Cost-effectiveness of hip protectors in institutional dwelling elderly
Cost-effectiveness of hip protectors in institutional dwelling elderly
复制标题
机构住宅老年人髋部保护器的成本效益
作者：
L. Waldegger;A. Cranney;M. Man‐Son‐Hing;D. Coyle
目的：评估髋部保护器在预防机构中老年人髋部骨折方面的有效性和成本效益。设计和设置：荟萃分析，然后是经济分析。方法：随机对照临床试验的荟萃分析基于 Cochrane 协作组织的建议。基于模型的经济分析是利用与加拿大相关的转型概率、成本和公用事业的估计进行的。结果：结果表明，与对照组相比，髋部保护器导致髋部骨折的相对风险为 0.40（95% 置信区间 0.23-0.70）。经济分析发现，使用髋部保护器预计既有效又节省成本。结果对于探索输入参数不确定性的一系列分析是稳健的。结论：有足够的临床和经济证据支持机构居住老年人使用髋部保护器。
Objective: To assess the effectiveness and cost-effectiveness of hip protectors in the prevention of hip fracture in an elderly population living in institutions. Design and setting: Meta-analysis followed by economic analysis. Methods: The meta-analysis of randomized controlled clinical trials was based on the recommendations of the Cochrane Collaboration. Model-based economic analysis was conducted using estimates of transition probabilities, costs, and utilities relevant to Canada. Results: The results indicate that hip protectors compared with control results in a relative risk of hip fracture of 0.40 (95% Confidence Interval 0.23–0.70). The economic analysis found that the use of hip protectors is expected to be both effective and cost saving. Results were robust to a range of analysis exploring the uncertainty of input parameters. Conclusions: There is sufficient clinical and economic evidence to support the use of hip protectors for institutional dwelling elderly.
影响因子：
120.7
作者：
Chandler, JM;Zimmerman, SI;Magaziner, J
通讯作者：
Magaziner, J