Cost-Effectiveness of Hearing Screening in Older Adults: A Scoping Review

Amber K. Hsu; Sarah M. Bassett; Linda C. O’Dwyer; Megan McHugh; Allen W. Heinemann; Neil Jordan; Sumitrajit Dhar

doi:10.1177/01640275211008583

Cost-Effectiveness of Hearing Screening in Older Adults: A Scoping Review

Amber K. Hsu^*, Sarah M. Bassett, Linda C. O’Dwyer, Megan McHugh, Allen W. Heinemann, Neil Jordan, Sumitrajit Dhar

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

1 Scopus citations

Abstract

Objectives: Age is the most common predictor of hearing loss; however, many older adults are not screened. Hearing screening could improve healthcare access, participation, and outcomes. Establishing whether hearing screening in older adults is cost-effective could improve the availability and utilization of screening. Methods: We searched nine databases in January 2020. Studies with populations aged 50+ and provided data on the cost-effectiveness of hearing screening were included in the review. Results: Five studies met the inclusion criteria and all found hearing screening programs to be cost-effective compared to no hearing screening, regardless of screening method (i.e., instrument or strategy). The maximum number of repeated screenings, coupled with younger ages, was most cost-effective. Discussion: This review suggests that hearing screening in older adults is cost-effective, however, the evidence is limited. There is pressing need for research focused on economic impacts of hearing healthcare in older adults to inform research, policy and practice.

Original language	English (US)
Pages (from-to)	186-204
Number of pages	19
Journal	Research on Aging
Volume	44
Issue number	2
DOIs	https://doi.org/10.1177/01640275211008583
State	Published - Feb 2022

Keywords

cost
economic evaluation
hearing loss
hearing screening

ASJC Scopus subject areas

Social Psychology
Health(social science)
Geriatrics and Gerontology

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10.1177/01640275211008583

Cite this

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title = "Cost-Effectiveness of Hearing Screening in Older Adults: A Scoping Review",

abstract = "Objectives: Age is the most common predictor of hearing loss; however, many older adults are not screened. Hearing screening could improve healthcare access, participation, and outcomes. Establishing whether hearing screening in older adults is cost-effective could improve the availability and utilization of screening. Methods: We searched nine databases in January 2020. Studies with populations aged 50+ and provided data on the cost-effectiveness of hearing screening were included in the review. Results: Five studies met the inclusion criteria and all found hearing screening programs to be cost-effective compared to no hearing screening, regardless of screening method (i.e., instrument or strategy). The maximum number of repeated screenings, coupled with younger ages, was most cost-effective. Discussion: This review suggests that hearing screening in older adults is cost-effective, however, the evidence is limited. There is pressing need for research focused on economic impacts of hearing healthcare in older adults to inform research, policy and practice.",

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note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The contents of this manuscript were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90ARPO0001). NIDILRR is a Center within the Administration for Community Living, Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government. Publisher Copyright: {\textcopyright} The Author(s) 2021.",

year = "2022",

month = feb,

doi = "10.1177/01640275211008583",

language = "English (US)",

volume = "44",

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AU - O’Dwyer, Linda C.

AU - McHugh, Megan

AU - Heinemann, Allen W.

AU - Jordan, Neil

AU - Dhar, Sumitrajit

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The contents of this manuscript were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90ARPO0001). NIDILRR is a Center within the Administration for Community Living, Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government. Publisher Copyright: © The Author(s) 2021.

PY - 2022/2

Y1 - 2022/2

N2 - Objectives: Age is the most common predictor of hearing loss; however, many older adults are not screened. Hearing screening could improve healthcare access, participation, and outcomes. Establishing whether hearing screening in older adults is cost-effective could improve the availability and utilization of screening. Methods: We searched nine databases in January 2020. Studies with populations aged 50+ and provided data on the cost-effectiveness of hearing screening were included in the review. Results: Five studies met the inclusion criteria and all found hearing screening programs to be cost-effective compared to no hearing screening, regardless of screening method (i.e., instrument or strategy). The maximum number of repeated screenings, coupled with younger ages, was most cost-effective. Discussion: This review suggests that hearing screening in older adults is cost-effective, however, the evidence is limited. There is pressing need for research focused on economic impacts of hearing healthcare in older adults to inform research, policy and practice.

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Cost-Effectiveness of Hearing Screening in Older Adults: A Scoping Review

Abstract

Keywords

ASJC Scopus subject areas

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