Cargando…

Societal costs of permanent childhood hearing loss at teen age: a cross-sectional cohort follow-up study of universal newborn hearing screening

OBJECTIVE: To investigate the effects in adolescence of bilateral permanent childhood hearing loss (PCHL) > 40 dB and of exposure to universal newborn hearing screening (UNHS) on societal costs accrued over the preceding 12 months. DESIGN, SETTING, PARTICIPANTS: An observational cohort study of a...

Descripción completa

Detalles Bibliográficos
Autores principales: Chorozoglou, Maria, Mahon, Merle, Pimperton, Hannah, Worsfold, Sarah, Kennedy, Colin R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887866/
https://www.ncbi.nlm.nih.gov/pubmed/29637192
http://dx.doi.org/10.1136/bmjpo-2017-000228
_version_ 1783312402100518912
author Chorozoglou, Maria
Mahon, Merle
Pimperton, Hannah
Worsfold, Sarah
Kennedy, Colin R
author_facet Chorozoglou, Maria
Mahon, Merle
Pimperton, Hannah
Worsfold, Sarah
Kennedy, Colin R
author_sort Chorozoglou, Maria
collection PubMed
description OBJECTIVE: To investigate the effects in adolescence of bilateral permanent childhood hearing loss (PCHL) > 40 dB and of exposure to universal newborn hearing screening (UNHS) on societal costs accrued over the preceding 12 months. DESIGN, SETTING, PARTICIPANTS: An observational cohort study of a sample of 110 adolescents aged 13–20 years, 73 with PCHL and 37 in a normally hearing comparison group (HCG) closely similar in respect of place and date of birth to those with PCHL, drawn from a 1992–1997 cohort of 157 000 births in Southern England, half of whom had been exposed to a UNHS programme. INTERVENTION: Birth in periods with and without UNHS. OUTCOME MEASURES: Resource use and costs in the preceding 12-month period, estimated from interview at a mean age of 16.9 years and review of medical records. Effects on costs were examined in regression models. RESULTS: Mean total costs for participants with PCHL and the HCG were £15 914 and £5883, respectively (difference £10 031, 95% CI £6460 to £13 603), primarily driven by a difference in educational costs. Compared with the HCG, additional mean costs associated with PCHL of moderate, severe and profound severity were £5916, £6605 and £18 437, respectively. The presence of PCHL and an additional medical condition (AMC) increased costs by £15 385 (95% CI £8532 to £22 238). An increase of one unit in receptive language z-score was associated with £1616 (95% CI £842 to £2389) lower costs. Birth during periods of UNHS was not associated with significantly lower overall costs (difference £3594, 95% CI −£2918 to £10 106). CONCLUSIONS: The societal cost of PCHL was greater with more severe losses and in the presence of AMC and was lower in children with superior language scores. There was no statistically significant reduction in costs associated with birth in periods with UNHS. TRIAL REGISTRATION NUMBER: ISRCTN03307358, pre-results.
format Online
Article
Text
id pubmed-5887866
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-58878662018-04-10 Societal costs of permanent childhood hearing loss at teen age: a cross-sectional cohort follow-up study of universal newborn hearing screening Chorozoglou, Maria Mahon, Merle Pimperton, Hannah Worsfold, Sarah Kennedy, Colin R BMJ Paediatr Open Original Article OBJECTIVE: To investigate the effects in adolescence of bilateral permanent childhood hearing loss (PCHL) > 40 dB and of exposure to universal newborn hearing screening (UNHS) on societal costs accrued over the preceding 12 months. DESIGN, SETTING, PARTICIPANTS: An observational cohort study of a sample of 110 adolescents aged 13–20 years, 73 with PCHL and 37 in a normally hearing comparison group (HCG) closely similar in respect of place and date of birth to those with PCHL, drawn from a 1992–1997 cohort of 157 000 births in Southern England, half of whom had been exposed to a UNHS programme. INTERVENTION: Birth in periods with and without UNHS. OUTCOME MEASURES: Resource use and costs in the preceding 12-month period, estimated from interview at a mean age of 16.9 years and review of medical records. Effects on costs were examined in regression models. RESULTS: Mean total costs for participants with PCHL and the HCG were £15 914 and £5883, respectively (difference £10 031, 95% CI £6460 to £13 603), primarily driven by a difference in educational costs. Compared with the HCG, additional mean costs associated with PCHL of moderate, severe and profound severity were £5916, £6605 and £18 437, respectively. The presence of PCHL and an additional medical condition (AMC) increased costs by £15 385 (95% CI £8532 to £22 238). An increase of one unit in receptive language z-score was associated with £1616 (95% CI £842 to £2389) lower costs. Birth during periods of UNHS was not associated with significantly lower overall costs (difference £3594, 95% CI −£2918 to £10 106). CONCLUSIONS: The societal cost of PCHL was greater with more severe losses and in the presence of AMC and was lower in children with superior language scores. There was no statistically significant reduction in costs associated with birth in periods with UNHS. TRIAL REGISTRATION NUMBER: ISRCTN03307358, pre-results. BMJ Publishing Group 2018-02-24 /pmc/articles/PMC5887866/ /pubmed/29637192 http://dx.doi.org/10.1136/bmjpo-2017-000228 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Original Article
Chorozoglou, Maria
Mahon, Merle
Pimperton, Hannah
Worsfold, Sarah
Kennedy, Colin R
Societal costs of permanent childhood hearing loss at teen age: a cross-sectional cohort follow-up study of universal newborn hearing screening
title Societal costs of permanent childhood hearing loss at teen age: a cross-sectional cohort follow-up study of universal newborn hearing screening
title_full Societal costs of permanent childhood hearing loss at teen age: a cross-sectional cohort follow-up study of universal newborn hearing screening
title_fullStr Societal costs of permanent childhood hearing loss at teen age: a cross-sectional cohort follow-up study of universal newborn hearing screening
title_full_unstemmed Societal costs of permanent childhood hearing loss at teen age: a cross-sectional cohort follow-up study of universal newborn hearing screening
title_short Societal costs of permanent childhood hearing loss at teen age: a cross-sectional cohort follow-up study of universal newborn hearing screening
title_sort societal costs of permanent childhood hearing loss at teen age: a cross-sectional cohort follow-up study of universal newborn hearing screening
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887866/
https://www.ncbi.nlm.nih.gov/pubmed/29637192
http://dx.doi.org/10.1136/bmjpo-2017-000228
work_keys_str_mv AT chorozogloumaria societalcostsofpermanentchildhoodhearinglossatteenageacrosssectionalcohortfollowupstudyofuniversalnewbornhearingscreening
AT mahonmerle societalcostsofpermanentchildhoodhearinglossatteenageacrosssectionalcohortfollowupstudyofuniversalnewbornhearingscreening
AT pimpertonhannah societalcostsofpermanentchildhoodhearinglossatteenageacrosssectionalcohortfollowupstudyofuniversalnewbornhearingscreening
AT worsfoldsarah societalcostsofpermanentchildhoodhearinglossatteenageacrosssectionalcohortfollowupstudyofuniversalnewbornhearingscreening
AT kennedycolinr societalcostsofpermanentchildhoodhearinglossatteenageacrosssectionalcohortfollowupstudyofuniversalnewbornhearingscreening