Beneficios económicos del implante coclear para la hipoacusia sensorineural profunda

objective: evaluate the cost-benefit, cost-utility, and cost-effectiveness of cochlear implantation, comparing it to the use of hearing aids in children with profound bilateral sensorineural hearing loss. methods: the nonparametric propensity score matching method was used to carry out an economic and impact assessment of the cochlear implant and then perform cost-benefit, cost-utility, and cost-effectiveness analyses. primary information was used, taken randomly from 100 patients: 62 who received cochlear implants (treatment group) and 38 belonging to the control group who used hearing aids to treat profound sensorineural hearing loss. results: an economic cost differential was found-to the advantage of the cochlear implant-of close to us$ 204 000 between the implant and the use of hearing aids over the expected life span of the patients analyzed. this amount refers to the greater expenses that hearing-aid patients will have. with this adjusted figure, the cost-benefit indicator shows that for each dollar invested to treat the cochlear-implant patient, there is a return on the investment of us$ 2.07. conclusions: the cochlear implant produces economic benefits for the patient. it also produces health utilities since positive cost-utility (gain in decibels) and cost-effectiveness (gain in language discrimination) ratios were found.