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Surgery to repair a hip fracture reduces lifetime health care costs by more than $65,000 per patient
Date:8/26/2014

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This study showed that surgery to repair a hip fracture produced an average increase of 2.5 quality -adjusted life years (QALYs) ─ based on a patient's life expectancy and level of physical function ─ for patients with intracapsular fractures, and 1.9 years for patients with extracapsular fractures. "Our study quantifies the economic value of surgical treatment of hip fractures in terms of reduced lifetime medical costs to society," said Dr. Tongue.

The risk for hip fractures, a break in the upper quarter of the femur (thigh) bone, increases substantially with age with approximately 90 percent of hip fractures occurring in people older than age 65. As the number of older Americans continues to grow, the incidence of hip fracture is expected to increase substantially. The article stated that the annual incidence of hip fractures is expected to exceed 500,000 by 2040.

In this study, researchers estimated the impact of surgical and nonsurgical treatment in patients, age 65 and older, based on a comprehensive set of outcomes, including long-term medical costs, home modification costs and costs associated with long-term nursing home care. Based on a literature review, analysis of Medicare claims data and the input of a panel of clinical experts, the researchers created a Markov model ─ a standard predictive tool that accounts for various possible outcomes ─ to measure the cost and potential savings of repairing hip fractures via surgery.

The specific findings included:

  • The average per-patient savings was $65,279 for surgery to correct a displaced intracapsular hip fracture (occurring at the neck or head of the femur), and $67,964 for a displaced extracapsular hip fracture (occurring farther down the bone), when compared to nonsurgical treatment.
  • While surgical costs for a displaced intracapsular fracture were estimated to be $19,710 greater than nonoperative treatment, and $22,317
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Contact: Lauren Pearson Riley
pearson@aaos.org
847-384-4031
American Academy of Orthopaedic Surgeons
Source:Eurekalert

Page: 1 2 3

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