Measuring success: Cost-effectiveness and expanding access to cochlear implantation

James E. Saunders, Howard W. Francis, Piotr H. Skarzynski

Research output: Contribution to journalArticlepeer-review


Only a small fraction of patients with profound sensorineural hearing loss have access to cochlear implantation with the majority of these affected people living in developing countries. Cost effectiveness analysis (CEA) is an important tool to demonstrate the value of this technology to healthcare policy makers. This approach requires that hearing healthcare professionals incorporate methods of assessing long-Term benefits of cochlear implantation that include psychosocial, quality of life, and disability outcomes. This review explores different aspects of CEA methodology relevant to cochlear implants and discusses ways that we can improve global access by addressing factors that influence cost-effectiveness.

Original languageEnglish (US)
Pages (from-to)e135-e140
JournalOtology and Neurotology
Issue number2
StatePublished - Jan 28 2016


  • Cochlear implants
  • Cost effectiveness
  • DALY
  • Developing countries
  • QALY

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Clinical Neurology
  • Sensory Systems


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