Cost-effectiveness of screening a 5 year old child for hearing loss using Sound Scouts compared with no screening: a decision model analysis

Research output: Contribution to journalMeeting abstractResearch

Abstract

Objectives: The need for a universal hearing screening program for children entering school in Australia has been noted in two separate federal government hearing inquiries in the last decade, yet no program has been developed to date. Sound Scouts is a new innovative hearing screening application (app) that tests for hearing loss in children using a tablet device, often performed by parents at home. It tests for sensorineural or permanent conductive hearing loss and central auditory processing disorder in children. This study estimates the cost-effectiveness of screening an average 5 year old child for hearing loss using Sound Scouts at home, compared with usual practice.

Methods: A decision analytic model was developed to estimate the incremental costs and quality adjusted life years of administering Sound Scouts over a 20 year time horizon. Testing accuracy was based on comparison of Sound Scouts results to clinical testing, while other parameters were based on published data and population statistics. Costs were estimated from the perspective of the Australian health care system. Univariate and probabilistic sensitivity analyses were undertaken.

Results: It was estimated that Sound Scouts would result in an average incremental cost of A$316 and an average incremental increase in quality adjusted life years (QALYs) of 0.07. This resulted in an ICER of around A$4,472 per QALY gained, which is likely to be considered ‘cost-effective’ The cost-effectiveness acceptability curve indicated that screening with Sound Scouts has a 95% probability of being cost-effective using a threshold of A$60,000 per QALY.

Conclusions: Using Sound Scouts to screen five year old children for hearing loss (at home) before entering school is a cost effective method. However, further analysis on the cost of implementing a universal screening program must be conducted before the cost effectiveness of a universal screening program can be determined.
LanguageEnglish
Article numberPMD17
PagesS70
Number of pages1
JournalValue in Health
Volume21
Issue numberSuppl. 2
DOIs
Publication statusPublished - Sep 2018
EventInternational Society for Pharmacoeconomics and Outcomes Research, 8th Asia-Pacific Conference - Keio Plaza, Tokyo, Japan
Duration: 8 Sep 201811 Sep 2018

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Decision Support Techniques
Hearing Loss
Cost-Benefit Analysis
Quality-Adjusted Life Years
Costs and Cost Analysis
Hearing
Conductive Hearing Loss
Language Development Disorders
Federal Government
Population Characteristics
Tablets
Parents
Delivery of Health Care
Equipment and Supplies

Cite this

@article{6e2278263c2e4602bce2fc37cec48c4e,
title = "Cost-effectiveness of screening a 5 year old child for hearing loss using Sound Scouts compared with no screening: a decision model analysis",
abstract = "Objectives: The need for a universal hearing screening program for children entering school in Australia has been noted in two separate federal government hearing inquiries in the last decade, yet no program has been developed to date. Sound Scouts is a new innovative hearing screening application (app) that tests for hearing loss in children using a tablet device, often performed by parents at home. It tests for sensorineural or permanent conductive hearing loss and central auditory processing disorder in children. This study estimates the cost-effectiveness of screening an average 5 year old child for hearing loss using Sound Scouts at home, compared with usual practice.Methods: A decision analytic model was developed to estimate the incremental costs and quality adjusted life years of administering Sound Scouts over a 20 year time horizon. Testing accuracy was based on comparison of Sound Scouts results to clinical testing, while other parameters were based on published data and population statistics. Costs were estimated from the perspective of the Australian health care system. Univariate and probabilistic sensitivity analyses were undertaken.Results: It was estimated that Sound Scouts would result in an average incremental cost of A$316 and an average incremental increase in quality adjusted life years (QALYs) of 0.07. This resulted in an ICER of around A$4,472 per QALY gained, which is likely to be considered ‘cost-effective’ The cost-effectiveness acceptability curve indicated that screening with Sound Scouts has a 95{\%} probability of being cost-effective using a threshold of A$60,000 per QALY.Conclusions: Using Sound Scouts to screen five year old children for hearing loss (at home) before entering school is a cost effective method. However, further analysis on the cost of implementing a universal screening program must be conducted before the cost effectiveness of a universal screening program can be determined.",
author = "M. Gumbie and B. Parkinson and R. Bowman and R. Song and Henry Cutler",
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doi = "10.1016/j.jval.2018.07.532",
language = "English",
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Cost-effectiveness of screening a 5 year old child for hearing loss using Sound Scouts compared with no screening : a decision model analysis. / Gumbie, M.; Parkinson, B.; Bowman, R.; Song, R.; Cutler, Henry.

