Kostenanalyse des universellen Neugeborenen-Hörscreenings für Kliniken am Beispiel Hessens

Böttcher, P.; Gramß, M.; Euler, Harald Α.; Neumann, Katrin

doi:10.1007/s00106-008-1879-7

Cited by 13 publications

(10 citation statements)

References 7 publications

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“…The costs of tracking in Bavaria – that is, €4.55 – compare well with those from a cost analysis of universal newborn hearing screening in Hesse, in which the costs of tracking were estimated at €4.00 [24]. According to a recent literature review [25], this is the first model to assess the cost-effectiveness of tracking within a newborn hearing screening programme; therefore the results of this model are not directly comparable with those of other models.…”

Section: Discussionmentioning

confidence: 86%

The cost-effectiveness of tracking newborns with bilateral hearing impairment in Bavaria: a decision-analytic model

Langer

Brockow²,

Nennstiel-Ratzel³

et al. 2012

BMC Health Serv Res

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BackgroundAlthough several countries, including Germany, have established newborn hearing screening programmes for early detection and treatment of newborns with hearing impairments, nationwide tracking systems for follow-up of newborns with positive test results until diagnosis of hearing impairment have often not been implemented. However, a recent study on universal newborn hearing screening in Bavaria showed that, in a high proportion of newborns, early diagnosis was only possible with the use of a tracking system. The aim of this study was, therefore, to assess the cost-effectiveness of tracking newborns with bilateral hearing impairment in Bavaria.MethodsData from a Bavarian pilot project on newborn hearing screening and Bavarian newborn hearing screening facilities were used to assess the cost-effectiveness of the inclusion of a tracking system within a newborn hearing screening programme. A model-based cost-effectiveness analysis was conducted. The time horizon of the model was limited to the newborn hearing screening programme. Costs of the initial hearing screening test and subsequent tests were included, as well as costs of diagnosis and costs of tracking. The outcome measure of the economic analysis was the cost per case of bilateral hearing impairment detected. In order to reflect uncertainty, deterministic and probabilistic sensitivity analyses were performed.ResultsThe incremental cost-effectiveness ratio of tracking vs. no tracking was €1,697 per additional case of bilateral hearing impairment detected.ConclusionsCompared with no tracking, tracking resulted in more cases of bilateral hearing impairment detected as well as higher costs. If society is willing to pay at least €1,697 per additional case of bilateral hearing impairment detected, tracking can be recommended.

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Section: Discussionmentioning

confidence: 86%

The cost-effectiveness of tracking newborns with bilateral hearing impairment in Bavaria: a decision-analytic model

Langer

Brockow²,

Nennstiel-Ratzel³

et al. 2012

BMC Health Serv Res

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“…These studies were heterogeneous with regard to target population (all newborns or newborns with risk factors), screening technology (otoacoustic emission (OAE) or automated auditory brainstem response (AABR)), screening strategy (universal screening or risk screening), number of stages in the initial screening process (one or two), detection of hearing loss (unilateral or bilateral), setting (inpatient or outpatient), cost categories considered (development/implementation/organization/monitoring of the screening programme, tracking, screening tests, diagnostic follow-up, treatment for detected cases of hearing disorder, patient transportation for diagnostic procedures and treatment, education, work time loss for parents/adults with hearing disorders, productivity loss due to hearing disorders/premature mortality), and comparators. Most of the studies evaluated different screening technologies [25,48-51,54-59]. Five economic evaluations compared different screening strategies [23,24,60-62].…”

Section: Resultsmentioning

confidence: 99%

“…Two other studies examined different settings [52,65], and one study compared subjective and objective screening tests [63]. Six of the economic evaluations were from the United States [51,55-57,60,62], six from Germany [23,48,53,61,64,65], three from the United Kingdom [52,54,63], two from Taiwan [58,59] and Canada [25,50], and one each from Australia [24] and the Netherlands [49]. …”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies only include the costs of screening and diagnostic follow-up. Costs for the implementation of the newborn hearing screening programme are only considered in some studies [48,56,63,65]. Furthermore, costs of screening vary due to different factors, such as different screening technologies (OAE or AABR), different settings (inpatient or outpatient), number of stages in the initial screening process (one-stage or two-stage), different target populations (all newborns or newborns with risk factors), or detection of hearing loss (unilateral or bilateral).…”

