otorrinolaringol Esp;57:2–23.
Meserole, R.L., Carson, C.M., Riley, A.W., Wang, N.Y., Quittner, A.L., Eisenberg, L.S., Tobey, E.A., Francis, H.W. and Niparko, J.K. (2014). Assessment of health-related quality of life 6 years after childhood cochlear implantation. Qual Life Res; 23: 719–731.
Meyer, A., Sie, K., Skalicky, A., Edwards, T.C., Schick, B., Niparko, J. and Patrick, D.L. (2013). Quality of life in youth with severe to profound sensorineural hearing loss. JAMA Otolaryngol Head Neck Surg; 139: 294–300.
Mo, B., Lindbaek, M. and Harris, S. (2005). Cochlear implants and quality of life: a prospective study. Ear Hear; 26: 186–194.
Necula, V., Cosgarea, M. and Necula, S.E. (2013). Health-related quality of life in cochlear implanted patients in Romania. Int J Pediatr Otorhinolaryngol; 77: 216–222.
O’Neill, C., O’Donoghue, G.M., Archbold, S.M. and Normand, C. (2000). A cost-utility analysis of pediatric cochlear implantation. Laryngoscope; 110:156–160.
Olze, H., Gräbel, S., Förster, U., Zirke, N., Huhnd, L.E., Haupt, H. and Mazurek, B. (2012). Elderly patients benefit from cochlear implantation regarding auditory rehabilitation, quality of life, tinnitus, and stress. Laryngoscope; 122: 196–203.
Olze, H., Szczepek, A.J., Haupt, H., Förster, U., Zirke, N., Gräbel, S. and Mazurek, B. (2011). Cochlear implantation positively influences quality of life, tinnitus, and psychological comorbidity. Laryngoscope; 121: 2220–2227.
Palmer, C.S., Niparko, J.K., Wyatt, J.R., Rothman, M. and de Lissovoy, G. (1999). A prospective study of the costutility of the multichannel cochlear implant. Arch Otolaryngol Head Neck Surg;125: 1221–1228.
Perez-Mora, R., Lassaletta, L., Castro, A., Herran, B., San-Roman-Montero, J., Valiente, E. and Gavilan, J. (2012). Quality of life in hearing-impaired children with bilateral hearing devices. B-ENT;8: 251.
Rembar, S.H., Lind, O., Romundstad, P. and Helvik, A.S. (2012). Psychological well-being among cochlear implant users: a comparison with the general population. Cochlear Implants Int; 13: 41–49.
Sach, T.H. and Barton, G.R. (2007). Interpreting parental Proxy reports of (health-related) quality of life for children with unilateral cochlear implants. Int J Pediatr Otorhinolaryngol; 71: 435–445.
Saunders, J.E., Francis, H.W. and Skarzynski, P.H., (2016). Measuring Success: Cost-Effectiveness and Expanding Access to Cochlear Implantation. Otology & Neurotology, Vol. 37, No. 2.
Schorr, E.A., Roth, F.P. and Fox, N.A. (2009). Quality of life for children with cochlear implants: perceived benefits and problems and the perception of single words and emotional sounds. J Speech Lang Hear Res; 52: 141.
Schulze-Gattermann, H., Illg, A., Schoenermark, M., Lenarz, T. and Lesinski-Schiedat, A. (2002). Cost-benefit analysis of pediatric cochlear implantation: German experience. Otol Neurotol;23: 674–681.
Semenov, Y.R., Yeh, S.T., Seshamani, M., Wang, N.Y., Tobey, E.A., Eisenberg, L.S., Quittner, A.L., Frick, K.D. and Niparko, J.K. (2013). CDaCI Investigative Team: Age-dependent cost-utility of pediatric cochlear implantation. Ear Hear; 34: 402–412.
Sparreboom, M., Snik, A.F. and Mylanus, E.A. (2012). Sequential bilateral cochlear implantation in children: quality of life. Arch Otolaryngol Head Neck Surg; 138: 134–141.
Stacey, P.C., Fortnum, H.M., Barton, G.R. and Summerfield, A.Q. (2006). Hearing-impaired children in the United Kingdom. I. Auditory performance, communication skills, educational achievements, quality of life, and cochlear implantation. Ear Hear; 27: 161–186.
Summerfield, A.Q., Lovett, R.E.S., Bellenger, H. and Batten, G. (2010). Estimates of the cost-effectiveness of pediatric bilateral cochlear implantation. Ear Hear; 31:611–624.
Summerfield, A.Q., Marshall, D.H., Barton, G.R. and Bloor, K.E. (2002). A cost-utility scenario analysis of bilateral cochlear implantation. Arch Otolaryngol Head Neck Surg; 128:1255–1262.
UK Cochlear Implant Study Group (2004). Criteria of candidacy for unilateral cochlear implantation in postlingually deafened adults II: cost-effectiveness analysis. Ear Hear;25:336–360.
Vermeire, K., Brokx, J.P.L., Wuyts, F.L., Cochet, E., Hofkens, A. and Van De Heyning, P.H. (2005). Quality-of-life benefit from cochlear implantation in the elderly. Otol Neurotol; 26: 188–195.
Warner-Czyz, A.D., Loy, B., Tobey, E.A., Nakonezny, P. and Roland, P.S. (2011). Health-related quality of life in children and adolescents who use cochlear implants. Int J Pediatr Otorhinolaryngol; 75: 95–105.
World Health Organization, (2024). WHO global estimates on the prevalence of hearing loss. Available from: https://www.who.int/en/news-room/fact-sheets/detail/deafness-and-hearing-loss Accessed; 1 January 2024.
Wyatt, J.R., Niparko, J.K., Rothman, M. and de Lissovoy, G. (1996). Cost-utility of the multichannel cochlear implant in 258 profoundly deaf individuals. Laryngoscope;106:816–821.
Zhao, F., Bai, Z. and Stephens, D. (2008). The relationship between changes in self-rated quality of life after cochlear implantation and changes in individual complaints. Clin Otolaryngol; 33: 427–434.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The journal is licensed under a 