Online citations, reference lists, and bibliographies.

Economic Implications Of Hip Fracture: Health Service Use, Institutional Care And Cost In Canada

M. Wiktorowicz, R. Goeree, A. Papaioannou, J. Adachi, E. Papadimitropoulos
Published 2001 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Abstract: As the burden of illness associated with hip fracture extends beyond the initial hospitalization, a longitudinal 1 year cohort study was used to analyze levels of health service use, institutional care and their associated costs, and to examine patient and residency factors contributing to overall 1 year cost. Patients in the study were aged 50 year and over, and had been admitted to an acute care facility for hip fracture in the Hamilton–Wentworth region of Canada from 1 April 1995 to 31 March 1996. Health care resources assessed included initial hospitalization, rehospitalization, rehabilitation, chronic care, home care, long-term care (LTC) and informal care. Regression analysis was used to determine the effects of age, gender, residence, survival and days of follow-up on 1 year cost. The mean 1 year cost of hip fracture for the 504 study patients was 26.527 Canadian dollars (95% Cl: $24.564–$28.490). One year costs were significantly different for patients who returned to the community ($21.385), versus those who were transferred to ($44.156), or readmitted to LTC facilities ($33.729) (p<0.001). Initial hospitalization represented 58% of 1 year cost for community-dwelling patients, compared with 27% for LTC residents. Only 59.4% of community-dwelling patients resided in the community 1 year following hip fracture, and 5.6% of patients who survived their first fracture experienced a subsequent hip fracture. Linear regression indicated place of residence, age and survival were all important contributors to 1 year cost (p<0.001). While the average 1 year cost of care was $26.527, the overall cost varied depending on a patient”s place of residence, age, and survival to 1 year. Annual economic implications of hip fracture in Canada are $650 million and are expected to rise to $2.4 billion by 2041.
This paper references
The direct medical costs of osteoprosis for American women aged 45 and older
S Phillips (1986)
The impact and consequences of hip fracture in Ontario.
S. Jaglal (1996)
Osteoporosis: a preventable consequence of menopause
GD Paiment (1993)
Osteoporosis: review of the evidence for prevention, diagnosis and treatment and cost-effectiveness analysis. Introduction.
The economic cost of hip fractures in the elderly
A Brainsky (1995)
Costs of hip fracture. Rehabilitation of 180 patients in primary health care.
L. Borgquist (1991)
Costs and health effects of osteoporotic fractures.
E. Chrischilles (1994)
Osteoporotic fractures: Incidence and impact
S. Jaglal (1998)
The aging of America. Impact on health care costs.
E. Schneider (1990)
Epidemiology of age-related fractures
LJ Melton (1983)
Institutionalized patients with hip fractures
J. F. Fitzgerald (1990)
Mortality , independence in living , and refracture , one year following hip fracture in
A Papaioannou (1989)
Cost-effectiveness of fracture prevention in established osteoporosis
B. Jönsson (1995)
Mortality following hip fracture before and after implementation of the prospective payment system.
W. Ray (1990)
The direct medical costs of osteoporosis for American women aged 45 and older
S Phillips (1986)
Mortality, Independence in Living, and Re-fracture, One Year Following Hip Fracture in Canadians
A. Papaioannou (2000)
Quality of life related to fear of falling and hip fracture in older women: a time trade off study.
G. Salkeld (2000)
Medical costs of osteoporosis. Bone 1992;13:S11–16
RJ Norris (1992)
Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: report from the National Osteoporosis Foundation.
N. F. Ray (1997)
Current and projected rates of hip fracture in Canada.
E. Papadimitropoulos (1997)
Technology assessment.
M. Schechter (1989)
The future of hip fractures in the United States. Numbers, costs, and potential effects of postmenopausal estrogen.
S. Cummings (1990)
An assessment of the burden of illness due to osteoporosis in Canada
R Goeree (1996)
Fact book on health in Hamilton– Wentworth, third edition
G Elliot (1996)
The direct medical costs of osteoporosis for American women aged 45 and older, 1986.
S. Phillips (1988)
Mortality and morbidity after hip fractures.
G. Keene (1993)
The impact of the prospective payment system on the treatment of hip fractures in the elderly.
R. Palmer (1989)
Medical costs of osteoporosis.
R. J. Norris (1992)
Direct Costs of Osteoporosis For New Zealand Women
A. Lane (1996)

