{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:26:50Z","timestamp":1787840810041,"version":"build-2784847793"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Backgroud:<\/jats:title>\n                    <jats:p>Hearing loss is the most common congenital disorder that appears as a unilateral or bilateral deafness. Early detection by screening and appropriate intervention lead to better oral communication and language development. The aim of this study was to evaluate the cost per new case identification of neonate hearing screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The cost effectiveness of two stage hospital based newborn hearing loss screening was evaluated in this study. We gathered data for 11168 newborns born in 10 hospitals. We included a direct cost and new case identification as cost and outcome measures from health system prospective in our model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We found 19 new cases with hearing loss from 11168 screened neonates (1.7 per 1000). The referral rates in the first and second stages were respectively 28% and 7%. The total cost of screening program was 132167 US$. The main cost item is screening test (OAE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We concluded cost per new case detection is 6956 US$ in Iranian neonate hearing screening program. Almost, it is equal to GDP per capita and it may be cost effective. Since there are many strategies to screening of newborn, it is suggested that all alternative screening strategies be analyzed by a cost effectiveness method to find the best strategy for hearing loss screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijpvm.ijpvm_270_20","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T08:29:49Z","timestamp":1716884989000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Is Newborn Hearing Screening Cost Effective? Economic Consideration for Policy Makers"],"prefix":"10.4103","volume":"12","author":[{"given":"Fatemeh","family":"Jafarlou","sequence":"first","affiliation":[{"name":"Departments of Audiology, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran"},{"name":"Department of Audiology, Faulty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behzad","family":"Najafi","sequence":"additional","affiliation":[{"name":"Health Economics, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed Jalal","family":"Sameni","sequence":"additional","affiliation":[{"name":"Department of Audiology, Faulty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,11,15]]},"reference":[{"key":"R1-20250812","first-page":"65","article-title":"The pilot study of a nationwide neonatal hearing screening in Iran: Akbarabadi and Mirzakouchak-Khan hospitals in Tehran (June 2003-October 2004)-In Persian","volume":"9","author":"Farhadi","year":"2006","journal-title":"HAKIM"},{"key":"R2-20250812","first-page":"1209","article-title":"Evaluation of universal newborn hearing screening with transient-evoked otoacoustic emission and auditory brainstem response: A cross-sectional study with the literature review-In Persian","volume":"30","author":"Torkaman","year":"2012","journal-title":"J Isfahan Med Sch"},{"key":"R3-20250812","first-page":"1","article-title":"Determination of hearing loss prevalence in centers of provinces-In persian","volume":"5","author":"Firouzbakht","year":"2007","journal-title":"Public Heal Fac"},{"key":"R4-20250812","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1258\/096914106776179764","article-title":"An analysis of the costs of implementing the National Newborn Hearing Screening Programme in England","volume":"13","author":"Uus","year":"2006","journal-title":"J Med Screen"},{"key":"R5-20250812","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1067\/mpd.2001.115971","article-title":"Comparison of costs and referral rates of 3 universal newborn hearing screening protocols","volume":"139","author":"Vohr","year":"2001","journal-title":"J Pediatr"},{"key":"R6-20250812","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1007\/s13312-011-0067-0","article-title":"Early identification of hearing loss and centralized newborn hearing screening facility-the Cochin experience","volume":"48","author":"Paul","year":"2011","journal-title":"Indian Pediatr"},{"key":"R7-20250812","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.ijporl.2012.09.019","article-title":"Feasibility and effectiveness of a population-based newborn hearing screening in an economically deprived region of Italy","volume":"77","author":"Pisacane","year":"2013","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"R8-20250812","first-page":"1","article-title":"Economic evaluation of newborn hearing screening: Modelling costs and outcomes","volume":"1","author":"Hessel","year":"2003","journal-title":"Ger Med Sci"},{"key":"R9-20250812","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/1472-6963-6-14","article-title":"Neonatal hearing screening: Modelling cost and effectiveness of hospital-and community-based screening?","volume":"6","author":"Grill","year":"2006","journal-title":"BMC Health Serv Res"},{"key":"R10-20250812","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1016\/j.ijporl.2007.07.008","article-title":"Benefits and costs of universal hearing screening programme","volume":"71","author":"Cao-Nguyen","year":"2007","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"R11-20250812","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.ijporl.2003.10.015","article-title":"Benefits and challenges of newborn hearing screening for developing countries","volume":"68","author":"Olusanya","year":"2004","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"R12-20250812","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1542\/peds.101.1.e4","article-title":"Newborn hearing screening: The great omission","volume":"101","author":"Mehl","year":"1998","journal-title":"Pediatrics"},{"key":"R13-20250812","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1016\/j.ijporl.2008.02.011","article-title":"The universal newborn hearing screening program at the University Hospital of Ferrara: Focus on costs and software