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Review
. 2003 May;14(3):243-50.
doi: 10.1007/s00198-002-1354-3. Epub 2003 Apr 10.

Cost-effectiveness of hip protectors in institutional dwelling elderly

Affiliations
Review

Cost-effectiveness of hip protectors in institutional dwelling elderly

Lisa Waldegger et al. Osteoporos Int. 2003 May.

Abstract

Objective: To assess the effectiveness and cost-effectiveness of hip protectors in the prevention of hip fracture in an elderly population living in institutions.

Design and setting: Meta-analysis followed by economic analysis.

Methods: The meta-analysis of randomized controlled clinical trials was based on the recommendations of the Cochrane Collaboration. Model-based economic analysis was conducted using estimates of transition probabilities, costs, and utilities relevant to Canada.

Results: The results indicate that hip protectors compared with control results in a relative risk of hip fracture of 0.40 (95% Confidence Interval 0.23-0.70). The economic analysis found that the use of hip protectors is expected to be both effective and cost saving. Results were robust to a range of analysis exploring the uncertainty of input parameters.

Conclusions: There is sufficient clinical and economic evidence to support the use of hip protectors for institutional dwelling elderly.

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