DOI QR코드

DOI QR Code

Comparison of the Marginal Utility and Disease Burden of Hearing Loss and Other Chronic Diseases

  • Kwon, Oh Deog (Department of Family Medicine, Seoul National University Hospital) ;
  • Jung, Se Young (Department of Family Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Park, Hwa Yeon (Department of Family Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Peak, Sue Kyoung (Department of Family Medicine, Seoul National University Hospital) ;
  • Cho, Su Hwan (Department of Family Medicine, Seoul National University Hospital) ;
  • Cho, Sang Jin (Department of Family Medicine, Seoul National University Hospital)
  • Received : 2017.03.03
  • Accepted : 2017.08.15
  • Published : 2018.11.20

Abstract

Background: Compared with other chronic diseases, hearing loss is generally overlooked from the perspective of disease burden. However, hearing loss is emerging as an important issue in the current society. The objective of this study was to investigate disease burdens and marginal utilities associated with hearing loss and other chronic diseases. Methods: This study analyzed the cross-sectional data of 32,986 participants aged 19 years and older who completed the Korea National Health and Nutrition Examination Surveys between 2009 and 2013. Additionally, this study used the pure tone audiometric test, European Quality of Life-Five Dimensions Questionnaire, and chronic disease status. The data were analyzed using a multiple linear regression method. Results: The data of 23,297 people who underwent a pure tone audiogram and completed the European Quality of Life-Five Dimensions Questionnaire were used in this analysis. The marginal utility of hearing loss ranked fifth among nine chronic diseases. The estimated loss of quality-adjusted life years associated with hearing loss was -93.69 years per 100,000 people, which is similar to other chronic diseases. Conclusion: This study assessed the marginal utilities and public burdens of hearing loss and eight chronic diseases in a South Korean population. Although the values may vary depending on country and race, this study may provide an indispensable foundation for more detailed studies on hearing loss.

