Table 10-43Hemiarthroplasty vs total hip replacement - Economic summary of findings

StudyIncremental cost per patient (£)Incremental effectsICERUncertainty
Keating 2005 173£498 (b)Hemiarthroplasty has lower EQ-5D scores at 4, 12 and 24 months (b)NATwo-way sensitivity analysis showed that the direction of change in cost did not change when cost of prostheses and cost of readmission were varied over a range from -50% to +100% around the baseline values.
a

The mean cost per patient for hemiarthroplasty was 9,897 (95% CI: 8,062 – 11,732) and £9,399 (95% CI: 8,265-10,532) for THR.

b

Hemiarthroplast had higher number of deaths within 4, 12 and 24 months from operation than THR: 5% vs.4%; 10% vs. 6% and 16% vs. 9%; (p values not significant), but lower reoperation rates at 4, 12 and 24 months: 5% vs. 7%; 5% vs 9%; and 5% vs. 9% (p value NR). THR had higher mean EQ-5D scores at 4, 12 and 24 months: 0.61 vs. 0.68 (not significant); 0.64 vs. 0.70 (not significant); 0.53 vs 0.69 (p=0.008).

From: 10, Surgical procedures

Cover of The Management of Hip Fracture in Adults
The Management of Hip Fracture in Adults [Internet].
NICE Clinical Guidelines, No. 124.
National Clinical Guideline Centre (UK).
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