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dc.contributor.authorWake, Melissa
dc.contributor.authorChing, Teresa YC
dc.contributor.authorWirth, Karen
dc.contributor.authorPoulakis, Zeffie
dc.contributor.authorMensah, Fiona K
dc.contributor.authorGold, Lisa
dc.contributor.authorKing, Alison
dc.contributor.authorBryson, Hannah E
dc.contributor.authorReilly, Sheena
dc.contributor.authorRickards, Field
dc.date.accessioned2018-03-22T03:34:04Z
dc.date.available2018-03-22T03:34:04Z
dc.date.issued2016
dc.identifier.issn0031-4005
dc.identifier.doi10.1542/peds.2015-1722
dc.identifier.urihttp://hdl.handle.net/10072/125301
dc.description.abstractBACKGROUND: Universal newborn hearing screening was implemented worldwide largely on modeled, not measured, long-term benefits. Comparative quantification of population benefits would justify its high cost. METHODS: Natural experiment comparing 3 population approaches to detecting bilateral congenital hearing loss (>25 dB, better ear) in Australian states with similar demographics and services: (1) universal newborn hearing screening, New South Wales 2003–2005, n = 69; (2) Risk factor screening (neonatal intensive care screening + universal risk factor referral), Victoria 2003–2005, n = 65; and (3) largely opportunistic detection, Victoria 1991–1993, n = 86. Children in (1) and (2) were followed at age 5 to 6 years and in (3) at 7 to 8 years. Outcomes were compared between states using adjusted linear regression. RESULTS: Children were diagnosed younger with universal than risk factor screening (adjusted mean difference –8.0 months, 95% confidence interval –12.3 to –3.7). For children without intellectual disability, moving from opportunistic to risk factor to universal screening incrementally improved age of diagnosis (22.5 vs 16.2 vs 8.1 months, P < .001), receptive (81.8 vs 83.0 vs 88.9, P = .05) and expressive (74.9 vs 80.7 vs 89.3, P < .001) language and receptive vocabulary (79.4 vs 83.8 vs 91.5, P < .001); these nonetheless remained well short of cognition (mean 103.4, SD 15.2). Behavior and health-related quality of life were unaffected. CONCLUSIONS: With new randomized trials unlikely, this may represent the most definitive population-based evidence supporting universal newborn hearing screening. Although outperforming risk factor screening, school entry language still lagged cognitive abilities by nearly a SD. Prompt intervention and efficacy research are needed for children to reach their potential.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherAmerican Academy of Pediatrics
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto10
dc.relation.ispartofissue1
dc.relation.ispartofjournalPediatrics
dc.relation.ispartofvolume137
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine not elsewhere classified
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPsychology and Cognitive Sciences
dc.subject.fieldofresearchcode111499
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode17
dc.titlePopulation Outcomes of Three Approaches to Detection of Congenital Hearing Loss
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorReilly, Sheena


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