Cost-effectiveness of hip protectors in frail institutionalized elderly

N.M. van Schoor, M.C. de Bruyne, N. van der Roer, E. Lommerse, M. van Tulder, L.M. Bouter, P.T.A.M. Lips

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

A randomized controlled trial was performed to examine the cost-effectiveness of external hip protectors in the prevention of hip fractures. Since the hip protectors were not effective in preventing hip fractures in our study, the main objective became to examine whether the use of hip protectors results in lower average costs per participant in the hip protector group as compared with the control group. In addition, the average costs of a hip fracture and subsequent rehabilitation in frail, institutionalized elderly were calculated. Residents from apartment houses for the elderly, homes for the elderly and nursing homes with a high risk for hip fractures were randomized to the hip protector group (n = 276) or control group (n = 285). Costs were calculated for the hip fracture and subsequent rehabilitation until 1 year after the fracture. Six months after each hip fracture, a nurse was interviewed and after 12 months, a questionnaire was sent to the general practitioner or nursing home physician to determine the utilization of health care resources. Differences in costs between the groups were analyzed using non-parametric bootstrapping. Eighteen hip fractures occurred in the intervention group and 20 hip fractures (in 19 persons) in the control group (log rank P-value = 0.86). The average costs per participant, including the costs of the intervention, were €913 in the intervention group and 502 in the control group (cost difference of €-411; 95% confidence interval: -723; 57). The average costs of a hip fracture and subsequent rehabilitation were €8100 (95% CI: 6716-10,010). The use of hip protectors was not associated with lower costs. In addition, the average costs of a hip fracture and subsequent rehabilitation in the first year after the fracture were estimated at €8100 in institutionalized elderly. © International Osteoporosis Foundation and National Osteoporosis Foundation 2004.
Original languageEnglish
Pages (from-to)964-969
Number of pages7
JournalOsteoporosis International
Volume15
DOIs
Publication statusPublished - 2004

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Frail Elderly
Hip Fractures
Cost-Benefit Analysis
Hip
Costs and Cost Analysis
Rehabilitation
Control Groups
Nursing Homes
Osteoporosis
Home Nursing
Health Resources
General Practitioners
Randomized Controlled Trials
Nurses
Confidence Intervals
Physicians

Cite this

van Schoor, N. M., de Bruyne, M. C., van der Roer, N., Lommerse, E., van Tulder, M., Bouter, L. M., & Lips, P. T. A. M. (2004). Cost-effectiveness of hip protectors in frail institutionalized elderly. Osteoporosis International, 15, 964-969. https://doi.org/10.1007/s00198-004-1632-3
van Schoor, N.M. ; de Bruyne, M.C. ; van der Roer, N. ; Lommerse, E. ; van Tulder, M. ; Bouter, L.M. ; Lips, P.T.A.M. / Cost-effectiveness of hip protectors in frail institutionalized elderly. In: Osteoporosis International. 2004 ; Vol. 15. pp. 964-969.
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title = "Cost-effectiveness of hip protectors in frail institutionalized elderly",
abstract = "A randomized controlled trial was performed to examine the cost-effectiveness of external hip protectors in the prevention of hip fractures. Since the hip protectors were not effective in preventing hip fractures in our study, the main objective became to examine whether the use of hip protectors results in lower average costs per participant in the hip protector group as compared with the control group. In addition, the average costs of a hip fracture and subsequent rehabilitation in frail, institutionalized elderly were calculated. Residents from apartment houses for the elderly, homes for the elderly and nursing homes with a high risk for hip fractures were randomized to the hip protector group (n = 276) or control group (n = 285). Costs were calculated for the hip fracture and subsequent rehabilitation until 1 year after the fracture. Six months after each hip fracture, a nurse was interviewed and after 12 months, a questionnaire was sent to the general practitioner or nursing home physician to determine the utilization of health care resources. Differences in costs between the groups were analyzed using non-parametric bootstrapping. Eighteen hip fractures occurred in the intervention group and 20 hip fractures (in 19 persons) in the control group (log rank P-value = 0.86). The average costs per participant, including the costs of the intervention, were €913 in the intervention group and 502 in the control group (cost difference of €-411; 95{\%} confidence interval: -723; 57). The average costs of a hip fracture and subsequent rehabilitation were €8100 (95{\%} CI: 6716-10,010). The use of hip protectors was not associated with lower costs. In addition, the average costs of a hip fracture and subsequent rehabilitation in the first year after the fracture were estimated at €8100 in institutionalized elderly. {\circledC} International Osteoporosis Foundation and National Osteoporosis Foundation 2004.",
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Cost-effectiveness of hip protectors in frail institutionalized elderly. / van Schoor, N.M.; de Bruyne, M.C.; van der Roer, N.; Lommerse, E.; van Tulder, M.; Bouter, L.M.; Lips, P.T.A.M.

