{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:28:01Z","timestamp":1779316081148,"version":"3.51.4"},"reference-count":39,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T00:00:00Z","timestamp":1712620800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Universal newborn hearing screening (UNHS) has been widely and strongly advocated as an early detection strategy for hearing loss in children. This intervention aims to prevent delays in speech and language development, which, in turn, has long-term beneficial effects on the social and emotional development and quality of life of individuals. However, the implementation of UNHS programs is circumstantial in different settings, for different reasons.<\/jats:p><jats:p>\n          Objectives\u2003The present systematic review aimed to identify whether the implementation of UNHS programs are cost-effective, as well as their variations by localities.<\/jats:p><jats:p>\n          Data Synthesis\u2003A search was conducted in seven databases: PubMed (Medline), Scopus, Web of Science, Embase, CINAHL, Lilacs, and Cochrane Library. Studies that included a cost analysis of UNHS programs were eligible for inclusion. Studies on evaluations of preschool or school-based programs only were excluded, among others. A total of 1,291 records were found. Of these, 23 articles were analyzed in full. All articles identified the cost-effectiveness of the UNHS programs implemented. Regarding the UNHS protocols, a wide variation was observed in all aspects: tests used, period established between tests and retests, professionals responsible for screening, environment, and criteria for defining hearing loss, limiting the generalization of this information. All studies presented values related to the expenses with the program, but none of them showed statistical elements for the described analyzes or any theoretical basis for such.<\/jats:p><jats:p>\n          Conclusion\u2003It is necessary to estimate local specific issues, as well as the accuracy of the chosen tests and the NHS protocols used, so that more accurate analyzes on cost-effectiveness are possible.<\/jats:p>","DOI":"10.1055\/s-0043-1776703","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T23:06:36Z","timestamp":1712703996000},"page":"e668-e696","source":"Crossref","is-referenced-by-count":3,"title":["Cost-effectiveness of Neonatal Hearing Screening Programs: Systematic Review"],"prefix":"10.1055","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4263-9991","authenticated-orcid":false,"given":"Lu\u00edza Silva","family":"Vernier","sequence":"additional","affiliation":[{"name":"Department of Postgraduate Program in Health Sciences, Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9555-6631","authenticated-orcid":false,"given":"Carolina Pereira","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of Speech Therapy, Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4508-6368","authenticated-orcid":false,"given":"Pedro Pablo","family":"Skorin","sequence":"additional","affiliation":[{"name":"Department of Economics and International Relations, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1322-6426","authenticated-orcid":false,"given":"Audrei Thayse Viegel de","family":"\u00c1vila","sequence":"additional","affiliation":[{"name":"Department of Speech Therapy, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6338-7287","authenticated-orcid":false,"given":"Daniela Centenaro","family":"Levandowski","sequence":"additional","affiliation":[{"name":"Department of Psychology, Universidade Federal de Ci\u00eancias da Sa\u00fade de Porto Alegre, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,4,9]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"2503","DOI":"10.1016\/S0140-6736(17)31073-5","article-title":"Global hearing health care: new findings and perspectives","volume":"390","author":"B S Wilson","year":"2017","journal-title":"Lancet"},{"key":"ref2","volume-title":"Prevention of blindness and deafness: estimates 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Verkleij","year":"2021","journal-title":"Ear Hear"},{"key":"ref41","first-page":"1","article-title":"EUS\u20acREEN Foundation. Assessment of hearing screening programmes across 47 countries or regions II: coverage, referral, follow-up and detection rates from newborn hearing screening","volume":"9","author":"A R Mackey","year":"2021","journal-title":"Int J Audiol"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1776703.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:28:46Z","timestamp":1730824126000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1776703"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,9]]},"references-count":39,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2024,10,25]]},"published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1776703","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"value":"1809-9777","type":"print"},{"value":"1809-4864","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,9]]}}}