COST AND EFFECTIVENESS OF HIP PROTECTORS AMONG THE ELDERLY

Objective: To characterize the net cost and quality of life effects associated with hip protector use among the elderly relative to no intervention. Methods: We developed two deterministic hypothetical cohorts of 500,000 65-year-old women or men and followed them over the remainder of their lifetime...

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Bibliographic Details
Published in:International journal of technology assessment in health care 2002, Vol.18 (1), p.55-66
Main Authors: Segui-Gomez, Maria, Keuffel, Eric, Frick, Kevin D.
Format: Article
Language:English
Subjects:
Age
Aged
Aged, 80 and over
Biological and medical sciences
Compliance
Cost analysis
Cost control
Cost-Benefit Analysis
Cost-effectiveness
Female
Fractures
Gender
Hip fractures
Hip Fractures - epidemiology
Hip Fractures - mortality
Hip Fractures - prevention & control
Hip joint
Hip protectors
Humans
Incidence
Injuries of the limb. Injuries of the spine
Intervention
Life expectancy
Male
Medical sciences
Mortality
Net losses
Protective Devices - economics
Protective Devices - standards
Protective Devices - utilization
Public health
Quality of Life
Quality-Adjusted Life Years
Ratios
Technology Assessment, Biomedical
Traumas. Diseases due to physical agents
Treatment Outcome
United States - epidemiology
Women
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Summary:Objective: To characterize the net cost and quality of life effects associated with hip protector use among the elderly relative to no intervention. Methods: We developed two deterministic hypothetical cohorts of 500,000 65-year-old women or men and followed them over the remainder of their lifetimes. Data inputs were collected from secondary sources. Net costs are expressed in 1999 U.S. dollars, whereas net effectiveness is expressed in lives saved and in quality-adjusted life-years (QALYs) gained. Results: Hip protector use results in net cost savings for both elderly women and men. Women over age 65 and men over age 85 also gain QALYs through hip protector use. Conclusions: Using the estimates available in the literature, our analysis indicates that use of hip protectors among women is associated with large cost savings and QALY gains even when accounting for the inconvenience of using the protectors. Among men, hip protectors are also associated with cost savings (although of smaller magnitude), but there are net losses of QALYs because of the inconveniences associated with the protectors.
ISSN:0266-4623
1471-6348
DOI:10.1017/S0266462302108063