Impact of hip fracture on hospital care costs: a population-based study.

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• dc.contributor.author Leal, Joséca
• dc.contributor.author Gray, A. M.ca
• dc.contributor.author Prieto-Alhambra, Danielca
• dc.contributor.author Arden, Nigelca
• dc.contributor.author Cooper, Cyrusca
• dc.contributor.author Javaid, M. Kassimca
• dc.contributor.author Judge, Andrewca
• dc.contributor.author REFReSH study groupca
• dc.date.accessioned 2016-02-26T08:43:59Z
• dc.date.available 2016-02-26T08:43:59Z
• dc.date.issued 2016
• dc.description.abstract Using a large cohort of hip fracture patients, we estimated hospital costs to be £14,163 and £2139 in the first and second year following fracture, respectively. Second hip and non-hip fractures were major cost drivers. There is a strong economic incentive to identify cost-effective approaches for hip fracture prevention. INTRODUCTION: The purpose of this study was to estimate hospital costs of hip fracture up to 2 years post-fracture and compare costs before and after the index fracture. METHODS: A cohort of patients aged over 60 years admitted with a hip fracture in a UK region between 2003 and 2013 were identified from hospital records and followed until death or administrative censoring. All hospital records were valued using 2012/2013 unit costs, and non-parametric censoring methods were used to adjust for censoring when estimating average annual costs. A generalised linear model examined the main predictors of hospital costs./nRESULTS: A cohort of 33,152 patients with a hip fracture was identified (mean age 83 years (SD 8.2). The mean censor-adjusted 1- and 2-year hospital costs after index hip fracture were £14,163 (95 % confidence interval (CI) £14,008 to £14,317) and £16,302 (95 % CI £16,097 to £16,515), respectively. Index admission accounted for 61 % (£8613; 95 % CI £8565 to £8661) of total 1-year hospital costs which were £10,964 higher compared to the year pre-event (p < 0.001). The main predictors of 1-year hospital costs were second hip fracture, other non-hip fragility fractures requiring hospitalisation and hip fracture-related complications. Total UK annual hospital costs associated with incident hip fractures were estimated at £1.1 billion. CONCLUSIONS: Hospital costs following hip fracture are high and mostly occur in the first year after the index hip fracture. Experiencing a second hip fracture after the index fracture accounted for much of the increase in costs. There is a strong economic incentive to prioritise research funds towards identifying the best approaches to prevent both index and subsequent hip fractures.ca
• dc.description.sponsorship D.P.A. has received unrestricted research and educational grants from AMGEN. N.A. reports personal fees from Merck, grants and personal fees from Roche, personal fees from Smith and Nephew, personal fees from QMed, personal fees from Nicox, personal fees from Flexion, personal fees from Bioiberica and personal fees from Servier. C.C. has received consultancy, lecture fees and honoraria from AMGEN, GSK, Alliance for Better Bone Health, MSD, Eli Lilly, Pfizer, Novartis, Servier, Medtronic and Roche. M.K.J. has received in the last 5 years honoraria for travel expenses, speaker fees and/or advisory committees from Lilly UK, Amgen, Servier, Merck, Medtronic, Internis, Consilient Health and Jarrow Formulas. He also serves on the Scientific Committee of the National Osteoporosis Society and International Osteoporosis Foundation. A.J. has received consultancy, lecture fees and honoraria from Servier, UK Renal Registry, Oxford Craniofacial Unit, IDIAP Jordi Gol, and Freshfields Bruckhaus Deringer, has held advisory board positions (which involved receipt of fees) from Anthera Pharma
• dc.format.mimetype application/pdfca
• dc.identifier.citation Leal J, Gray AM, Prieto-Alhambra D, Arden NK, Cooper C, Javaid MK. et al. Impact of hip fracture on hospital care costs: a population-based study. Osteoporos Int. 2016 Feb;27(2):549-58. doi: 10.1007/s00198-015-3277-9.ca
• dc.identifier.doi http://dx.doi.org/10.1007/s00198-015-3277-9
• dc.identifier.issn 0937-941X
• dc.identifier.uri http://hdl.handle.net/10230/25951
• dc.language.iso engca
• dc.publisher Springerca
• dc.relation.ispartof Osteoporosis International. 2016 Feb;27(2):549-58
• dc.rights This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.ca
• dc.rights.accessRights info:eu-repo/semantics/openAccessca
• dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/ca
• dc.subject.other Osteoporosica
• dc.subject.other Fracturesca
• dc.subject.other Control de costosca
• dc.title Impact of hip fracture on hospital care costs: a population-based study.ca
• dc.type info:eu-repo/semantics/articleca
• dc.type.version info:eu-repo/semantics/publishedVersionca