Evaluating Strategies to Reduce the Global Burden of Hearing Loss (2020-2021)
In 2019, The Lancet announced a commission to identify ways to reduce the global burden of hearing loss. In 2015, half a billion people worldwide had a disabling hearing loss and 1.34 billion had a mild-to-complete loss in the better-hearing ear.
Reaching far beyond the sensory impairment, hearing loss is especially damaging to childhood development. It is also strongly associated with dementia and other health conditions among people in their fifties and older.
Prevention and treatment of hearing loss are particularly important at the two ends of the age spectrum. The Lancet Commission is seeking innovative solutions to this immense global problem.
This project team will work alongside the Lancet Commissioners tasked with exploring the health economics of potential strategies to reduce hearing loss. Team members will seek to identify barriers and facilitators for various policy solutions.
The team will identify existing systematic reviews of the empirical literature, perform novel evidence synthesis, develop a full literature review paper and review research from different disciplines to identify evidence-based strategies for reducing hearing loss.
Team members will also identify primary data needed to inform a modeling framework for the evaluation of costs and benefits of potential strategies. The modeling framework will represent the populations of interest (varying by demographics and geographic location), interventions under consideration (such as screening, prevention, protection and treatment strategies), outcomes of interest (such as impact on length and quality of life, productivity and costs) and settings for implementation. An impact analysis will be used to reflect the use of resources and population impact of available strategies.
Written reports summarizing findings and cost effectiveness; peer-reviewed publications; presentation of findings within Duke and meetings of Lancet Commission
Summer 2020 – Summer 2021
- Summer 2020 (optional): Initiate project; conduct background literature review; work with Lancet Commission and workgroup members on modeling framework development; selected team members travel to Europe (late summer or early fall)
- Fall 2020: Summarize and discuss evidence review findings; develop target for systematic review if needed; populate modeling framework; perform analysis of cost effectiveness
- Spring 2021: Draft findings from analysis; present findings to Lancet Commission and other dissemination opportunities; selected team members travel to London (May)
- Summer 2021 (optional): Work with Lancet Commission and stakeholders to develop policy proposals
- Osondu Ogbuoji, Duke Global Health Institute
- Gillian Sanders Schmidler, School of Medicine-Population Health Sciences|Margolis Center for Health Policy
/graduate Team Members
Austin Ayer, Medicine MD First Year
Ethan Borre, Med Scientist Train Prog-PHD
Gloria Zhang, Medicine MD First Year
/undergraduate Team Members
Isabella Caracta, Psychology (AB), Global Health (AB2)
Megan Knauer, Neuroscience (BS)
Estella Muro, Public Policy Studies (AB), Global Health (AB2)
Jacqueline Vicksman, Public Policy Studies (AB)
Emily Woodrow, Public Policy Studies (AB), Global Health (AB2)
Danah Younis, Public Policy Studies (AB)
/yfaculty/staff Team Members
Janet Prvu Bettger, School of Medicine-Orthopaedic Surgery
Susan Emmett, School of Medicine-Surgery: Otolaryngology - Head and Neck Surgery and Communication Sciences
Eric Finkelstein, Duke Global Health Institute
Howard Francis, School of Medicine-Surgery: Otolaryngology - Head and Neck Surgery and Communication Sciences
Debara Tucci, School of Medicine-Surgery: Otolaryngology - Head and Neck Surgery and Communication Sciences
Blake Wilson, School of Medicine-Surgery: Otolaryngology - Head and Neck Surgery and Communication Sciences
/zcommunity Team Members
Lancet Commission on Hearing Loss