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Related Experiment Video

Updated: Jan 8, 2026

Sound Source Localization Testing in Single-sided Deafness Following Bone Conduction Intervention
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Cost-effectiveness Analysis Comparing Osia System to Percutaneous Bone Conduction Devices in Sweden.

Federico Ghinelli1, Carolyn Steeds1, Laura Wells1

  • 1Valid Insight, Macclesfield, England, UK.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|December 19, 2025
PubMed
Summary

The active transcutaneous Osia System is cost-effective compared to percutaneous bone conduction devices (BCD) for adults in Sweden. This hearing solution improves quality of life and offers long-term value within healthcare budgets.

Keywords:
AudiologyBone conduction deviceBone conduction hearing solutionsConductive and mixed hearing lossCost-effectiveness analysisEconomic modelingIncremental cost effectiveness ratioOsia system

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Area of Science:

  • Audiology and Otolaryngology
  • Health Economics
  • Medical Devices

Background:

  • Bone conduction devices (BCD) offer solutions for conductive hearing loss (CHL), mixed hearing loss (MHL), and single-sided deafness (SSD).
  • BCDs significantly enhance hearing capacity, positively impacting patients' quality of life, mental health, education, and work.
  • Devices are categorized as percutaneous or transcutaneous, with selection based on audiological outcomes, safety, patient preference, and cost.

Purpose of the Study:

  • To evaluate the cost-effectiveness of the active transcutaneous Osia System compared to percutaneous bone conduction devices.
  • To inform decision-making for healthcare providers and budgets regarding optimal BCD solutions for adult patients in Sweden.

Main Methods:

  • A Markov model simulated adult patients (aged 59+) receiving either Osia or percutaneous BCDs over a lifetime horizon.
  • Health states included device use, explantation/non-use, and death, with transition probabilities and utility scores (HUI3) derived from literature.
  • Cost data from Swedish sources (Socialstyrelsen) were incorporated, with incremental cost-effectiveness ratio (ICER) per Quality-Adjusted Life Year (QALY) as the primary outcome.

Main Results:

  • The Osia System demonstrated an incremental cost of 79,293 SEK and an increase of 0.73 QALYs compared to percutaneous devices.
  • The resulting ICER was 108,318 SEK per QALY gained, indicating cost-effectiveness.
  • Key drivers included baseline age, surgical costs, and differential utility scores, potentially linked to Osia's reduced complications and improved hearing.

Conclusions:

  • The Osia System is considered cost-effective compared to percutaneous devices within Swedish willingness-to-pay thresholds.
  • This economic analysis supports informed choices for selecting BCDs that align with patient needs and healthcare resource allocation.