Keywords

References

  1. Gold MR, Stevenson D, Fryback DG. HALYS and QALYS and DALYS, Oh My: similarities and differences in summary measures of population Health. Annu Rev Public Health 2002;23:115-34. https://doi.org/10.1146/annurev.publhealth.23.100901.140513
  2. GBD 2013 Risk Factors Collaborators, Forouzanfar MH, Alexander L, Anderson HR, Bachman VF, Biryukov S, et al. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2015;386:2287-323. https://doi.org/10.1016/S0140-6736(15)00128-2
  3. Mathers C, Smith A, Concha M. Global burden of hearing loss in the year 2000. Glob Burd Dis 2000;18:1-30.
  4. Mackenzie I, Smith A. Deafness: the neglected and hidden disability. Ann Trop Med Parasitol 2009;103:565-71. https://doi.org/10.1179/000349809X12459740922372
  5. Agrawal Y, Platz EA, Niparko JK. Prevalence of hearing loss and differences by demographic characteristics among US adults: data from the National Health and Nutrition Examination Survey, 1999-2004. Arch Intern Med 2008;168:1522-30. https://doi.org/10.1001/archinte.168.14.1522
  6. Kotby MN, Tawfik S, Aziz A, Taha H. Public health impact of hearing impairment and disability. Folia Phoniatr Logop 2008;60:58-63. https://doi.org/10.1159/000114646
  7. Mason A, Mason M. Psychologic impact of deafness on the child and adolescent. Prim Care 2007;34:407-26. https://doi.org/10.1016/j.pop.2007.04.003
  8. Arlinger S. Negative consequences of uncorrected hearing loss: a review. Int J Audiol 2003;42 Suppl 2:2S17-20.
  9. Ock M, Han JW, Lee JY, Kim SH, Jo MW. Estimating quality-adjusted life-year loss due to noncommunicable diseases in Korean adults through to the year 2040. Value Health 2015;18:61-6. https://doi.org/10.1016/j.jval.2014.09.008
  10. Williams A. Calculating the global burden of disease: time for a strategic reappraisal? Health Econ 1999;8:1-8. https://doi.org/10.1002/(SICI)1099-1050(199902)8:1<1::AID-HEC399>3.0.CO;2-B
  11. Sullivan PW, Ghushchyan V. Preference-Based EQ-5D index scores for chronic conditions in the United States. Med Decis Making 2006;26:410-20. https://doi.org/10.1177/0272989X06290495
  12. Saarni SI, Harkanen T, Sintonen H, Suvisaari J, Koskinen S, Aromaa A, et al. The impact of 29 chronic conditions on health-related quality of life: a general population survey in Finland using 15D and EQ-5D. Qual Life Res 2006;15:1403-14. https://doi.org/10.1007/s11136-006-0020-1
  13. Saarni SI, Suvisaari J, Sintonen H, Koskinen S, Harkanen T, Lonnqvist J. The health-related quality-of-life impact of chronic conditions varied with age in general population. J Clin Epidemiol 2007;60:1288-97.
  14. Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, et al. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol 2014;43:69-77. https://doi.org/10.1093/ije/dyt228
  15. Kim Y, Park S, Kim NS, Lee BK. Inappropriate survey design analysis of the Korean National Health and Nutrition Examination Survey may produce biased results. J Prev Med Public Health 2013;46:96-104. https://doi.org/10.3961/jpmph.2013.46.2.96
  16. Rasanen P, Roine E, Sintonen H, Semberg-Konttinen V, Ryynanen OP, Roine R. Use of quality-adjusted life years for the estimation of effectiveness of health care: a systematic literature review. Int J Technol Assess Health Care 2006;22:235-41. https://doi.org/10.1017/S0266462306051051
  17. EuroQol Group. EuroQol: a new facility for the measurement of health-related quality of life. Health Policy 1990;16:199-208. https://doi.org/10.1016/0168-8510(90)90421-9
  18. Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, et al. South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states. Value Health 2009;12:1187-93. https://doi.org/10.1111/j.1524-4733.2009.00579.x
  19. Kim MH, Cho YS, Uhm WS, Kim S, Bae SC. Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases. Qual Life Res 2005;14:1401-6. https://doi.org/10.1007/s11136-004-5681-z
  20. Nam H, Kim K, Kwon S, Koh K, Poul K. EQ-5D Korean valuation study using time trade off method. Cheongju: Korea Centers for Disease Control and Prevention; 2007.
  21. Mahomed F, Swanepoel de W, Eikelboom RH, Soer M. Validity of automated threshold audiometry: a systematic review and meta-analysis. Ear Hear 2013;34:745-52. https://doi.org/10.1097/01.aud.0000436255.53747.a4
  22. World Health Organization. Prevention of deafness and hearing impaired grades of hearing impairment [Internet]. Geneva: World Health Organization [cited 2017 Jan 20]. Available from: http://www.who.int/whr/2002/chapter4/en/index8.html.
  23. Park SJ, Ahn S, Woo SJ, Park KH. Extent of exacerbation of chronic health conditions by visual impairment in terms of health-related quality of life. JAMA Ophthalmol 2015;133:1267-75. https://doi.org/10.1001/jamaophthalmol.2015.3055
  24. Fernandez A, Saameno JA, Pinto-Meza A, Luciano JV, Autonell J, Palao D, et al. Burden of chronic physical conditions and mental disorders in primary care. Br J Psychiatry 2010;196:302-9. https://doi.org/10.1192/bjp.bp.109.074211
  25. Park SJ, Ahn S, Park KH. Burden of visual impairment and chronic diseases. JAMA Ophthalmol 2016;134:778-84. https://doi.org/10.1001/jamaophthalmol.2016.1158
  26. Saarni SI, Suvisaari J, Sintonen H, Pirkola S, Koskinen S, Aromaa A, et al. Impact of psychiatric disorders on health-related quality of life: general population survey. Br J Psychiatry 2007;190:326-32. https://doi.org/10.1192/bjp.bp.106.025106
  27. Sullivan PW, Slejko JF, Sculpher MJ, Ghushchyan V. Catalogue of EQ-5D scores for the United Kingdom. Med Decis Making 2011;31:800-4. https://doi.org/10.1177/0272989X11401031
  28. Melse JM, Essink-Bot ML, Kramers PG, Hoeymans N. A national burden of disease calculation: Dutch disability-adjusted life-years. Dutch Burden of Disease Group. Am J Public Health 2000;90:1241-7. https://doi.org/10.2105/AJPH.90.8.1241