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Socio-economic impact of cochlear implantation in adults: an Italian study

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Název: Socio-economic impact of cochlear implantation in adults: an Italian study
Autoři: Gatto, Annalisa, Tofanelli, Margherita, Valentinuz, Giorgio, Carrino, Ludovico, Zucchini, Simone, Sia, Egidio, Uderzo, Francesco, Achilli, Vittorio Pietro, Tirelli, Giancarlo
Přispěvatelé: Gatto, Annalisa, Tofanelli, Margherita, Valentinuz, Giorgio, Carrino, Ludovico, Zucchini, Simone, Sia, Egidio, Uderzo, Francesco, Achilli, Vittorio Pietro, Tirelli, Giancarlo
Zdroj: Acta Otorhinolaryngologica Italica. 45:261-268
Informace o vydavateli: Pacini Editore, 2025.
Rok vydání: 2025
Témata: cochlear implant, cost-effectiveness analysi, hearing lo, quality-adjusted life years
Popis: Objective: To analyse the cost-effectiveness of unilateral cochlear implant (CI) surgery in Italian adults with post-lingual deafness, focusing on direct costs, Health Utilities Index (HUI), Quality-Adjusted Life Years (QALY), and Incremental Cost-Effectiveness Ratio (ICER). Methods: The analysis, from the Italian healthcare system perspective, included preoperative, surgical, hospitalisation, and postoperative costs. QALYs were estimated using the Italian Nijmegen Cochlear Implant Questionnaire (I-NCIQ) and Ontario Health Utilities Index Mark 3 (HUI-3). HUI-3 score changes were analysed with regression models in Stat View (v5.0.1, SAS Institute Inc). ICER was calculated as the incremental cost per QALY (in Euros/QALY) over the average patient's lifetime. Results: CI significantly improved I-NCIQ (p < 0.001) and HUI-3 scores (p < 0.0001). Average life expectancy at surgery was 21.2 years; the degrade factor was 0.97, yielding a lifetime gain of 2.717 QALYs. Direct costs amount to €19,467.65. Cost-utility analysis showed €7,165.13 per QALY, below the €30,000/QALY ICER threshold. Conclusions: CI surgery is cost-effective based on QALY analysis. Although cost-effectiveness decreases with age, quality of life and health benefits are comparable to younger patients.
Druh dokumentu: Article
Popis souboru: ELETTRONICO
ISSN: 1827-675X
DOI: 10.14639/0392-100x-n3125
Přístupová URL adresa: https://www.actaitalica.it/article/view/1683
https://hdl.handle.net/11368/3117698
Přístupové číslo: edsair.doi.dedup.....5925df3f032e0d2b73ff53943dc7d6ec
Databáze: OpenAIRE
Popis
Abstrakt:Objective: To analyse the cost-effectiveness of unilateral cochlear implant (CI) surgery in Italian adults with post-lingual deafness, focusing on direct costs, Health Utilities Index (HUI), Quality-Adjusted Life Years (QALY), and Incremental Cost-Effectiveness Ratio (ICER). Methods: The analysis, from the Italian healthcare system perspective, included preoperative, surgical, hospitalisation, and postoperative costs. QALYs were estimated using the Italian Nijmegen Cochlear Implant Questionnaire (I-NCIQ) and Ontario Health Utilities Index Mark 3 (HUI-3). HUI-3 score changes were analysed with regression models in Stat View (v5.0.1, SAS Institute Inc). ICER was calculated as the incremental cost per QALY (in Euros/QALY) over the average patient's lifetime. Results: CI significantly improved I-NCIQ (p < 0.001) and HUI-3 scores (p < 0.0001). Average life expectancy at surgery was 21.2 years; the degrade factor was 0.97, yielding a lifetime gain of 2.717 QALYs. Direct costs amount to €19,467.65. Cost-utility analysis showed €7,165.13 per QALY, below the €30,000/QALY ICER threshold. Conclusions: CI surgery is cost-effective based on QALY analysis. Although cost-effectiveness decreases with age, quality of life and health benefits are comparable to younger patients.
ISSN:1827675X
DOI:10.14639/0392-100x-n3125