Evidence map›Paper›PMID 35751122›Full record

ArticleCost effectiveness and resource allocation : C/E2022

A pragmatic clinical trial of hearing screening in primary care clinics: cost-effectiveness of hearing screening.

Judy R Dubno, Pranab Majumder, Janet Prvu Bettger, Rowena J Dolor, Victoria Eifert, Howard W Francis, Carl F Pieper, Kristine A Schulz, Mina Silberberg, Sherri L Smith and 3 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cost effectiveness and resource allocation : C/E, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02928107 (Addressing Barriers to Adult Hearing Healthcare), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02928107 nacompletednot on this map

Addressing Barriers to Adult Hearing Healthcare

TypeinterventionalSponsorDuke UniversityRan2016 to 2021Enrolled1,146ConditionsHearing Loss, Geriatric DisorderArmsTele-HS, PCP encouragement
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Validation of the Effectiveness of Three-Step Hand Rub Hearing Screening.Journal of the American Academy of Audiology · 2025
    Article
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Judy R DubnoDepartment of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA. dubnojr@musc.edu.
Pranab MajumderFuqua School of Business, Duke University, Durham, NC, USA.
Janet Prvu BettgerDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
Rowena J DolorDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Victoria EifertDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Howard W FrancisDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Carl F PieperCenter for Study of Aging and Human Development, Duke University School of Medicine, Durham, NC, USA.
Kristine A SchulzDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Mina SilberbergDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Sherri L SmithDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Amy R WalkerDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
David L WitsellDepartment of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Debara L TucciNational Institute On Deafness and Other Communication Disorders, National Institutes of Health, Bethesda, MD, USA.
Duke University · USMedical University of South Carolina · USNational Institutes of Health · US

Funding

Addressing Barriers to Adult Hearing HealthcareR33DC015003 · NIDCD · DUKE UNIVERSITY · PI FRANCIS, HOWARD W, SMITH, SHERRI L. · 2017 to 2020
$2.2M
NIDCD NIH HHS R33 DC015003
6 · The paper itself

Abstract

backgroundHearing loss is a high prevalence condition among older adults, is associated with higher-than-average risk for poor health outcomes and quality of life, and is a public health concern to individuals, families, communities, professionals, governments, and policy makers. Although low-cost hearing screening (HS) is widely available, most older adults are not asked about hearing during health care visits. A promising approach to addressing unmet needs in hearing health care is HS in primary care (PC) clinics; most PC providers (PCPs) do not inquire about hearing loss. However, no cost assessment of HS in community PC settings has been conducted in the United States. Thus, this study conducted a cost-effectiveness analysis of HS using results from a pragmatic clinic trial that compared three HS protocols that differed in the level of support and encouragement provided by the PC office and the PCPs to older adults during their routine visits. Two protocols included HS at home (one with PCP encouragement and one without) and one protocol included HS in the PC office.

methodsDirect costs of the HS included costs of: (1) educational materials about hearing loss, (2) PCP educational and encouragement time, and (3) access to the HS system. Indirect costs for in-office HS included cost of space and minimal staff time. Costs were tracked and modeled for each phase of care during and following the HS, including completion of a diagnostic assessment and follow-up with the recommended treatment plan.

resultsThe cost-effectiveness analysis showed that the average cost per patient is highest in the patient group who completed the HS during their clinic visit, but the average cost per patient who failed the HS is by far the lowest in that group, due to the higher failure rate, that is, rate of identification of patients with suspected hearing loss. Estimated benefits of HS in terms of improvements in quality of life were also far greater when patients completed the HS during their clinic visit.

conclusionsProviding HS to older adults during their PC visit is cost-effective and accrues greater estimated benefits in terms of improved quality of life.

trial registrationclinicaltrials.gov (Registration Identification Number: NCT02928107).

Indexed as

Cost-effectivenessHearing lossHearing screeningOlder adultsPrimary care clinic

Identifiers

PMID35751122
PMCPMC9233354
OpenAlexW4283448509

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.