In: Osteoporosis International, Vol. 15, 2004, p. 964-969.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Cost-effectiveness of hip protectors in frail institutionalized elderly

AU - van Schoor, N.M.

AU - de Bruyne, M.C.

AU - van der Roer, N.

AU - Lommerse, E.

AU - van Tulder, M.

AU - Bouter, L.M.

AU - Lips, P.T.A.M.

PY - 2004

Y1 - 2004

N2 - A randomized controlled trial was performed to examine the cost-effectiveness of external hip protectors in the prevention of hip fractures. Since the hip protectors were not effective in preventing hip fractures in our study, the main objective became to examine whether the use of hip protectors results in lower average costs per participant in the hip protector group as compared with the control group. In addition, the average costs of a hip fracture and subsequent rehabilitation in frail, institutionalized elderly were calculated. Residents from apartment houses for the elderly, homes for the elderly and nursing homes with a high risk for hip fractures were randomized to the hip protector group (n = 276) or control group (n = 285). Costs were calculated for the hip fracture and subsequent rehabilitation until 1 year after the fracture. Six months after each hip fracture, a nurse was interviewed and after 12 months, a questionnaire was sent to the general practitioner or nursing home physician to determine the utilization of health care resources. Differences in costs between the groups were analyzed using non-parametric bootstrapping. Eighteen hip fractures occurred in the intervention group and 20 hip fractures (in 19 persons) in the control group (log rank P-value = 0.86). The average costs per participant, including the costs of the intervention, were €913 in the intervention group and 502 in the control group (cost difference of €-411; 95% confidence interval: -723; 57). The average costs of a hip fracture and subsequent rehabilitation were €8100 (95% CI: 6716-10,010). The use of hip protectors was not associated with lower costs. In addition, the average costs of a hip fracture and subsequent rehabilitation in the first year after the fracture were estimated at €8100 in institutionalized elderly. © International Osteoporosis Foundation and National Osteoporosis Foundation 2004.

AB - A randomized controlled trial was performed to examine the cost-effectiveness of external hip protectors in the prevention of hip fractures. Since the hip protectors were not effective in preventing hip fractures in our study, the main objective became to examine whether the use of hip protectors results in lower average costs per participant in the hip protector group as compared with the control group. In addition, the average costs of a hip fracture and subsequent rehabilitation in frail, institutionalized elderly were calculated. Residents from apartment houses for the elderly, homes for the elderly and nursing homes with a high risk for hip fractures were randomized to the hip protector group (n = 276) or control group (n = 285). Costs were calculated for the hip fracture and subsequent rehabilitation until 1 year after the fracture. Six months after each hip fracture, a nurse was interviewed and after 12 months, a questionnaire was sent to the general practitioner or nursing home physician to determine the utilization of health care resources. Differences in costs between the groups were analyzed using non-parametric bootstrapping. Eighteen hip fractures occurred in the intervention group and 20 hip fractures (in 19 persons) in the control group (log rank P-value = 0.86). The average costs per participant, including the costs of the intervention, were €913 in the intervention group and 502 in the control group (cost difference of €-411; 95% confidence interval: -723; 57). The average costs of a hip fracture and subsequent rehabilitation were €8100 (95% CI: 6716-10,010). The use of hip protectors was not associated with lower costs. In addition, the average costs of a hip fracture and subsequent rehabilitation in the first year after the fracture were estimated at €8100 in institutionalized elderly. © International Osteoporosis Foundation and National Osteoporosis Foundation 2004.

U2 - 10.1007/s00198-004-1632-3

DO - 10.1007/s00198-004-1632-3

M3 - Article

VL - 15

SP - 964

EP - 969

JO - Osteoporosis International

JF - Osteoporosis International

SN - 0937-941X

ER -