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Value Health. 2008 Dec;11(7):1088-95. doi: 10.1111/j.1524-4733.2008.00393.x.

Cost-effectiveness of preventing hip fractures by hip protectors in elderly institutionalized residents in Germany.

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Institute of Health Economics and Clinical Epidemiology, University of Cologne, Cologne, Germany.



To determine the long-term cost-effectiveness of hip protector use in the prevention of hip fractures in elderly institutionalized residents in Germany compared to no prevention.


A lifetime Markov decision model was developed using published data on costs and health outcomes. A societal and statutory health insurance perspective was adopted.


From a societal/statutory health insurance perspective, use of hip protectors yields savings of 315 EURO/257 EURO and a gain of 0.13 quality-adjusted life years per person over lifetime.


Hip protector use in elderly institutionalized residents in Germany is highly cost-effective.

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