Waldegger L, Cranney A, Man-Son-Hing M, Coyle D. Cost-effectiveness of hip protectors in institutional dwelling elderly.
Osteoporos Int 2003;
14:243-50. [PMID:
12730792 DOI:
10.1007/s00198-002-1354-3]
[Citation(s) in RCA: 28] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2001] [Accepted: 09/18/2002] [Indexed: 01/27/2023]
Abstract
OBJECTIVE
To assess the effectiveness and cost-effectiveness of hip protectors in the prevention of hip fracture in an elderly population living in institutions.
DESIGN AND SETTING
Meta-analysis followed by economic analysis.
METHODS
The meta-analysis of randomized controlled clinical trials was based on the recommendations of the Cochrane Collaboration. Model-based economic analysis was conducted using estimates of transition probabilities, costs, and utilities relevant to Canada.
RESULTS
The results indicate that hip protectors compared with control results in a relative risk of hip fracture of 0.40 (95% Confidence Interval 0.23-0.70). The economic analysis found that the use of hip protectors is expected to be both effective and cost saving. Results were robust to a range of analysis exploring the uncertainty of input parameters.
CONCLUSIONS
There is sufficient clinical and economic evidence to support the use of hip protectors for institutional dwelling elderly.
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