{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T07:01:53Z","timestamp":1783580513159,"version":"3.55.0"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2015,9,14]],"date-time":"2015-09-14T00:00:00Z","timestamp":1442188800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215115002431_sec_a1\"><jats:title>Background:<\/jats:title><jats:p>Vestibular schwannomas are a rare cause of asymmetrical hearing loss, and routine screening with magnetic resonance imaging can be costly. This paper reports results on vestibular schwannoma screening at our institution and compares the cost of screening to a utility of hearing benefit.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115002431_sec_a2\"><jats:title>Method:<\/jats:title><jats:p>All screening examinations with magnetic resonance imaging performed for asymmetrical hearing loss between 2006 and 2011 were retrospectively reviewed. The cost per new vestibular schwannoma diagnosis was calculated. The cost per patient for those who benefitted from intervention was estimated based on rates of hearing preservation reported in the literature.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115002431_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>Forty-five (4.3 per cent) of 1050 screening examinations with magnetic resonance imaging performed for asymmetrical hearing loss were positive for vestibular schwannoma, and the cost per new diagnosis was $11 436. The estimated screening cost per patient for those who benefitted from surgery or radiation was $147 030, while US federal compensation for unilateral hearing loss was $44 888.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115002431_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>Although we achieved a lower screening cost per new diagnosis than reported in the current literature, there remains disparity between the screening cost per benefitted patient and the \u2018benefit\u2019 of hearing.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215115002431","type":"journal-article","created":{"date-parts":[[2015,9,14]],"date-time":"2015-09-14T03:48:32Z","timestamp":1442202512000},"page":"21-24","source":"Crossref","is-referenced-by-count":12,"title":["Cost analysis of vestibular schwannoma screening with contrast-enhanced magnetic resonance imaging in patients with asymmetrical hearing loss"],"prefix":"10.1017","volume":"130","author":[{"given":"P","family":"Pan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Morioka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Hathout","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S M","family":"El-Saden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,9,14]]},"reference":[{"key":"S0022215115002431_ref21","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199702000-00005"},{"key":"S0022215115002431_ref7","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2006.105.4.527"},{"key":"S0022215115002431_ref25","doi-asserted-by":"publisher","DOI":"10.1215\/S1522851704001097"},{"key":"S0022215115002431_ref15","doi-asserted-by":"publisher","DOI":"10.1080\/02688699550041133"},{"key":"S0022215115002431_ref30","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2001.94.2.0211"},{"key":"S0022215115002431_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(02)03651-9"},{"key":"S0022215115002431_ref20","unstructured":"Social Security Administration. 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