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Economic analysis of surgical treatment of hip fracture in older adults

Bibliographic Data

ID10723747
AuthorsFabiano Bolpato Loures (0000-0003-2669-2052, Santa Casa de Juiz de Fora, Brasil), Alfredo Chaoubah (0000-0002-2459-9164, Universidade Federal de Juiz de Fora), Valdeci Manoel de Oliveira (0000-0001-7691-2127, Universidade Federal de Juiz de Fora), Alessandra Maciel Almeida (0000-0003-0138-9401, Universidade Federal de Minas Gerais), Estela Márcia de Saraiva Campos (Universidade Federal de Juiz de Fora), Estela Márcia Campos (Universidade Federal de Juiz de Fora), Elenir Pereira de Paiva (0000-0001-6893-1221, Universidade Federal de Juiz de Fora)
Year2015
Volume49
Issue0
Pages12-12
Publication date2015-01-01
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0034-8910.2015049005172
PMID25741654
OpenAlexW1967256072
SciELOS0034-89102015000100204
LanguageEN
Citations received1
References cited17

OBJECTIVE To analyze the incremental cost-utility ratio for the surgical treatment of hip fracture in older patients.METHODS This was a retrospective cohort study of a systematic sample of patients who underwent surgery for hip fracture at a central hospital of a macro-region in the state of Minas Gerais, Southeastern Brazil between January 1, 2009 and December 31, 2011. A decision tree creation was analyzed considering the direct medical costs. The study followed the healthcare provider’s perspective and had a one-year time horizon. Effectiveness was measured by the time elapsed between trauma and surgery after dividing the patients into early and late surgery groups. The utility was obtained in a cross-sectional and indirect manner using the EuroQOL 5 Dimensions generic questionnaire transformed into cardinal numbers using the national regulations established by the Center for the Development and Regional Planning of the State of Minas Gerais. The sample included 110 patients, 27 of whom were allocated in the early surgery group and 83 in the late surgery group. The groups were stratified by age, gender, type of fracture, type of surgery, and anesthetic risk.RESULTS The direct medical cost presented a statistically significant increase among patients in the late surgery group (p

Health care · Retrospective cohort study · Bone health and osteoporosis research · Cardiac, Anesthesia and Surgical Outcomes · Hip and Femur Fractures · Medicine · Surgery

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Citations per year0.25
Citation span2022 - 2022 (1)
Highly citedNo

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