Direct healthcare costs of hip, vertebral, and non-hip, non-vertebral fractures

Shi, Nianwen; Foley, Kathleen A.; Lenhart, Gregory; Badamgarav, Enkhe

doi:10.1016/j.bone.2009.07.086

Cited by 83 publications

(59 citation statements)

References 20 publications

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“…However, other peripheral fractures also accounted for a significant financial burden. In an investigation from the USA, it was concluded that while the mean cost of treating hip fractures was greater than the mean cost of treating non-hip, nonvertebral fractures, the higher prevalence of the latter forms of fracture as compared to hip fractures (11:1 ratio, respectively) resulted in a greater cost to the health care system over the ages of 50-64 years of age [9]. In the older age group (65 or older), the ratio of non-hip, non-vertebral fractures to hip fractures was 2:1, with the treatment of hip fractures then accounting for 52% of the financial burden.…”

Section: Discussionmentioning

confidence: 99%

“…In 2006, Borgstrom et al [13] estimated the mean 1-year cost of treating hip, vertebral, and wrist fractures at 14,221 Euros (∼$19,000 CAD), 12,544 Euros (∼$17,000 CAD), and 2,147 Euros (∼$3,000 CAD), [9]. However, comparisons among countries with differing medical and administrative structures and from different time periods are fraught with difficulty, further highlighting the need for regional cost data with respect to the treatment of fractures.…”

Section: Discussionmentioning

confidence: 99%

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Direct medical costs attributable to peripheral fractures in Canadian post-menopausal women

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Direct medical costs attributable to peripheral fractures in Canadian post-menopausal women

et al. 2011

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“…Among orthopaedic injuries, none accounts for more morbidity, mortality, and healthcare costs than hip fracture [3,25,35]. Cooper et al [6] have estimated that as a result of an increasing proportion of elderly people in the world, the number of hip fractures will approximate four million in 2025.…”

Section: Introductionmentioning

confidence: 99%

Randomized Trial of Hemiarthroplasty versus Internal Fixation for Femoral Neck Fractures: No Differences at 6 Years

Støen

Lofthus

Nordsletten

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Hemiarthroplasty has been shown superior to internal fixation for displaced femoral neck fractures (FNF) in the first 2 years. However, there are unanswered questions about the performance of hemiarthroplasty over the longer term compared with internal fixation. Questions/purposes We sought to compare hemiarthroplasty with internal fixation in terms of (1) outcomes scores for pain, hip function, and quality of life at a minimum of 5 years after surgery in a randomized trial. A secondary purpose was to compare (2) patient survival and (3) frequency of reoperation in the two groups. Methods A total of 222 consecutive patients older than 60 years, including those cognitively impaired, with FNF were randomized to either internal fixation with two parallel screws or bipolar hemiarthroplasty. At a minimum followup of 4.9 years (mean, 5.9 years; range, 4.9-7.2 years), 68 of the 70 surviving patients were examined by a study nurse and study physiotherapist blinded to initial treatment. Questionnaires on hip function (Harris hip score), quality of life (Eq5D), and activity of daily living function (Barthel ADL) were administered. The Barthel ADL index score was split into good function (score 95 or 100) and reduced function (score below 95).

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“…4,5 Resource allocation for hip fracture surgeries are often based on analyses for first hip fractures alone by excluding patients who presented with a history of prior fracture. [6][7][8][9] However, previous reports indicate that second hip fractures account for up to 15% of all hip fractures. [10][11][12][13][14][15][16][17][18][19] These second hip fractures are associated with poorer postoperative outcomes, including complications, 20 transitions to long-term care 20 and mortality.…”

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confidence: 99%

The burden of second hip fractures: provincial surgical hospitalizations over 15 years

Guy

Sobolev

Kuramoto

et al. 2017

CJS

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The burden of second hip fractures: provincial surgical hospitalizations over 15 years Background: Second hip fractures account for up to 15% of all hip fractures. We sought to determine if the proportion of hip fracture surgeries for second hip fracture changed over time in terms of patient and fracture characteristics. Methods:We reviewed the records of patients older than 60 years hospitalized for hip fracture surgery between 1990 and 2005 in British Columbia. We studied the proportion of surgeries for second hip fracture among all hip fracture surgeries. Linear regression tested for trends across fiscal years for women and men. Results:We obtained 46 341 patient records. Second hip fracture accounted for 8.3% of hip fracture surgeries. For women the proportion of second hip fracture surgeries increased linearly from 4% to 13% with each age decade (p = 0.001) and across fiscal years (p = 0.002). In men the proportion of second hip fracture surgeries was 5% for each age decade between the ages of 60 and 90 years across fiscal years, increasing to 8% for men older than 90 years across fiscal years (p = 0.20). These sex-specific trends were similar for both pertrochanteric and transcervical fracture types. Conclusion:Second hip fracture surgeries account for an increasing proportion of hip fracture surgeries and may require more health care resources to minimize poorer reported outcomes. Future research should determine whether more health care resources are required to manage these patients and optimize their outcomes.Contexte : Les secondes fractures de la hanche représentent jusqu'à 15 % de la totalité des fractures de la hanche. Nous avons tenté de déterminer si la proportion de chirurgies de seconde fracture de la hanche avait évolué au fil du temps sur le plan des caractéristiques des patients et des fractures.

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Direct healthcare costs of hip, vertebral, and non-hip, non-vertebral fractures

Cited by 83 publications

References 20 publications

Direct medical costs attributable to peripheral fractures in Canadian post-menopausal women

Direct medical costs attributable to peripheral fractures in Canadian post-menopausal women

Randomized Trial of Hemiarthroplasty versus Internal Fixation for Femoral Neck Fractures: No Differences at 6 Years

The burden of second hip fractures: provincial surgical hospitalizations over 15 years

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