Long-Term Health and Economic Value of Improved Mobility among Older Adults in the United States

Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Mina KabiriDana P Goldman

Abstract

Mobility impairments have substantial physical and mental health consequences, resulting in diminished quality of life. Most studies on the health economic consequences of mobility limitations focus on short-term implications. To examine the long-term value of improving mobility in older adults. Our six-step approach used clinical trial data to calibrate mobility improvements and estimate health economic outcomes using a microsimulation model. First, we measured improvement in steps per day calibrated with clinical trial data examining hylan G-F 20 viscosupplementation treatment. Second, we created a cohort of patients 51 years and older with osteoarthritis. In the third step, we estimated their baseline quality of life. Fourth, we translated steps-per-day improvements to changes in quality of life using estimates from the literature. Fifth, we calibrated quality of life in this cohort to match those in the trial. Last, we incorporated these data and parameters into The Health Economic Medical Innovation Simulation model to estimate how mobility improvements affect functional status limitations, medical expenditures, nursing home utilization, employment, and earnings between 2012 and 2030. In our sample of 12.6 million patients...Continue Reading

Citations

May 7, 2019·Home Healthcare Now·Tracey L CollinsJason R Falvey
Aug 31, 2020·Women's Midlife Health·Carrie A Karvonen-Gutierrez, Elsa S Strotmeyer
Sep 24, 2020·Journal of the American Geriatrics Society·Peter AhiawodziKenneth J Mukamal
Nov 30, 2021·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Mario Lozano-LozanoFrancisco Artacho-Cordón

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