CI Atlas · Was It Worth It? Measuring Quality of Life and the Cost of an Implant · Module 01
1Beyond the Audiogram: Why Outcomes and Value Matter
An audiogram tells you a sound was detected; it does not tell you whether a life got better.
FGap
A booth speech score measures detection, not conversation. Outcomes run from biology to quality of life.[1995]
FHelp
Disease-specific tools detect gains generic tools miss. SF-36 underestimates hearing-specific benefit.[2019]
FWorth
Utility runs 0.00 to 1.00; deafness costs 0.46; implantation gains 0.26. Adult implantation sits near $12,847 per QALY.[1986]
A man reviewed after implantation.
Which measures answer both questions?
Question 1
What do 0.00 and 1.00 mean?
Question 2
Why disease-specific over SF-36?
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