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Burden of illness of hip fractures in elderly Dutch patients
- Source :
- Archives of Osteoporosis, 15(11). Springer London, Archives of Osteoporosis
- Publication Year :
- 2020
-
Abstract
- Summary Patients with hip fractures experience reduced health-related quality of life and have a reduced life expectancy. Patients’ utilization of healthcare leads to costs to society. The results of the study can be used in future economic evaluations of treatments for hip fractures. Purpose Hip fractures are associated with high mortality, reduced quality of life, and increased healthcare utilization, leading to an economic burden to society. The purpose of this study is to determine the burden of illness of hip fractures in elderly Dutch patients for specific time periods after surgery. Methods Patients with a hip fracture above the age of 65 were included in the study. In the 1-year period after surgery, patients were asked to complete a set of questionnaires pre-injury (retrospectively), and 1 week, 1 month, 3 months, 6 months and 12 months after surgery. The set of questionnaires included the Euroqol 5D (EQ-5D-3L), the iMTA Medical Consumption Questionnaire (iMCQ) and iMTA Productivity Cost Questionnaire (iPCQ). Health-related quality of life was calculated using Dutch tariffs. Costs were calculated using the methodology described in the Dutch costing manual. Results Approximately 20% of patients with a hip fracture died within 1 year. Health-related quality of life was significantly reduced compared to pre-injury values, and patients did not recover to their pre-injury values within 1 year. Total costs in the first year after injury were €27,573, of which 10% were due to costs of the procedure (€2706). Total follow-up costs (€24,876) were predominantly consisting of healthcare costs. Monthly costs decreased over time. Conclusions Hip fractures lead to a burden to patients, resulting from mortality and health-related quality of life reductions, and to society, due to (healthcare) costs. The results of this study can be used in future economic evaluations.
- Subjects :
- Male
medicine.medical_specialty
Total cost
Health-related quality of life
Cost-Benefit Analysis
030209 endocrinology & metabolism
03 medical and health sciences
0302 clinical medicine
Elderly
Age Distribution
Quality of life
Cost of Illness
Surveys and Questionnaires
Health care
medicine
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
Burden of illness
Activity-based costing
Aged
Netherlands
Retrospective Studies
Aged, 80 and over
Hip fracture
business.industry
Hip Fractures
Health Care Costs
medicine.disease
Costs
Healthcare utilization
Orthopedic surgery
Life expectancy
Physical therapy
Quality of Life
Original Article
Female
Quality-Adjusted Life Years
business
Subjects
Details
- ISSN :
- 18623522
- Volume :
- 15
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Archives of Osteoporosis
- Accession number :
- edsair.doi.dedup.....f4c7fecb47c08fb2116b7df63aa78cc3
- Full Text :
- https://doi.org/10.1007/s11657-019-0678-y