Related Experiment Video
Updated: Jun 22, 2026
Performing Intracochlear Electrocochleography During Cochlear Implantation
Published on: March 8, 2022
The economics of cochlear implant management in France: a multicentre analysis
Laurent Molinier1, Hélène Bocquet, Vanina Bongard
1Department of Medical Information, Inserm U558, University Hospital Hôtel-Dieu Saint-Jacques, 2 rue Viguerie, TSA 80035, 31059, Toulouse Cedex 9, France. molinier.l@chu-toulouse.fr
Insights
The direct medical cost of cochlear implantation in France averages €34,686 for children and €31,946 for adults, with the device being the largest expense. These costs are crucial for healthcare resource allocation decisions.
Area of Science:
- Otorhinolaryngology
- Health Economics
Background:
- Severe to profound hearing impairment affects both children and adults.
- Cochlear implantation is a critical intervention for hearing restoration.
Purpose of the Study:
- To assess the direct medical costs associated with cochlear implantation in pediatric and adult populations in France.
- To provide data for healthcare financing and resource allocation decisions.
Main Methods:
- Prospective, multicenter study across 19 French University Hospitals.
- Inclusion of 268 children and 201 adults with severe to profound hearing impairment.
- Detailed tracking of medical resource utilization in the first year post-implantation.
Main Results:
- Mean first-year medical costs were €34,686 per child and €31,946 per adult.
- The cochlear implant device constituted 64.4% of costs for children and 68.8% for adults.
- Significant cost variations may arise from methodological differences in cost analyses.
Conclusions:
- Cochlear implantation represents a substantial medical cost, primarily driven by device expenses.
- Accurate cost data is essential for effective healthcare system financing and resource allocation.
- Understanding these costs informs future healthcare policy and investment in hearing restoration technologies.
Abstract:
This study assessed the direct medical cost of cochlear implantation in children and adults in France. A prospective multicentre study involving 19 French University Hospitals included 268 children and 201 adults who were severely to profoundly hearing-impaired. Medical resources utilisation included diagnostic tests, in-patient care, device implants, adverse events and follow-up visits for rehabilitation in the 1st year. The mean costs were