Evaluating the cost-effectiveness of fall prevention programs that reduce fall-related hip fractures in older adults

Journal of the American Geriatrics Society
Kevin D FrickMatthew J Narrett

Abstract

To model the incremental cost-utility of seven interventions reported as effective for preventing falls in older adults. Mathematical epidemiological model populated by data based on direct clinical experience and a critical review of the literature. Model represents population level interventions. No human subjects were involved in the study. MEASUREMENS: The last Cochrane database review and meta-analyses of randomized controlled trials categorized effective fall-prevention interventions into seven groups: medical management (withdrawal) of psychotropics, group tai chi, vitamin D supplementation, muscle and balance exercises, home modifications, multifactorial individualized programs for all elderly people, and multifactorial individualized treatments for high-risk frail elderly people. Fall-related hip fracture incidence was obtained from the literature. Salary figures for health professionals were based on Bureau of Labor Statistics data. Using an integrated healthcare system perspective, healthcare costs were estimated based on practice and studies on falls in older adults. Base case incremental cost utility ratios were calculated, and probabilistic sensitivity analyses were conducted. Medical management of psychotropics a...Continue Reading

References

Apr 4, 1992·BMJ : British Medical Journal·N J VetterD Ford
Mar 1, 1992·The Journal of Bone and Joint Surgery. British Volume·M J ParkerR Drewett
Jul 1, 1992·American Journal of Public Health·B H AlexanderM E Wolf
Oct 9, 1996·JAMA : the Journal of the American Medical Association·L B RussellM C Weinstein
Mar 1, 1997·Journal of the American Geriatrics Society·A BrainskyJ Magaziner
Jun 1, 1999·JAMA : the Journal of the American Medical Association·P KannusI Vuori
Oct 20, 1999·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·B JonssonO Johnell
Aug 16, 2002·Clinics in Geriatric Medicine·Laurence Z Rubenstein, Karen R Josephson
Feb 18, 2003·Journal of the American Geriatrics Society·R Scott BraithwaiteJohn B Wong
Dec 23, 2003·Journal of the American Geriatrics Society·Steven L WolfRobert J Gregor
Apr 29, 2004·JAMA : the Journal of the American Medical Association·Heike A Bischoff-FerrariJohn B Wong
Apr 9, 2005·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Fuzhong LiNicole L Wilson
Jan 26, 2006·British Journal of Clinical Pharmacology·G ZiereB H Ch Stricker
Oct 5, 2006·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·J A StevensT R Miller
Feb 17, 2007·Journal of the American Geriatrics Society·Kerry E BroeDouglas P Kiel
Jul 20, 2007·The New England Journal of Medicine·Michael F Holick
Jul 27, 2007·JAMA : the Journal of the American Medical Association·Douglas P KielStanley J Birge
Oct 9, 2007·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Sirpa HartikainenKirsti Louhivuori
Nov 9, 2007·The New England Journal of Medicine·Roger BouillonPaul Lips
Jul 30, 2008·Journal of the American Geriatrics Society·Marike R C HendriksJacques Th M van Eijk

❮ Previous
Next ❯

Citations

Oct 23, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·L M FeehanL C Li
Feb 10, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·K A LefaivreP Guy
Jun 3, 2011·New South Wales Public Health Bulletin·Jody ChurchMarion Haas
Feb 19, 2013·Australian Occupational Therapy Journal·Lynette MackenzieChristopher Roberts
Apr 8, 2011·Clinical Interventions in Aging·Alan HanleyJohn Murphy
Jan 9, 2013·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·M K KarlssonB E Rosengren
Nov 10, 2013·TheScientificWorldJournal·Carmen A PfortmuellerAristomenis K Exadaktylos
Apr 14, 2010·QJM : Monthly Journal of the Association of Physicians·Barbara J Boucher
Jun 2, 2011·The American Journal of the Medical Sciences·Craig D Rubin
Oct 12, 2010·Clinics in Geriatric Medicine·Shinyi WuPaul G Shekelle
May 20, 2015·Acta Clinica Belgica·M SnackenT Pepersack
Jun 8, 2012·Australian and New Zealand Journal of Public Health·Jody ChurchMarion Haas
Feb 9, 2012·Accident; Analysis and Prevention·Katherine PérezUNKNOWN Working Group for Study of Injuries of Spanish Society of Epidemiology
Apr 26, 2015·Aging Clinical and Experimental Research·Andrés Soto-VarelaSofía Santos-Pérez
May 11, 2012·Journal of the American Medical Directors Association·Minoru YamadaTomoki Aoyama
May 26, 2016·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·Frank PegaNick Wilson
Apr 5, 2013·Scandinavian Journal of Public Health·Magnus K KarlssonBjörn E Rosengen
Nov 23, 2017·Journal of the American Geriatrics Society·Sarah L SzantonDavid Bishai
Aug 24, 2017·International Journal of Food Sciences and Nutrition·Michèle Jeanne Sadler
Oct 17, 2018·Journal of the American Geriatrics Society·Branko F OlijCarolyn Shanty Sterke
Mar 16, 2018·International Journal of Preventive Medicine·Suguna Anbazhagan, A Surekha
Jan 11, 2019·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Fuzhong LiKerri Winters-Stone
Jun 3, 2010·Nature Reviews. Endocrinology·Saija KarinkantaPekka Kannus
Jan 11, 2014·Journal of Geriatric Physical Therapy·Madeleine E Hackney, Steven L Wolf
Apr 30, 2015·The Nurse Practitioner·Scott J Saccomano, Lucille R Ferrara
Feb 17, 2017·European Journal of Public Health·Magda AguiarEmma Frew
Jan 22, 2020·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·C I ConduracheUNKNOWN SCOOP Study Team
Apr 4, 2017·European Journal of Public Health·Katarzyna Dubas-JakóbczykHeinz Rothgang
Jul 12, 2018·Journal of Aging Research·Titaporn WorapanwisitEd Rosenberg

❮ Previous
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