Cost-effectiveness of a multidisciplinary fall prevention program in community-dwelling elderly people: a randomized controlled trial (ISRCTN 64716113)

International Journal of Technology Assessment in Health Care
Marike R C HendriksJacques Th M van Eijk

Abstract

Multidisciplinary and multifactorial interventions seem to be effective in preventing falls. We aimed to assess the cost-effectiveness of a multidisciplinary fall prevention program compared with usual Dutch healthcare in community-dwelling people 65 years of age or older who experienced a fall. Cost-effectiveness and cost-utility analysis were performed from a societal perspective. Falls and healthcare utilization were continuously measured for 12 months. Daily functioning and quality of life were measured at baseline, after 4 and 12 months. Bootstrap analyses were performed to estimate uncertainty of the findings and sensitivity analysis to assess the generalizability of assumptions made. One hundred sixty-six participants were randomly allocated to the experimental group and 167 to the control group. The overall response rate was 74 percent. Healthcare and patient and family costs of both groups were comparable. Our analyses showed no effect of the intervention program on falls, daily functioning, or quality of life measures. The multidisciplinary intervention program to prevent falls was not cost-effective compared with usual care in the Netherlands. Notwithstanding our findings, however, falls still have an important impac...Continue Reading

References

Sep 1, 1991·Journal of Gerontology·M C NevittE S Hudes
Jan 1, 1991·Journal of the American Geriatrics Society·M Speechley, M Tinetti
Dec 29, 1988·The New England Journal of Medicine·M E TinettiS F Ginter
Nov 1, 1988·Age and Ageing·A J BlakeE J Bassey
Jun 1, 1995·Journal of the American Geriatrics Society·G S RaiH Wientjes
Aug 1, 1993·Stroke; a Journal of Cerebral Circulation·J SchulingK H Groenier
Nov 21, 1997·Medical Care·P Dolan
Jul 10, 1998·BMJ : British Medical Journal·W J MeerdingP J van der Maas
Jun 6, 1996·Health Policy·R Brooks
Aug 11, 2000·Australian and New Zealand Journal of Public Health·G SalkeldC Westbury
Aug 15, 2000·Journal of Clinical Epidemiology·M E GoossensS M van der Linden
Jul 13, 2001·Journal of Epidemiology and Community Health·M C RobertsonA J Campbell
Jul 3, 2002·PharmacoEconomics·Jan B OostenbrinkFrans F H Rutten
Aug 23, 2003·Journal of Epidemiology and Community Health·P ScuffhamR Legood
Mar 2, 2005·International Journal of Technology Assessment in Health Care·Cynthia P IglesiasUNKNOWN NEVALAT Project Group
Sep 24, 2005·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Scott RamseyShelby Reed
Oct 11, 2005·Injury·Bahman S RoudsariThomas D Koepsell
Nov 29, 2005·Lancet·Pekka KannusJari Parkkari
Feb 16, 2006·European Journal of Public Health·Willem Jan MeerdingEd F van Beeck
May 23, 2006·Emergency Medicine Journal : EMJ·J L NewtonP Reeve
Jul 11, 2006·Public Health·J BeardB Newman
Oct 5, 2006·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·J A StevensT R Miller
Nov 2, 2006·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Melissa A RussellShyamali C Dharmage

❮ Previous
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Citations

Jun 28, 2011·Archives of Orthopaedic and Trauma Surgery·Natasha T O'MalleyStephen L Kates
May 25, 2012·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Krista Bray JenkynMark Speechley
Jun 23, 2010·BMC Geriatrics·Michel H C BleijlevensJacques Th M van Eijk
Sep 14, 2010·Cost Effectiveness and Resource Allocation : C/E·Harald Gyllensvärd
Oct 21, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·G M E E PeetersM W van Tulder
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Anayo AkunneJohn Young
Jun 10, 2009·Journal of the American Geriatrics Society·Ane B VindPeter Schwarz
Jun 8, 2012·Australian and New Zealand Journal of Public Health·Jody ChurchMarion Haas
Sep 19, 2015·Occupational Therapy International·Hirofumi NagayamaKeita Yamauchi
Feb 24, 2015·Journal of the American Medical Directors Association·Inez FaragCathie Sherrington
Nov 18, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Thai LeGeorge Demiris
Mar 29, 2013·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Marike R C HendriksSilvia M A A Evers
Apr 5, 2018·Journal of Gerontological Nursing·Lisa HuangNicole J Brandt
Jul 24, 2018·The Cochrane Database of Systematic Reviews·Sally HopewellSarah E Lamb
Oct 17, 2018·Journal of the American Geriatrics Society·Branko F OlijCarolyn Shanty Sterke
Apr 20, 2019·The Gerontologist·Chao-Yi WuElizabeth R Skidmore
Jul 25, 2015·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·R PatilK Uusi-Rasi
Sep 14, 2012·The Cochrane Database of Systematic Reviews·Lesley D GillespieSarah E Lamb
Oct 16, 2013·Zeitschrift für Gerontologie und Geriatrie·S Voigt-RadloffM Hüll
Jun 3, 2011·New South Wales Public Health Bulletin·Jody ChurchMarion Haas
Aug 16, 2012·Health & Social Care in the Community·Daksha TrivediVari Drennan
Apr 4, 2017·European Journal of Public Health·Katarzyna Dubas-JakóbczykHeinz Rothgang
May 28, 2019·JAMA Network Open·Geoffrey J HoffmanLillian C Min
Mar 28, 2012·Ciência & saúde coletiva·Adriana Cristina NicolussiRosalina Aparecida Partezani Rodrigues
Nov 4, 2008·Tijdschrift voor gerontologie en geriatrie·E DejaegerK Milisen
Sep 8, 2018·The Cochrane Database of Systematic Reviews·Ian D CameronNgaire Kerse
Sep 28, 2018·Journal of Evaluation in Clinical Practice·Kristie J HarperAntonio Celenza
Jul 16, 2019·Annals of Physical and Rehabilitation Medicine·Stanley John WinserPriya Kannan

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