Extracapsular hip fracture management: cost-consequences analysis of two alternative operative methods

International Journal of Technology Assessment in Health Care
Vassiliki V PapakonstantinouLycourgos Liaropoulos

Abstract

The aim of this prospective study was to perform a cost and outcome comparison between two alternative operative techniques (osteosynthesis and hemiarthroplasty) used in the treatment of elderly patients with unstable trochanteric hip fracture. One hundred seventy-three trochanteric hip fracture patients were followed-up for 1 year after surgery. For each operative technique, hospital treatment's cost per patient was computed. Mortality and complication rate in-hospital and at specific time points after surgery were used as outcome measures. Patients' functional level before and after hip fracture was estimated according to their mobility and ability to perform basic and instrumental activities of daily living. The cost for patients undergoing osteosynthesis reached euro 1,931 per case, whereas for those treated with hemiarthroplasty reached euro 3,719 per case (2001 rates). There was no statistically significant difference regarding in-hospital mortality and complication rate, as well as mortality and complication rate 1 year after surgery, between the two patient groups. The quite similar performance of the two operative techniques suggests that cost could be the key factor for choosing between them. However, it is critical t...Continue Reading

References

Jan 1, 1976·International Journal of Health Services : Planning, Administration, Evaluation·S Katz, C A Akpom
Aug 1, 1992·Calcified Tissue International·G Lyritis
Nov 15, 1991·American Journal of Epidemiology·A H MyersS P Baker
Jan 1, 1991·Journal of Orthopaedic Trauma·P L BroosK H Stappaerts
Jan 1, 1989·Upsala Journal of Medical Sciences·T Dolk
Mar 1, 1989·American Journal of Public Health·J MagazinerJ E Kenzora
Oct 9, 1993·BMJ : British Medical Journal·W HollingworthR Williams
Jan 1, 1997·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·K LippunerP Jaeger
Oct 22, 1998·International Journal of Technology Assessment in Health Care·M Drummond, D Coyle
Feb 29, 2000·Clinical Orthopaedics and Related Research·K C Chan, G S Gill
Jan 9, 2001·Journal of Orthopaedic Trauma·M R ShahK J Koval
Jun 26, 2001·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·M E WiktorowiczE Papadimitropoulos
Dec 14, 2004·Injury·Thomas M LawrenceChristopher G Moran
Mar 2, 2005·International Journal of Technology Assessment in Health Care·Daphne KaitelidouLycurgus L Liaropoulos

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Nov 13, 2008·Home Healthcare Nurse·Eugenia KouliOlga Siskou

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