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Cost-effectiveness of School Hearing Screening Programs: A Scoping Review.

Publication ,  Journal Article
Yong, M; Liang, J; Ballreich, J; Lea, J; Westerberg, BD; Emmett, SD
Published in: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
June 2020

School hearing screening is a public health intervention that can improve care for children who experience hearing loss that is not detected on or develops after newborn screening. However, implementation of school hearing screening is sporadic and supported by mixed evidence to its economic benefit. This scoping review provides a summary of all published cost-effectiveness studies regarding school hearing screening programs globally. At the time of this review, there were no previously published reviews of a similar nature.A structured search was applied to 4 databases: PubMed (Medline), Embase, CINAHL, and Cochrane Library.The database search was carried out by 2 independent researchers, and results were reported in accordance with the PRISMA-ScR checklist and the JBI methodology for scoping reviews. Studies that included a cost analysis of screening programs for school-aged children in the school environment were eligible for inclusion. Studies that involved evaluations of only neonatal or preschool programs were excluded.Four of the 5 studies that conducted a cost-effectiveness analysis reported that school hearing screening was cost-effective through the calculation of incremental cost-effectiveness ratios (ICERs) via either quality- or disability-adjusted life years. One study reported that a new school hearing screening program dominated the existing program; 2 studies reported ICERs ranging from 1079 to 4304 international dollars; and 1 study reported an ICER of £2445. One study reported that school-entry hearing screening was not cost-effective versus no screening.The majority of studies concluded that school hearing screening was cost-effective. However, significant differences in methodology and region-specific estimates of model inputs limit the generalizability of these findings.

Duke Scholars

Published In

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

DOI

EISSN

1097-6817

ISSN

0194-5998

Publication Date

June 2020

Volume

162

Issue

6

Start / End Page

826 / 838

Related Subject Headings

  • Schools
  • Quality of Life
  • Otorhinolaryngology
  • Mass Screening
  • Humans
  • Hearing Tests
  • Hearing Loss
  • Hearing
  • Cost-Benefit Analysis
  • Child
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Yong, M., Liang, J., Ballreich, J., Lea, J., Westerberg, B. D., & Emmett, S. D. (2020). Cost-effectiveness of School Hearing Screening Programs: A Scoping Review. Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 162(6), 826–838. https://doi.org/10.1177/0194599820913507
Yong, Michael, Jiahe Liang, Jeromie Ballreich, Jane Lea, Brian D. Westerberg, and Susan D. Emmett. “Cost-effectiveness of School Hearing Screening Programs: A Scoping Review.Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery 162, no. 6 (June 2020): 826–38. https://doi.org/10.1177/0194599820913507.
Yong M, Liang J, Ballreich J, Lea J, Westerberg BD, Emmett SD. Cost-effectiveness of School Hearing Screening Programs: A Scoping Review. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2020 Jun;162(6):826–38.
Yong, Michael, et al. “Cost-effectiveness of School Hearing Screening Programs: A Scoping Review.Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 162, no. 6, June 2020, pp. 826–38. Epmc, doi:10.1177/0194599820913507.
Yong M, Liang J, Ballreich J, Lea J, Westerberg BD, Emmett SD. Cost-effectiveness of School Hearing Screening Programs: A Scoping Review. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2020 Jun;162(6):826–838.
Journal cover image

Published In

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

DOI

EISSN

1097-6817

ISSN

0194-5998

Publication Date

June 2020

Volume

162

Issue

6

Start / End Page

826 / 838

Related Subject Headings

  • Schools
  • Quality of Life
  • Otorhinolaryngology
  • Mass Screening
  • Humans
  • Hearing Tests
  • Hearing Loss
  • Hearing
  • Cost-Benefit Analysis
  • Child