solutions","volume":"72","author":"Ciorba","year":"2008","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"R14-20250812","first-page":"109","article-title":"Identifying congenital hearing impairment. Personal experience based on selective hearing screening","volume":"24","author":"Molini","year":"2004","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"R15-20250812","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1055\/s-0028-1085101","article-title":"Historical political and technological context associated with early identification of hearing loss","volume":"14","author":"Mauk","year":"1993","journal-title":"Semin Hear"},{"key":"R17-20250812","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1542\/peds.106.3.e43","article-title":"Early intervention and language development in children who are deaf and hard of hearing","volume":"106","author":"Moeller","year":"2000","journal-title":"Pediatrics"},{"key":"R18-20250812","first-page":"49","article-title":"Epidemiology of hearing loss in Iran-In Persian","volume":"54","author":"Joghataei","year":"2004","journal-title":"Med Refinement"},{"key":"R20-20250812","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2165\/00019053-199711020-00005","article-title":"Guidelines for pharmaco-economic studies: Recommendations from the panel on cost effectiveness in health and medicine","volume":"11","author":"Siegel","year":"1997","journal-title":"Pharmacoeconomics"},{"key":"R21-20250812","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1016\/S0030-6665(05)70196-1","article-title":"Benefits of early intervention for children with hearing loss","volume":"32","year":"1999","journal-title":"Otolaryngol Clin North Am"},{"key":"R22-20250812","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1542\/peds.106.4.798","article-title":"Joint Committee on Infant Hearing. Year 2000 position statement: Principles and guidelines for early hearing detection and intervention programs","volume":"106","year":"2000","journal-title":"Pediatrics"},{"key":"R23-20250812","first-page":"75","article-title":"Determination of hearing loss prevalence in preschool children of Ahvaz","volume":"23","author":"Sarafraz","year":"2011","journal-title":"Iran J Otorhinolaryngol"},{"key":"R24-20250812","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1542\/peds.103.2.527","article-title":"American Academy of Pediatrics Task Force on Newborn and Infant Hearing. Newborn and infant hearing loss: Detection and intervention","volume":"103","year":"1999","journal-title":"Pediatrics"},{"key":"R25-20250812","first-page":"120","article-title":"Newborn hearing screening: Costs of establishing a program","volume":"22","author":"Lemons","year":"2002","journal-title":"J Perinatol Off J Calif Perinat Assoc"},{"key":"R26-20250812","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/S0022-3476(98)70268-9","article-title":"The Rhode Island hearing assessment program: Experience with statewide hearing screening (1993\u20131996)","volume":"133","author":"Vohr","year":"1998","journal-title":"J Pediatr"},{"key":"R27-20250812","first-page":"271","article-title":"Referral rates and cost efficiency in a universal newborn hearing screening program using transient evoked otoacoustic emissions","volume":"6","author":"Maxon","year":"1995","journal-title":"J Am Acad Audiol"},{"key":"R28-20250812","first-page":"487","article-title":"Universal newborn hearing screening: Feasibility in a community hospital","volume":"42","author":"Huynh","year":"1996","journal-title":"J Fam Pr"},{"key":"R29-20250812","first-page":"8","article-title":"Considerations for universal newborn hearing screening, audiologic assessment & intervention","volume":"1","author":"Gabbard","year":"1998","journal-title":"Audiol Today"},{"key":"R30-20250812","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1542\/peds.101.2.221","article-title":"Universal infant hearing screening by automated auditory brainstem response measurement","volume":"101","author":"Mason","year":"1998","journal-title":"Pediatrics"},{"key":"R32-20250812","first-page":"199","article-title":"The specificity and sensitivity of transient otoacustic emission in neonatal hearing screening compared with diagnostic test of auditory brain stem response in Tehran hospitals","volume":"23","author":"Yousefi","year":"2013","journal-title":"Iran J Pediatr"},{"key":"R33-20250812","first-page":"1","article-title":"Evidence-based systematic review of newborn hearing screening using behavioral audiometric threshold as a gold standard","volume":"33","author":"Prieve","year":"2013","journal-title":"Am Speech Lang Hear Assoc"},{"key":"R34-20250812","first-page":"195","article-title":"What is the most cost-effective strategy for implementing universal newborn hearing screening?","volume":"49","author":"Grein","year":"2001","journal-title":"Pediatr Res"},{"key":"R35-20250812","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/S0021-9924(97)00031-2","article-title":"Cost analysis of TEOAE-based universal newborn hearing screening","volume":"30","author":"Weirather","year":"1997","journal-title":"J Commun Disord"},{"key":"R37-20250812","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1016\/j.ijporl.2013.04.006","article-title":"Universal screening of newborns to detect hearing impairment\u2014Is it necessary?","volume":"77","author":"Rai","year":"2013","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"R38-20250812","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1001\/archpedi.154.5.484","article-title":"A cost-effectiveness analysis of newborn hearing screening strategies","volume":"154","author":"Kemper","year":"2000","journal-title":"Arch Pediatr Adolesc Med"}],"container-title":["International Journal of Preventive Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijpvm.IJPVM_270_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:29:23Z","timestamp":1787837363000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijpvm.IJPVM_270_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ijpvm.ijpvm_270_20","relation":{},"ISSN":["2008-7802","2008-8213"],"issn-type":[{"value":"2008-7802","type":"print"},{"value":"2008-8213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"2020-05-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}