TY - JOUR
T1 - The Cost-Effectiveness of Different Hearing Screening Strategies for 50- to 70-Year-Old Adults: A Markov Model
AU - Linssen, A.M.
AU - Anteunis, L.J.C.
AU - Joore, M.A.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Objective: To assess the cost-effectiveness of screening 50- to 70-year-old adults for hearing loss in The Netherlands. We compared no screening, telephone screening, Internet screening, screening with a handheld screening device, and audiometric screening for various starting ages and a varying number of repeated screenings. Methods: The costs per quality adjusted life year (QALY) for no screening and for 76 screening strategies were analyzed using a Markov model with cohort simulation for the year 2011. Screening was deemed to be cost-effective if the costs were less than (sic)20,000/QALY. Results: Screening with a handheld screening device and audiometric screening were generally more costly but less effective than telephone and Internet screening. Internet screening strategies were slightly better than telephone screening strategies. Internet screening at age 50 years, repeated at ages 55, 60, 65, and 70 years, was the most cost-effective strategy, costing (sic)3699/QALY. At a threshold of (sic)20,000/QALY, this strategy was with 100% certainty cost-effective compared with current practice and with 69% certainty the most cost-effective strategy among all strategies. Conclusions: This study suggests that Internet screening at age 50 years, repeated at ages 55, 60, 65, and 70 years, is the optimal strategy to screen for hearing loss and might be considered for nationwide implementation. , International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc.
AB - Objective: To assess the cost-effectiveness of screening 50- to 70-year-old adults for hearing loss in The Netherlands. We compared no screening, telephone screening, Internet screening, screening with a handheld screening device, and audiometric screening for various starting ages and a varying number of repeated screenings. Methods: The costs per quality adjusted life year (QALY) for no screening and for 76 screening strategies were analyzed using a Markov model with cohort simulation for the year 2011. Screening was deemed to be cost-effective if the costs were less than (sic)20,000/QALY. Results: Screening with a handheld screening device and audiometric screening were generally more costly but less effective than telephone and Internet screening. Internet screening strategies were slightly better than telephone screening strategies. Internet screening at age 50 years, repeated at ages 55, 60, 65, and 70 years, was the most cost-effective strategy, costing (sic)3699/QALY. At a threshold of (sic)20,000/QALY, this strategy was with 100% certainty cost-effective compared with current practice and with 69% certainty the most cost-effective strategy among all strategies. Conclusions: This study suggests that Internet screening at age 50 years, repeated at ages 55, 60, 65, and 70 years, is the optimal strategy to screen for hearing loss and might be considered for nationwide implementation. , International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc.
U2 - 10.1016/j.jval.2015.03.1789
DO - 10.1016/j.jval.2015.03.1789
M3 - Article
SN - 1098-3015
VL - 18
SP - 560
EP - 569
JO - Value in Health
JF - Value in Health
IS - 5
ER -