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Osteoporos Int. 2014 Mar;25(3):875-85. doi: 10.1007/s00198-013-2487-2. Epub 2013 Sep 27.

The societal costs of femoral neck fracture patients treated with internal fixation.

Collaborators (445)

McCormack R, Apostle K, Boyer D, Moola F, Perey B, Stone T, Viskontas D, Lemke H, Zomar M, Moon K, Moon R, Oatt A, Buckley RE, Duffy P, Korley R, Puloski S, Johnston K, Powell J, Carcary K, Sanders D, Lawendy A, Tieszer C, Stephen D, Kreder H, Jenkinson R, Nousiainen M, Axelrod T, Murnaghan J, Nam D, Richards R, Rodriguez-Elizalde S, Wadey V, Yee A, Milner K, Kunz M, MacNevin M, Cagaanan R, Bicknell R, Yach J, Bardana D, Wood G, Harrison M, Yen D, Lambert S, Howells F, Ward A, Coles C, Leighton R, Biddulph M, Johnston D, Glazebrook M, Alexander D, Coady C, Dunbar M, Trask K, MacDonald S, Dobbin G, Schemitsch EH, Ahn H, Hall JA, McKee MD, Whelan DB, Nauth A, Vicente M, Wild L, Khan R, Hidy J, Zalzal P, Brien H, Naumetz V, Weening B, Simunovic N, Wai EK, Papp S, Gofton WT, Liew A, Kingwell SP, Roffey DM, Borsella V, Avram V, Oliver TM, Jones V, Jones C, Ringler J, Endres T, Sietsema DL, Jeray KJ, Broderick J, Goetz DR, Pace TB, Schaller TM, Porter SE, Tanner SL, Snider RG, Nastoff LA, Bielby SA, Marcantonio AJ, Iorio R, Garfi J, Prayson MJ, Laughlin R, Rubino J, May J, Rieser GR, Dulaney-Cripe L, Gayton C, Switzer JA, Cole PA, Anderson SA, Lafferty PM, Li M, Ly TV, Marston SB, Foley AL, Vang S, Wright DM, Vallier HA, Dolenc A, Robinson C, Gorczyca JT, Gross JM, Humphrey CA, Kates S, Noble K, McIntyre AW, Pecorella K, Shaer J, Schrickel T, Hileman B, Davis CA, Weinerman S, Weingarten P, Stull P, Lindenbaum S, Hewitt M, Schwappach J, Baker JK, Mehta S, Esterhai J, Ahn J, Horan AD, McGinnis K, Kaminski CA, Kowalski BN, Cannada LK, Karges D, Hill L, Tarkin I, Siska P, Gruen G, Evans A, Farrell DJ, Irrgang J, Luther A, Keeve JP, Anderson CG, McDonald MD, Hoffman JM, Jenkins M, Dumais J, Romero AW, Hsu JR, Ficke J, Charlton M, Napierala M, Fan M, Cross WW 3rd, Cass JR, Sems SA, Torchia ME, Scrabeck T, Sagebien CA, Butler MS, Monica JT, Seuffert P, Brennan ML, Probe R, Kile E, Mills K, Clipper L, Yu M, Erwin K, Tornetta P 3rd, Carlisle H, Silva H, Archdeacon M, Finnan R, Le T, Wyrick J, Hess S, McBeth J, Aurang K, Zohman G, Peterson B, Huff RB, Baele J, Weber T, Edison M, Schmidt AH, Westberg JR, DePaolo CJ, Alosky R, Shell LE, Hampton L, Shepard S, Nanney T, Cuento C, Shively K, Ertl JP, Mullis B, Parr J, Worman R, Frizzell V, Moore MM, Tobias E, Thomas E, Cantu RV, Henderson ER, Eickhoff LS, Zamorano DP, Pourmand D, Lawson D, Hammerberg E, Stahel P, Hak D, Mauffrey C, Gibula D, Gissel H, Henderson C, Rocca GJ, Crist BD, Murtha YM, McPherson M, Anderson LK, Dohm MP, Zellar A, Linehan C, Pilling L, Horwitz D, Strohecker K, Lewis CG, Caminiti S, Sullivan RJ, Roper E, Obremskey W, Kregor P, Richards JE, Stringfellow K, Goslings J, Haverlag R, Ponsen KJ, Bronkhorst MW, Guicherit OR, Patka P, Eversdijk MG, Peters R, Hartog DD, Van Waes OJ, Oprel P, de Rijcke PA, Koppert CL, Buijk SE, Groenendijk RP, Dawson I, Tetteroo GW, Bruijninckx MM, Doornebosch PG, de Graaf EJ, Heetveld MJ, Visser GA, Stockmann H, Silvis R, Snellen JP, Rijbroek B, Scheepers JJ, Vermeulen EG, Siroen MP, Vuylsteke R, Brom HL, Rijna H, Gasthuis K, Roukema GR, Josaputra H, Keller P, de Rooij PD, Kuiken H, Boxma H, Cleffken BI, Liem R, Rhemrev SJ, Bosman CH, de Mol van Otterloo A, Hoogendoorn J, de Vries AC, Meylaerts SA, Poolman RW, Simons MP, van der Heijden FH, Willems W, de Meulemeester FR, van der Hart CP, Turckan K, Festen S, de Nies F, Haverlag R, Out NJ, Bosma J, Gasthuis LV, van der Elst M, van der Pol CC, van 't Riet M, Karsten TM, de Vries MR, Stassen LP, Schep NW, Schmidt G, Hoffman WH, de Graaf Gasthuis R, Segers MJ, Zijl JA, Verhoeven B, Smits AB, de Vries JP, Fioole B, van der Hoeven H, Theunissen EB, de Vries Reilingh TS, Govaert L, Wittich P, de Brauw M, Wille J, Go PM, Ritchie ED, Wessel RN, Hammacher ER, Verhofstad MH, Meijer J, van Egmond T, van der Heijden FH, van der Brand I, Ziekenhuis E, van der Vis HM, Campo M, Verhagen R, Albers GH, Zurcher AW, Ziekenhuizen T, van Kampen A, Biert J, van Vugt AB, Edwards MJ, Blokhuis TJ, Frölke JP, Geeraedts LM, Gardeniers JW, Tan ET, Poelhekke LM, de Waal Malefijt MC, Schreurs B, Simmermacher RK, van Mulken J, van Wessem K, Blokhuis TJ, van Gaalen SM, Leenen LP, Liew S, Bedi H, Carr A, Chia A, Csongvay S, Curry H, Doig S, Donohue C, Edwards E, Etherington G, Gong A, Jain A, Li D, Miller R, Moaveni A, Russ M, Ton L, Wang O, Murdoch Z, Sage C, Frihagen F, Clarke-Jenssen J, Hjorthaug G, Ianssen T, Amundsen A, Brattgjerd JE, Borch T, Bøe B, Flatøy B, Hasselund S, Haug KJ, Hemlock K, Hoseth TM, Jomaas G, Kibsgård T, Kristiansen B, Lona T, Moatshe G, Müller O, Molund M, Nicolaisen T, Nilsen F, Rydinge J, Smedsrud M, Trommer A, Ugland S, Vesterhus EB, Brekke AC, Sharma A, Sanghavi A, Tetsworth K, Geoff D, Weinrach P, Pincus P, Yang S, Halliday B, Gervais T, Holt M, Flynn A, Prasad AS, Mishra V, Gupta A, Jain N, Bhatia M, Arora V, Bhatia M, Sundaresh DC, Khanna A, Rai A, Pirpiris M, Love D, Bucknill A, Farrugia RJ, Dadi A, Palla N, Rai B, Rajakumar J, Cherian JJ, Olakkengil DJ, Sharma G.

