Cost-utility analysis of cochlear implants in Korea using different measures of utility

Hoo Yeon Lee, Eun Cheol Park, Han Joong Kim, Jae Young Choi, Hee Nam Kim

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Conclusions. All cost-utility ratios obtained using the various measures of utility except quality well-being (QWB) were below $25 000 per quality-adjusted life year (QALY). Therefore, treatment of post-lingual deaf adults with cochlear implants improves the quality of life at a reasonable direct cost and appears to produce net savings for Korean society. Objectives. To determine the quality of life and the cost consequences of cochlear implants for deaf adults. Patients and methods. We performed a cost-utility analysis using data from 11 post-lingual deaf adults who had received cochlear implants between 1990 and 2002 in Seoul, Korea. The average age of the participants was 49.6 years. The main outcome was the direct cost per QALY calculated using the visual analog scale (VAS), health utility index (HUI), EuroQol (EQ-5D) measure and QWB measure. Costs and utility were discounted 3% annually. Results. Recipients used implants for an average of 5.6 years. The mean VAS, HUI, EQ-5D, and QWB score increased by 0.33 (from 0.27 before implantation to 0.60 at survey), 0.36 (0.29 to 0.65), 0.26 (0.52 to 0.78), and 0.16 (0.45 to 0.61), respectively. The discounted direct cost was $22 320, which yielded a cost-utility ratio of $19 223 per QALY using VAS, $17 387 per QALY using HUI, $24 604 per QALY using EQ-5D, and $40 474 per QALY using QWB.

Original languageEnglish (US)
Pages (from-to)817-823
Number of pages7
JournalActa Oto-Laryngologica
Volume126
Issue number8
DOIs
StatePublished - Aug 1 2006

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Cochlear Implants
Korea
Quality-Adjusted Life Years
Cost-Benefit Analysis
Costs and Cost Analysis
Visual Analog Scale
Tongue
Health
Quality of Life

Keywords

  • Cochlear implant
  • cost-utility analysis
  • quality-adjusted life year

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Cost-utility analysis of cochlear implants in Korea using different measures of utility. / Lee, Hoo Yeon; Park, Eun Cheol; Joong Kim, Han; Choi, Jae Young; Kim, Hee Nam.

In: Acta Oto-Laryngologica, Vol. 126, No. 8, 01.08.2006, p. 817-823.

Research output: Contribution to journalArticle

Lee, Hoo Yeon ; Park, Eun Cheol ; Joong Kim, Han ; Choi, Jae Young ; Kim, Hee Nam. / Cost-utility analysis of cochlear implants in Korea using different measures of utility. In: Acta Oto-Laryngologica. 2006 ; Vol. 126, No. 8. pp. 817-823.
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