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인공와우 이식의 비용효용 분석

Other Titles
 Cost-Utility Analysis of the Cochlear Implant 
 이후연  ;  김희남  ;  박은철  ;  최재영  ;  김한중 
 Journal of Preventive Medicine and Public Health, Vol.37(4) : 353-358, 2004 
Journal Title
Journal of Preventive Medicine and Public Health
Issue Date
Cost-utility analysis ; Cochlear implant ; Quality adjusted life-year
Objective: To determine the quality of life and cost consequences for deaf adults who received a cochlear implant.

Methods : The data from 11 patients, post-lingual deaf adults who received cochlear implants from 1990 to 2002, underwent cost-utility analysis. The average age of the participants was 49.6 years. The main outcomes were direct cost per quality-adjusted life-year (QALY) using the visual analog scale (VAS), health utility index (HUI), EuroQol (EQ-5D), and quality well-being (QWB), with costs and utilities being discounted 3% annually.

Results: Recipients had an average of 5.6 years of implant use. Mean VAS scores increased by 0.33, from 0.27 before implantation to 0.60 at survey. HUI scores increased by 0.36, from 0.29 to 0.65, EQ-5D scores increased by 0.26, from 0.52 to 0.78, and QWB scores increased by 0.16, from 0.45 to 0.61. Discounted direct costs were $22,320, yielding $19,223/QALY using VAS, $17,387/OALY using HUI, $24,604/QALY using EQ-SD, and $40,474/QALY using QWB. Cost-utility ratios using VAS, HUI, and EQ-SD were all below $25,000 per QALY, except using QWB.

Conclusion : Cochlear implants in post-lingual deaf adult have a positive effect on quality of life at reasonable direct costs and appear to produce a net saving to society.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Han Joong(김한중)
Kim, Hee Nam(김희남)
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Lee, Hoo Yeon(이후연)
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0001-9493-3458
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