This paper is referenced by
The effects of exercise and physical activity participation on bone mass and geometry in postmenopausal women: a systematic review of pQCT studies
C. Hamilton (2009)
The impact of two educational interventions on osteoporosis diagnosis and treatment after fragility fracture: a population-based randomized controlled trial
Louis Bessette (2011)
A systematic review of the unit costs of allied health and community services used by older people in Australia
I. Farag (2013)
Stress variations owing to single-stance load and sideways fall result in fracture at proximal femur
Tanvir R. Faisal (2015)
Basal haemoglobin levels as prognostic factor for early death in elderly patients with a hip fracture--A twenty year observation study.
Florian M. Kovar (2015)
Examining the Effects of Dementia on the Postoperative Outcomes of Older Adults with Hip Fractures
Dallas P Seitz (2014)
Costs and quality of life associated with osteoporosis-related fractures in Sweden
F. Borgström (2005)
Daidzein together with high calcium preserve bone mass and biomechanical strength at multiple sites in ovariectomized mice.
Debbie Fonseca (2004)
New aspects in health economic studies of prevention and treatment of osteoporosis
A. Palmer (2001)
Excess mortality after hip fracture among the elderly in Taiwan: a nationwide population-based cohort study.
Chang-Bi Wang (2013)
Economic Impact of Osteoporotic Fractures (versus Women)
Terence W O'Neill (2010)
Population-Based Simulation for Public Health: Generic Software Infrastructure and Its Application to Osteoporosis
A. Durand (2012)
Does informal support influence social participation of fractured elderly people?
H. Ekström (2013)
Are the EQ-5D-3L and the ICECAP-O responsive among older adults with impaired mobility? Evidence from the Vancouver Falls Prevention Cohort Study
Jennifer C. Davis (2016)
A Scoping Review of Strategies for the Prevention of Hip Fracture in Elderly Nursing Home Residents
Anna M Sawka (2010)
Sexual dimorphism in bone–muscle relationship in young adults
Vera Zymbal (2017)
Hospitalization Rates of Nursing Home Residents and Community-Dwelling Seniors in British Columbia
L. Ronald (2008)
Economic evaluation of dose–response resistance training in older women: a cost-effectiveness and cost-utility analysis
J. C. Davis (2010)
The effects of a gymnastics program on early childhood body composition development
M. Erlandson (2007)
Fragility fractures and the osteoporosis care gap: an international phenomenon.
L. Giangregorio (2006)
About the Canadian Institute for Health Information
G. W. Scott (2007)
The impact of educational interventions on modifiable risk factors for osteoporosis after a fragility fracture
Claudia Beaudoin (2014)
An Examination of Fragility Fractures that Occur in Ontario Workplaces
Chamila Adhihetty (2017)
A systematic review of the outcomes of osteoporotic fracture patients after hospital discharge: morbidity, subsequent fractures, and mortality
Ahmad Nazrun (2014)
Development and Application of a Probabilistic/Mechanistic Model to Investigate the Influence of Safety Flooring on Population-Level Hip Fracture Risk
Daniel Martel (2017)
Population trends in BMD testing, treatment, and hip and wrist fracture rates: are the hip fracture projections wrong?
S. Jaglal (2005)
Study of hip fracture risk by DXA-based patient-specific finite element model.
Z. Ferdous (2015)
Association Study between the FTCDNL1 (FONG) and Susceptibility to Osteoporosis
Hsing-Fang Lu (2015)
The use of hip protectors in long-term care facilities: a survey of nursing home staff.
A. Sawka (2007)
Comparison of proximal femur deformations, failures and fractures in quasi-static and inertially-driven simulations of a sideways fall from standing : an experimental study utilizing novel fall simulation, digital image correlation, and development of digital volume correlation techniques
S. Gilchrist (2014)
The effect of care pathways for hip fractures: a systematic overview of secondary studies
F. Leigheb (2012)
Demographic Risk Factors for Fracture in First Nations People
W. Leslie (2005)
See more
Semantic Scholar Logo Some data provided by SemanticScholar