In: Value in Health, Vol. 21, No. Suppl. 2, PMD17, 09.2018, p. S70.

Research output: Contribution to journalMeeting abstractResearch

TY - JOUR

T1 - Cost-effectiveness of screening a 5 year old child for hearing loss using Sound Scouts compared with no screening

T2 - Value in Health

AU - Gumbie, M.

AU - Parkinson, B.

AU - Bowman, R.

AU - Song, R.

AU - Cutler, Henry

PY - 2018/9

Y1 - 2018/9

N2 - Objectives: The need for a universal hearing screening program for children entering school in Australia has been noted in two separate federal government hearing inquiries in the last decade, yet no program has been developed to date. Sound Scouts is a new innovative hearing screening application (app) that tests for hearing loss in children using a tablet device, often performed by parents at home. It tests for sensorineural or permanent conductive hearing loss and central auditory processing disorder in children. This study estimates the cost-effectiveness of screening an average 5 year old child for hearing loss using Sound Scouts at home, compared with usual practice.Methods: A decision analytic model was developed to estimate the incremental costs and quality adjusted life years of administering Sound Scouts over a 20 year time horizon. Testing accuracy was based on comparison of Sound Scouts results to clinical testing, while other parameters were based on published data and population statistics. Costs were estimated from the perspective of the Australian health care system. Univariate and probabilistic sensitivity analyses were undertaken.Results: It was estimated that Sound Scouts would result in an average incremental cost of A$316 and an average incremental increase in quality adjusted life years (QALYs) of 0.07. This resulted in an ICER of around A$4,472 per QALY gained, which is likely to be considered ‘cost-effective’ The cost-effectiveness acceptability curve indicated that screening with Sound Scouts has a 95% probability of being cost-effective using a threshold of A$60,000 per QALY.Conclusions: Using Sound Scouts to screen five year old children for hearing loss (at home) before entering school is a cost effective method. However, further analysis on the cost of implementing a universal screening program must be conducted before the cost effectiveness of a universal screening program can be determined.

AB - Objectives: The need for a universal hearing screening program for children entering school in Australia has been noted in two separate federal government hearing inquiries in the last decade, yet no program has been developed to date. Sound Scouts is a new innovative hearing screening application (app) that tests for hearing loss in children using a tablet device, often performed by parents at home. It tests for sensorineural or permanent conductive hearing loss and central auditory processing disorder in children. This study estimates the cost-effectiveness of screening an average 5 year old child for hearing loss using Sound Scouts at home, compared with usual practice.Methods: A decision analytic model was developed to estimate the incremental costs and quality adjusted life years of administering Sound Scouts over a 20 year time horizon. Testing accuracy was based on comparison of Sound Scouts results to clinical testing, while other parameters were based on published data and population statistics. Costs were estimated from the perspective of the Australian health care system. Univariate and probabilistic sensitivity analyses were undertaken.Results: It was estimated that Sound Scouts would result in an average incremental cost of A$316 and an average incremental increase in quality adjusted life years (QALYs) of 0.07. This resulted in an ICER of around A$4,472 per QALY gained, which is likely to be considered ‘cost-effective’ The cost-effectiveness acceptability curve indicated that screening with Sound Scouts has a 95% probability of being cost-effective using a threshold of A$60,000 per QALY.Conclusions: Using Sound Scouts to screen five year old children for hearing loss (at home) before entering school is a cost effective method. However, further analysis on the cost of implementing a universal screening program must be conducted before the cost effectiveness of a universal screening program can be determined.

U2 - 10.1016/j.jval.2018.07.532

DO - 10.1016/j.jval.2018.07.532

M3 - Meeting abstract

VL - 21

SP - S70

JO - Value in Health

JF - Value in Health

SN - 1098-3015

IS - Suppl. 2

M1 - PMD17

ER -