English, Article edition: Hip Fracture Prevention: Cost-Effective Strategies Peter Vestergaard; Lars Rejnmark; Leif Mosekilde

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Physical Description
  • article
Language
  • English

Edition details

Title
  • Hip Fracture Prevention: Cost-Effective Strategies
Author
  • Peter Vestergaard
  • Lars Rejnmark
  • Leif Mosekilde
Physical Description
  • article
Notes
  • The available literature on cost benefit, cost effectiveness and cost utility of different drug and non-drug regimens in preventing hip fractures was reviewed. The cost of a hip fracture and of the different treatment regimens varied considerably from one country to another. In primary prevention, potential savings only exceeded costs in women over the age of 70 years treated with hormonal replacement therapy (HRT). In the case of HRT, treating those with low bone mineral density levels (secondary prevention) seems to be more cost effective than general treatment (primary prevention). There are few studies that have compared several different preventive regimens. Cost effectiveness is directly related to the cost of the regimen used because there is no significant difference in their effectiveness. That is, a high cost regimen such as bisphosphonates would be less cost effective than a low cost regimen such as HRT, judged from existing literature. High risk groups can be identified (nursing home residents) and treated with low cost interventions (calcium plus vitamin D or hip protectors). Considerable differences in the estimates used for the efficacy of different regimens in studies exist. Further studies comparing several hip fracture preventive regimens are required in order to establish the most cost-effective strategy.
  • Bisphosphonates, Calcitonin, Calcium, Colecalciferol, Cost analysis, Cost benefit, Cost effectiveness, Cost utility, Hip fracture, Hormonal replacements, Pharmacoeconomics
  • RePEc:wkh:phecon:v:19:y:2001:i:5:p:449-468
Language
  • English
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