Abstract

SUMMARY:

The study rationale was to provide a detailed overview of the costs for femoral neck fracture treatment with internal fixation in the Netherlands. Mean total costs per patient at 2-years follow-up were <euro>19,425. Costs were higher for older, less healthy patients. Results are comparable to internationally published costs.

INTRODUCTION:

The aim of this study was to provide a detailed overview of the cost and healthcare consumption of patients treated for a hip fracture with internal fixation. A secondary aim was to compare costs of patients who underwent a revision surgery with patients who did not.

METHODS:

The study was performed alongside the Dutch sample of an international randomized controlled trial, concerning femoral neck fracture patients treated with internal fixation. Patient characteristics and healthcare consumption were collected. Total follow-up was 2 years. A societal perspective was adopted. Costs included hospital costs during primary stay and follow-up, and costs related to rehabilitation and changes in living situation. Costs were compared between non-revision surgery patients, implant removal patients, and revision arthroplasty patients.

RESULTS:

A total of 248 patients were included (mean age 71 years). Mean total costs per patient at 2-years follow-up were <euro>19,425. In the non-revision surgery patients total costs were <euro>17,405 (N = 137), in the implant removal patients <euro>10,066 (N = 38), and in the revision arthroplasty patients <euro>26,733 (N = 67). The main contributing costs were related to the primary surgery, admission days, physical therapy, and revision surgeries.

CONCLUSIONS:

The main determinant was the costs of admission to a rehabilitation center/nursing home. Costs were specifically high in elderly with comorbidity, who were less independent pre-fracture, and have a longer admission to the hospital and/or a nursing home. Costs were also higher in revision surgery patients. The 2-years follow-up costs in our study were comparable to published costs in other Western societies.

PMID:
24072404
[PubMed - indexed for MEDLINE]
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