Cost of Care for Subjective Tinnitus in Relation to Patient Satisfaction

Goldstein, Eric; Ho, Chuan Xing; Hanna, Rania; Elinger, Clara; Yaremchuk, Kathleen; Seidman, Michael D.; Jesse, Michelle T

doi:10.1177/0194599814566179

Cited by 37 publications

(42 citation statements)

References 36 publications

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“…An economic study undertaken in the United States in 2015 gave broadly similar figures to the United Kingdom study, estimating healthcare costs at US$660 per patient per year (Goldstein et al, 2015). A Dutch study (Maes et al, 2013) suggested even higher figures with an estimated mean annual tinnitus-related cost per patient of €1544, though this study made the assumption that all patients with tinnitus were actively seeking help for their condition and may therefore be an overestimate.…”

Section: Patient and Provider Perspectives On Tinnitus Treatment Optionsmentioning

confidence: 87%

Why Is There No Cure for Tinnitus?

et al. 2019

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Tinnitus is unusual for such a common symptom in that there are few treatment options and those that are available are aimed at reducing the impact rather than specifically addressing the tinnitus percept. In particular, there is no drug recommended specifically for the management of tinnitus. Whilst some of the currently available interventions are effective at improving quality of life and reducing tinnitus-associated psychological distress, most show little if any effect on the primary symptom of subjective tinnitus loudness. Studies of the delivery of tinnitus services have demonstrated considerable end-user dissatisfaction and a marked disconnect between the aims of healthcare providers and those of tinnitus patients: patients want their tinnitus loudness reduced and would prefer a pharmacological solution over other modalities. Several studies have shown that tinnitus confers a significant financial burden on healthcare systems and an even greater economic impact on society as a whole. Market research has demonstrated a strong commercial opportunity for an effective pharmacological treatment for tinnitus, but the amount of tinnitus research and financial investment is small compared to other chronic health conditions. There is no single reason for this situation, but rather a series of impediments: tinnitus prevalence is unclear with published figures varying from 5.1 to 42.7%; there is a lack of a clear tinnitus definition and there are multiple subtypes of tinnitus, potentially requiring different treatments; there is a dearth of biomarkers and objective measures for tinnitus; treatment research is associated with a very large placebo effect; the pathophysiology of tinnitus is unclear; animal models are available but research in animals frequently fails to correlate with human studies; there is no clear definition of what constitutes meaningful change or “cure”; the pharmaceutical industry cannot see a clear pathway to distribute their products as many tinnitus clinicians are non-prescribing audiologists. To try and clarify this situation, highlight important areas for research and prevent wasteful duplication of effort, the British Tinnitus Association (BTA) has developed a Map of Tinnitus. This is a repository of evidence-based tinnitus knowledge, designed to be free to access, intuitive, easy to use, adaptable and expandable.

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Section: Patient and Provider Perspectives On Tinnitus Treatment Optionsmentioning

confidence: 87%

Why Is There No Cure for Tinnitus?

et al. 2019

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“…Tinnitus management requires a multidisciplinary approach due to the heterogeneity of tinnitus and the absence of a cure (Cima et al, 2020). The average cost of tinnitus treatment per patient per year is approximately USD 660 in the United States (USA) (Goldstein et al, 2015), GBP 717 in the United Kingdom (UK) (Stockdale et al, 2017), and EUR 1,544 in the Netherlands (Maes et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary Tinnitus Research: Challenges and Future Directions From the Perspective of Early Stage Researchers

Simões

Daoud

Shabbir

et al. 2021

Front. Aging Neurosci.

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Tinnitus can be a burdensome condition on both individual and societal levels. Many aspects of this condition remain elusive, including its underlying mechanisms, ultimately hindering the development of a cure. Interdisciplinary approaches are required to overcome long-established research challenges. This review summarizes current knowledge in various tinnitus-relevant research fields including tinnitus generating mechanisms, heterogeneity, epidemiology, assessment, and treatment development, in an effort to highlight the main challenges and provide suggestions for future research to overcome them. Four common themes across different areas were identified as future research direction: (1) Further establishment of multicenter and multidisciplinary collaborations; (2) Systematic reviews and syntheses of existing knowledge; (3) Standardization of research methods including tinnitus assessment, data acquisition, and data analysis protocols; (4) The design of studies with large sample sizes and the creation of large tinnitus-specific databases that would allow in-depth exploration of tinnitus heterogeneity.

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“…Regarding use of healthcare resources for tinnitus, published studies modelling populationbased health care costs have typically used the number of tinnitus-related general practitioner visits and/or hospital visits as a basis for cost estimates of the burden on healthcare resources, and this information has been obtained retrospectively from clinical records (Goldstein et al, 2015;Maes et al, 2013). To our knowledge, there has been no published population survey asking participants a question on use of healthcare resources for tinnitus.…”

Section: Description Of the Original Source Itemsmentioning

confidence: 99%

“…In the absence of an efficient and effective healthcare system such patients can often make repeat appointments, creating a 'revolving door' pattern of healthcare (McFerran et al, 2018). Thus, a clinically significant tinnitus, in which people seek medical help, imposes personnel and financial resource burden on the healthcare system (Goldstein et al, 2015;Maes et al, 2013;Stockdale et al, 2017). This information can easily be captured by a question about the number of appointments for tinnitus-related problems in the past year.…”

Section: Introductionmentioning

confidence: 99%