Cost-effectiveness of hip protectors in institutional dwelling elderly
- PMID: 12730792
- DOI: 10.1007/s00198-002-1354-3
Cost-effectiveness of hip protectors in institutional dwelling elderly
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.
Comment in
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Regarding the systematic review of hip protectors undertaken by Waldegger et al.Osteoporos Int. 2003 Oct;14(10):868-9; author reply 870. doi: 10.1007/s00198-003-1485-1. Epub 2003 Sep 10. Osteoporos Int. 2003. PMID: 13680100 No abstract available.
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