{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T05:03:08Z","timestamp":1780117388482,"version":"3.54.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T00:00:00Z","timestamp":1605139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Percutaneous bone\u2010anchored hearing devices (pBAHDs) are the most commonly used bone conduction implants (BCI). Concerns surround the long\u2010term complications, notably skin\u2010related, in patients with percutaneous abutments. The active transcutaneous BCI Bonebridge system can help avoid some of these pitfalls but is often considered a second\u2010line option due to various factors including perceived increased overall costs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Longitudinal economic analysis of Bonebridge BCI 601 versus pBAHD over a 5\u2010year follow\u2010up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A specialist hearing implant centre.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Adult patients (\u226516\u00a0years) with conductive hearing loss, mixed hearing loss or single\u2010sided deafness, who received a Bonebridge or pBAHD implant between 1\/7\/2013 and 1\/12\/2018 with a minimum 12\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>We compared the mean costs per implanted patient for both implants at 1, 3 and 5\u00a0years postoperative time points. Clinical effectiveness was evaluated using objective and patient\u2010reported outcome measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean total cost per patient of Bonebridge was significantly higher than pBAHD at 1\u2010year post\u2010implantation (\u00a38512 standard deviation [SD] \u00a3715 <jats:italic>vs<\/jats:italic> \u00a35590 SD \u00a31394, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001); however, by 5\u2010years post\u2010implantation this difference was no longer statistically significant (\u00a312\u00a0453 SD \u00a32159 <jats:italic>vs<\/jats:italic> \u00a312\u00a0575 SD \u00a33854, <jats:italic>P<\/jats:italic>\u00a0&gt;\u00a0.05). The overall cost convergence was mainly accounted for by the increased long\u2010term complications, revision surgery rates and higher cost of the pBAHD external processor compared to Bonebridge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Long\u2010term costs of Bonebridge to healthcare providers are comparable to pBAHDs, whilst offering lower complication rates, comparable audiological benefit and patient satisfaction. Bonebridge should be considered as a first\u2010line BCI option in appropriate cases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13659","type":"journal-article","created":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T14:45:35Z","timestamp":1602945935000},"page":"263-272","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Longitudinal economic analysis of Bonebridge 601 versus percutaneous bone\u2010anchored hearing devices over a 5\u2010year follow\u2010up period"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9579-8454","authenticated-orcid":false,"given":"Nikul","family":"Amin","sequence":"first","affiliation":[{"name":"Hearing Implant Centre Guy\u2019s and St Thomas\u2019 NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew Jonathan","family":"Soulby","sequence":"additional","affiliation":[{"name":"Hearing Implant Centre Guy\u2019s and St Thomas\u2019 NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3464-2688","authenticated-orcid":false,"given":"Daniele","family":"Borsetto","sequence":"additional","affiliation":[{"name":"Hearing Implant Centre Guy\u2019s and St Thomas\u2019 NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3023-4572","authenticated-orcid":false,"given":"Irumee","family":"Pai","sequence":"additional","affiliation":[{"name":"Hearing Implant Centre Guy\u2019s and St Thomas\u2019 NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000499363"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002362"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12484"},{"key":"e_1_2_10_5_1","first-page":"1","article-title":"Historical background of bone conduction hearing devices and bone conduction hearing aids","volume":"71","author":"Mudry A","year":"2011","journal-title":"Adv Otorhinolaryngol"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3436-1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1613685"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215116001080"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0221484"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2013.02.003"},{"key":"e_1_2_10_11_1","unstructured":"MED\u2010EL.Air Conduction vs. Bone Conduction: Candidacy Guide for Bone Conduction Systems.2019;https:\/\/blog.medel.pro\/bone\u2010conduction\u2010candidacy\u2010audiogram\/Accessed 2\/3\/20."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31822e5ae6"},{"key":"e_1_2_10_13_1","unstructured":"NHS England Specialised Commissioning Team.Clinical Commissioning Policy: Bone conducting hearing implants (BCHIs) for hearing loss (all ages). 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