Osteoporosis case manager for patients with hip fractures: results of a cost-effectiveness analysis conducted alongside a randomized trial

Archives of Internal Medicine
Sumit R MajumdarDonald W Morrish

Abstract

In a randomized trial of patients with hip fractures, we previously demonstrated that a hospital-based case manager could increase rates of appropriate osteoporosis treatment to 51% compared with 22% for usual care (P < .001). Alongside that trial, we conducted an economic analysis. Patients with hip fractures were randomized to usual care (n = 110) or a case manager (n = 110) and followed up for 1 year. Time-motion studies were used to determine intervention costs. From a third-party health care payer perspective and over the patient's remaining lifetime, a Markov decision-analytic model was constructed to determine cost-effectiveness of the intervention compared with usual care. Costs and benefits were discounted at 3% and expressed in 2006 Canadian dollars. The intervention cost CaD $56 per patient. Compared with usual care, the intervention strategy was dominant: for every 100 patients case managed, 6 fractures (4 hip fractures) were prevented, 4 quality-adjusted life-years were gained, and CaD $260 000 was saved by the health care system. Irrespective of the number of patients case managed, the intervention reached a break-even threshold within 2 years. The intervention dominated usual care over the entire spectrum of 1-wa...Continue Reading

Citations

Dec 14, 2011·Archives of Orthopaedic and Trauma Surgery·Joanna E M SaleEarl Bogoch
Dec 10, 2013·BMC Geriatrics·Naomi DoreAlexandra Papaioannou
Aug 12, 2015·Archives of Osteoporosis·Emma JonssonOskar Ström
Nov 26, 2009·The Australian Journal of Rural Health·Cecily M BarrackDan P Ewald
Jul 25, 2015·Der Orthopäde·C KammerlanderW Böcker
Aug 6, 2013·European Journal of Pharmacology·Beyzagul PolatTugba Nurcan Yuksel
Oct 23, 2016·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·D E BeatonJ Weldon
Nov 17, 2016·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Patricia Mejia OsunaLaila S Tabatabai
May 17, 2017·The Journal of Bone and Joint Surgery. American Volume·Earl R BogochRobert G Josse
Jan 10, 2018·Medicine·Dorcas E BeatonUNKNOWN Ontario Osteoporosis Strategy Fracture Clinic Screening Program Evaluation Team
Feb 21, 2018·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·C-H WuR-S Yang
Apr 17, 2013·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·K AkessonUNKNOWN IOF Fracture Working Group
Jul 25, 2018·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Sumit R MajumdarLauren A Beaupre
Apr 29, 2018·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·C A InderjeethD Mountain
Apr 29, 2010·Current Osteoporosis Reports·Richard Dell, Denise Greene
Feb 20, 2019·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Sumit R MajumdarLauren A Beaupre
Jan 18, 2012·Nature Reviews. Rheumatology·Joop P van den BerghPiet P Geusens
Mar 8, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·L A BeaupreD W Morrish
Feb 12, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·L BessetteJ P Brown
Aug 24, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S R Majumdar
Aug 24, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·P J Mitchell
May 25, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J E M SaleE Bogoch
May 25, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A R McLellanD Roberts
May 25, 2011·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·D MarshUNKNOWN IOF CSA Fracture Working Group
Nov 6, 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 A BeaupreS R Majumdar
Sep 30, 2010·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·S R MajumdarJ A Johnson
Apr 19, 2013·The Journal of Clinical Endocrinology and Metabolism·Sumit R MajumdarWilliam D Leslie
Jan 21, 2014·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Daniel H SolomonElena Losina
Feb 20, 2020·Journal of the American Podiatric Medical Association·Tyler MacRae, David W Shofler
May 21, 2014·Current Opinion in Rheumatology·Sumit R Majumdar
Mar 9, 2020·Archives of Osteoporosis·Julie MartinAnne-Marie Schott
Nov 2, 2016·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Jose LealUNKNOWN and the REFReSH Study Group
Mar 29, 2020·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·K PengL Si
Sep 20, 2012·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Léon NshimyumukizaDaniel Reinharz
Apr 20, 2010·Journal of the American Geriatrics Society·Robert A Adler
Mar 1, 2012·Translational Behavioral Medicine·Randy S RothDavid A Williams
Jul 3, 2015·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J Compston
Mar 4, 2017·Geriatric Orthopaedic Surgery & Rehabilitation·Daniel H WizniaMichael P Leslie
Mar 2, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·B MerleA-M Schott
Mar 26, 2021·The Journal of Bone and Joint Surgery. American Volume·Hailey SaundersJoanna E M Sale
Jan 22, 2013·The American Journal of Medicine·Sumit R MajumdarJeffrey A Johnson

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