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Published on: June 8, 2017
Cost-effectiveness of Neonatal Hearing Screening Programs: Systematic Review.
Luíza Silva Vernier1, Carolina Pereira Fernandes2, Pedro Pablo Skorin3
1Department of Postgraduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.
Universal newborn hearing screening (UNHS) is cost-effective but protocols vary widely. Local factors and test accuracy are crucial for precise cost-effectiveness analyses of hearing loss detection programs.
Area of Science:
- Public Health
- Audiology
- Health Economics
Background:
- Universal newborn hearing screening (UNHS) is vital for early detection of hearing loss in infants.
- Early intervention prevents speech, language, social, and emotional developmental delays.
- UNHS program implementation varies significantly across different settings.
Purpose of the Study:
- To systematically review the cost-effectiveness of UNHS programs.
- To identify variations in UNHS program implementation by locality.
Main Methods:
- A systematic search was conducted across seven major databases.
- Included studies focused on cost analysis of UNHS programs.
- 23 articles were analyzed from 1,291 initial records.
Main Results:
- All analyzed studies confirmed the cost-effectiveness of implemented UNHS programs.
- Significant variations were found in UNHS protocols (tests, retests, personnel, criteria).
- Studies lacked statistical elements and theoretical basis for cost analyses.
Conclusions:
- Accurate cost-effectiveness analysis requires consideration of local specifics.
- The accuracy of chosen tests and screening protocols is essential.
- Standardization and robust methodologies are needed for UNHS program evaluation.
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