RT Journal Article
T1 Cost-effectiveness analysis of the Geriatric Fracture Center (GFC) concept: a prospective multicentre cohort study
A1 Joeris, Alexander
A1 Sprague, Sheila
A1 Blauth, Michael
A1 Gosch, Markus
A1 Wattanapanom, Pannida
A1 Jarayabhand, Rahat
A1 Poeze, Martijn
A1 Wong, Merng K
A1 Kwek, Ernest B K
A1 Hegeman, Johannes H
A1 Perez-uribarri, Carlos
A1 Guerado-Parra, Enrique
A1 Revak, Thomas J
A1 Zohner, Sebastian
A1 Joseph, David
A1 Phillips, Mark R
K1 Ancianos - Asistencia institucional - Aspectos económicos
AB Introduction: Geriatric Fracture Centers (GFCs) are dedicated treatment units where care is tailored towards elderly patients who have suffered fragility fractures. The primary objective of this economic analysis was to determine the cost-utility of GFCs compared with usual care centres.Methods: The primary analysis was a cost-utility analysis that measured the cost per incremental quality-adjusted life-year gained from treatment of hip fracture in GFCs compared with treatment in usual care centres from the societal perspective over a 1-year time horizon. Results: GFCs may be cost-effective in the long term, while providing a more comprehensive care plan. Patients in usual care centre group were slightly older and had fewer comorbidities. For the 1-year analysis, the costs per patient were slightly lower in the GFC group (-$646.42), while the quality-adjusted life-years were higher in the usual care centre group (+0.034). The incremental cost-effectiveness ratio was $18 863.34 (US$/quality-adjusted life-year). The lifetime horizon analysis found that the costs per patient were lower in the GFC group (-$7210.35), while the quality-adjusted life-years were higher in the usual care centre group (+0.02). The incremental cost-effectiveness ratio was $320 678.77 (US$/quality-adjusted life-year).Conclusions: This analysis found that GFCs were associated with lower costs compared with usual care centres. The cost-savings were greater when the lifetime time horizon was considered. This comprehensive cost-effectiveness analysis, using data from an international prospective cohort study, found that GFC may be cost-effective in the long term, while providing a more comprehensive care plan. A greater number of major adverse events were reported at GFC, nevertheless a lower mortality rate associated with these adverse events at GFC.
PB BMJ Journals
YR 2023
FD 2023-11-02
LK https://hdl.handle.net/10630/35660
UL https://hdl.handle.net/10630/35660
LA eng
NO Joeris A, Sprague S, Blauth M, et al. Cost-effectiveness analysis of the Geriatric Fracture Center (GFC) concept: a prospective multicentre cohort study. BMJ Open. 2023;13(11):e072744. Published 2023 Nov 2. doi:10.1136/bmjopen-2023-072744
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 21 ene 2026