In institutions where only SeqCI is allowed in adults, overall patient management may cost marginally

How do costs compare between simultaneous cochlear implantation (SimCI) and sequential cochlear implantation (SeqCI) in adults if all bilaterally deaf patients undergo SeqCI vs. a theoretical model where SimCI is the standard?

Bottom line
In institutions where only SeqCI is allowed in adults, overall patient management may cost marginally more than if SimCI were practiced.

Background: Bilateral CI may be carried out either simultaneously (SimCI) or sequentially (SeqCI). The choice of which is performed varies among centers, with both clinical and financial factors coming into play.

Study design: Retrospective review and cost analysis of 370 patients who fulfilled the audiological criteria for bilateral implantation between 2005 and 2015, using costs from 29 patients between August 2015 and August 2016 for the analysis.

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