Skip Navigation

This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (19)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Colón-Emeric, C. S.
Right arrow Articles by Matchar, D. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Colón-Emeric, C. S.
Right arrow Articles by Matchar, D. B.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Age and Ageing 2003; 32: 47-52
© 2003, British Geriatrics Society

Research paper

An economic analysis of external hip protector use in ambulatory nursing facility residents

Cathleen S. Colón-Emeric1,3,, Santanu K. Datta2 and David B. Matchar2

1 Center for the Study of Aging and Human Development and
2 The Center for Clinical Health Policy Research, Duke University Medical Center, Durham NC, USA
3 The Geriatrics Research, Education and Clinical Center (GRECC), Durham VA Medical Center, Durham NC, USA

Abstract

Objective: to evaluate the economic impact of external hip protector use in nursing facilities.

Design: cost-effectiveness and cost-utility analyses.

Measurements: event probabilities, intervention effectiveness, treatment costs, and utility of hip fracture state were determined from peer-reviewed medical literature and public use data.

Methods: a societal perspective with an 18-month time horizon was used. A decision tree model was constructed. Expected cost, effectiveness, and incremental cost-effectiveness ratio were calculated. One and two-way sensitivity analyses and threshold analyses were performed.

Results: the strategy of using external hip protectors saves approximately US$300 per subject and adds 0.01 quality adjusted life year over 18 months. The model remains dominant over the entire range of input values for all variables except the cost of hip protectors. At the maximum estimated cost of US$695/subject/18 months, the incremental cost-effectiveness ratio was $30,600/quality adjusted life year. The strategy of using hip protectors was cost saving or cost neutral if the cost of hip protector strategy is <=US$397/subject/18 months.

Conclusions: using external hip protectors in nursing facilities is cost saving or economically attractive over a wide range of cost and utility assumptions.

Keywords: external hip protectors, cost effectiveness analysis, skilled nursing facilities, hip fractures


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 IBMS BoneKEyHome page
C. S. Colon-Emeric
Fracture Prevention in Frail Older Adults: Why, When and How
IBMS BoneKEy, November 1, 2008; 5(11): 426 - 435.
[Abstract] [Full Text] [PDF]

Home page
 Evid. Based Nurs.Home page
OTHER ARTICLES NOTED (24 Jan 03 to 18 Apr 03)
Evid. Based Nurs., July 1, 2003; 6(3): e1 - 12.
[Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.