Evaluation of Cost-Effectiveness of Cochlear Implant Use in Albania and Benefits from its Applications to Children with Profound Loss Hearing

  • MSc. Mirvete Rama
  • Dr.Sc. Anjeza Kaleci
  • Dr.Sc. Sonila Vito
  • MSc. Selvete Shuleta-Qehaja
Keywords: Cochlear Implant, Deafness, Cost-Effectiveness, Life Quality, Lost Hearing,


Background: It is estimated that each year in Albania, about 70 children are born with profound hearing loss. If detected and diagnosed early (before age 4-5) and treated with cochlear implant, these children are likely to recover from the loss of hearing in a certain extent and to gradually develop speech, thus integrate in life and society.

The purpose of this study is to compare these two alternatives by combining the costs and respective benefits or outcomes through a pharmacy economic evaluation. This assessment provides theoretical data on the problem of profound hearing loss mainly in children, long-term consequences of this condition in their life mainly in lingual development , cognitive (cognitive), emotional, and social benefits and highlights the impact of cochlear implant in the lives of these individuals.

Methodology: As for those individuals, whose quality of life is compromised by their defect, we used a cost-utility analysis. The assessment is done from the perspective of the payer and the society. After assessment of costs and calculation of QALYs for each alternative we concluded.

Conclusions: Cochlear implant improves hearing perception and helps the development of speech at young children with profound hearing loss under the age of 4-5.The younger the child is the greater are the benefits. Cochlear implant is more cost-effective from both perspectives considered by our study (Payer and Society) compared with no implant.


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Original Research Articles