Received 31 July 2007; received in revised form 28 November 2007; accepted 17 December 2007.
Objective
The objective of this study was to explore improvements in quality of life and the cost-utility of bilateral cochlear implantation.
Study Design and Setting
A prospective case-control study was conducted on 23 bilateral cochlear implant patients with the Mark III health utility index.
Results
Results indicate a 0.48 mean gain in health utility after bilateral cochlear implantation and a discounted cost per quality adjusted life year of $24,859 in this cohort of patients. With a comparison of patient scores for unilateral and bilateral use, improvements in the domains of hearing, speech, emotion, and cognition were noted, resulting in a mean gain in health utility of 0.11.
Conclusions
This study found an improvement in quality of life and a favorable cost-utility associated with bilateral cochlear implantation in patients with profound hearing loss. These patients showed additional improvements in quality of life after they received their second implant.
Clinical Significance
This is the first study that showed improvements in quality of life and a favorable cost-utility after bilateral cochlear implantation in patients with profound hearing loss.
aMarion General Hospital, Indiana University School of Medicine, Marion, IN
bDepartment of Otolaryngology–Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN.
Corresponding author: Bradford G. Bichey, MD, MPH, 330 North Wabash Ave, Marion, IN 46952.
ABSTRACT