Section: Resultsmentioning

confidence: 99%

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Specific guidelines for assessing and improving the methodological quality of economic evaluations of newborn screening

Langer

Holle

John

2012

BMC Health Serv Res

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BackgroundEconomic evaluation of newborn screening poses specific methodological challenges. Amongst others, these challenges refer to the use of quality adjusted life years (QALYs) in newborns, and which costs and outcomes need to be considered in a full evaluation of newborn screening programmes. Because of the increasing scale and scope of such programmes, a better understanding of the methods of high-quality economic evaluations may be crucial for both producers/authors and consumers/reviewers of newborn screening-related economic evaluations. The aim of this study was therefore to develop specific guidelines designed to assess and improve the methodological quality of economic evaluations in newborn screening.MethodsTo develop the guidelines, existing guidelines for assessing the quality of economic evaluations were identified through a literature search, and were reviewed and consolidated using a deductive iterative approach. In a subsequent test phase, these guidelines were applied to various economic evaluations which acted as case studies.ResultsThe guidelines for assessing and improving the methodological quality of economic evaluations in newborn screening are organized into 11 categories: “bibliographic details”, “study question and design”, “modelling”, “health outcomes”, “costs”, “discounting”, “presentation of results”, “sensitivity analyses”, “discussion”, “conclusions”, and “commentary”.ConclusionsThe application of the guidelines highlights important issues regarding newborn screening-related economic evaluations, and underscores the need for such issues to be afforded greater consideration in future economic evaluations. The variety in methodological quality detected by this study reveals the need for specific guidelines on the appropriate methods for conducting sound economic evaluations in newborn screening.

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“…de/informationen/beschluesse/681/ ). Viele Studien konnten zeigen, dass ein Neugeborenenhörscreening ohne Begleitung der Eltern bis zur Therapieeinleitung (Tracking) den Versorgungszeitpunkt nicht signifi kant vorverlegt und das Neugeborenenhörscreening für viele betroff ene Kinder wirkungslos bleibt [ 5 ] . Daher ist zusätzlich zur Durchführung eines qualitätsgesicherten Neugeborenenhörscreenings auch das Tracking der Kinder durch eine übergeordnete Screeningzentrale mindestens bis zur Diagnosestellung, ggfs.…”

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Kindliche Hör- und Sprachentwicklungsstörungen, Diagnostik und Genetik

Lang‐Roth

2014

Laryngo-Rhino-Otol

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This article gives an overview on important aspects of hearing and language development of infants and toddlers. Newborn hearing screening is implemented in Germany for all infants since January 2009. The realization of early postnatal hearing screening is regulated by a publication of the "Gemeinsamer Bundesausschuss". It regulates the measurement method (TEOAE or AABR screening) and differs between healthy and sick newborns. It also rules the timetable of rescreening and if it still fails of paedaudiological follow up. The second part refers to objective and subjective assessment of hearing loss and different important issues of permanent childhood hearing impairment are discussed. Especially CMV infection by materno-fetal transmission and hereditary hearing loss is addressed in comparison to otitis media with effusion. Speech and language development in the first three years of live and the corresponding nomenclature is introduced in the last part. Different parent questionnaires are well established in evaluation of early language acquisition. An early diagnosis of language delay is possible and therapeutic measures can be established to prevent further social and psychological problems.

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Kostenanalyse des universellen Neugeborenen-Hörscreenings für Kliniken am Beispiel Hessens

Abstract: In a mixed calculation which can be cautiously extrapolated from the Hessian data for Germany as a whole, costs would be EUR 18.40 per registered child.

Cited by 13 publications

References 7 publications

The cost-effectiveness of tracking newborns with bilateral hearing impairment in Bavaria: a decision-analytic model

The cost-effectiveness of tracking newborns with bilateral hearing impairment in Bavaria: a decision-analytic model

Specific guidelines for assessing and improving the methodological quality of economic evaluations of newborn screening

Kindliche Hör- und Sprachentwicklungsstörungen, Diagnostik und Genetik

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