Economic Evaluations of Childhood Hearing Loss Screening Programmes: A Systematic Review and Critique

Sharma, Rajan; Gu, Yuanyuan; Ching, Theresa Y. C.; Marnane, Vivienne; Parkinson, Bonny

doi:10.1007/s40258-018-00456-1

Cited by 22 publications

(18 citation statements)

References 62 publications

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“…In contrast to universal NHS for which cost-effectiveness has largely been established (Sharma et al 2019), that of CHS is not clear (Fortnum et al 2016). NHS has seen rapid widespread implementation since 1995.…”

Section: Discussionmentioning

confidence: 99%

Assessment of hearing screening programmes across 47 countries or regions III: provision of childhood hearing screening after the newborn period

Bussé

Mackey

Carr³

et al. 2021

International Journal of Audiology

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Objective: To inventory provision and features of childhood hearing screening after the newborn period (CHS), primarily in Europe. Design: From each participating country or region, experts provided information through an extensive questionnaire: implementation year, age at screening, test method, pass criteria, screening location, screener profession, and quality indicators: coverage, referral, follow-up and detection rates, supplemented by literature sources. Study sample: Forty-two European countries or regions, plus Russia, Malawi, Rwanda, India, and China. Results: CHS was performed universally with pure-tone audiometry screening (PTS) in 17 countries or regions, whereas non-universal CHS was performed in eight with PTS or whisper tests. All participating countries with universal PTS had newborn hearing screening. Coverage rate was provided from three countries, detection rate from one, and referral and follow-up rate from two. In four countries, universal PTS was performed at two ages. Earliest universal PTS was performed in a (pre)school setting by nurses (n ¼ 9, median age: 5 years, range: 3-7), in a healthcare setting by doctors and nurses (n ¼ 7, median age: 4.5 years, range: 4-7), or in both (n ¼ 1). Conclusions: Within universal CHS, PTS was mostly performed at 4-6 years by nurses. Insufficient collection of data and monitoring with quality indicators impedes evaluation of screening.

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Section: Discussionmentioning

confidence: 99%

Assessment of hearing screening programmes across 47 countries or regions III: provision of childhood hearing screening after the newborn period

Bussé

Mackey

Carr³

et al. 2021

International Journal of Audiology

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“…Our search yielded 1437 unique articles, of which 117 unique studies with decision models (Table 1, Batch 1) and 17 systematic reviews [132][133][134][135][136][137][138][139][140][141][142][143][144][145][146][147][148] met the inclusion criteria (Fig. 1).…”

Section: Summary Of Included Studiesmentioning

confidence: 99%

Evidence gaps in economic analyses of hearing healthcare: A systematic review

et al. 2021

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Background: Hearing loss is a common and costly medical condition. This systematic review sought to identify evidence gaps in published model-based economic analyses addressing hearing loss to inform model development for an ongoing Lancet Commission. Methods: We searched the published literature through 14 June 2020 and our inclusion criteria included decision model-based cost-effectiveness analyses that addressed diagnosis, treatment, or prevention of hearing loss. Two investigators screened articles for inclusion at the title, abstract, and full-text levels. Data were abstracted and the studies were assessed for the qualities of model structure, data assumptions, and reporting using a previously published quality scale. Findings: Of 1437 articles identified by our search, 117 unique studies met the inclusion criteria. Most of these model-based analyses were set in high-income countries (n = 96, 82%). The evaluated interventions were hearing screening (n = 35, 30%), cochlear implantation (n = 34, 29%), hearing aid use (n = 28, 24%), vaccination (n = 22, 19%), and other interventions (n = 29, 25%); some studies included multiple interventions. Eighty-six studies reported the main outcome in quality-adjusted or disability-adjusted life-years, 24 of which derived their own utility values. The majority of the studies used decision tree (n = 72, 62%) or Markov (n = 41, 35%) models. Forty-one studies (35%) incorporated indirect economic effects. The median quality rating was 92/ 100 (IQR:72À100). Interpretation: The review identified a large body of literature exploring the economic efficiency of hearing healthcare interventions. However, gaps in evidence remain in evaluation of hearing healthcare in low-and middle-income countries, as well as in investigating interventions across the lifespan. Additionally, considerable uncertainty remains around productivity benefits of hearing healthcare interventions as well as utility values for hearing-assisted health states. Future economic evaluations could address these limitations.

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“…A search of Pub Med using the criteria of screening, hearing, school‐age resulted in 1,305 references from 1955 to 2020. The several review articles concerning school‐age hearing screening show efficacy of the screening using different protocols in different settings 40,41,42 …”

Section: Screening For Hearing Ability In Childrenmentioning

confidence: 99%

The History of Pediatric and Adult Hearing Screening

Ruben

2021

The Laryngoscope

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Objectives/Hypothesis To document the history of hearing seeing in children and adults. Study Design A literature search in all languages was carried out with the terms of hearing screening from the following sources: Pub Med, Science Direct, World Catalog, Index Medicus, Google scholar, Google Books, National Library of Medicine, Welcome historical library and The Library of Congress. Methods The primary sources consisting of books, scientific reports, public documents, governmental reports, and other written material were analyzed to document the history of hearing screening. Results The concept of screening for medical conditions that, when found, could influence some form of the outcome of the malady came about during the end of 19th century. The first applications of screening were to circumscribe populations, schoolchildren, military personnel, and railroad employees. During the first half of the 20th century, screening programs were extended to similar populations and were able to be expanded on the basis of the improved technology of hearing testing. The concept of universal screening was first applied to the inborn errors of metabolism of newborn infants and particularly the assessment of phenylketonuria in 1963 by Guthrie and Susi. A limited use of this technique has been the detection of genes resulting in hearing loss. The use of a form of hearing testing either observational or physiological as a screen for all newborns was first articulated by Larry Fisch in 1957 and by the end of the 20th century newborn infant screening for hearing loss became the standard almost every nation worldwide. Conclusions Hearing screening for newborn infants is utilized worldwide, schoolchildren less so and for adults many industrial workers and military service undergo hearing screening, but this is not a general practice for screening the elderly. Level of Evidence NA Laryngoscope, 131:S1–S25, 2021

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Economic Evaluations of Childhood Hearing Loss Screening Programmes: A Systematic Review and Critique

Cited by 22 publications

References 62 publications

Assessment of hearing screening programmes across 47 countries or regions III: provision of childhood hearing screening after the newborn period

Assessment of hearing screening programmes across 47 countries or regions III: provision of childhood hearing screening after the newborn period

Evidence gaps in economic analyses of hearing healthcare: A systematic review

The History of Pediatric and Adult Hearing Screening

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