Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-25T18:39:25.808Z Has data issue: false hasContentIssue false
  • English
  • Français

An Economic Evaluation of Energy-Absorbing Flooring to Prevent Hip Fractures

Published online by Cambridge University Press:  10 March 2009

Christopher Zacker  and
Dennis Shea
Christopher Zacker
Affiliation:
The Pennsylvania State University and Novartis Pharmaceuticals Corporation
Dennis Shea
Affiliation:
The Pennsylvania State University
Get access Rights & Permissions [Opens in a new window]

Abstract

An economic evaluation of energy-absorbing flooring designed to prevent hip fractures revealed a payback period of 10½ years if only direct costs avoided were evaluated and just over 11 months when direct and indirect costs were included. Cost-effectiveness ratios of less than $0 per hip fracture prevented and life year saved were also estimated.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 14 , Issue 3 , Summer 1998 , pp. 446 - 457
Copyright
Copyright © Cambridge University Press 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Beals, R. K.Survival following hip fracture: Long follow-up of 607 patients. Journal of Chronic Disease, 1972, 25, 235–44.CrossRefGoogle ScholarPubMed
2.Berry, G., Fisher, R. H., & Lang, S.Detrimental incidents, including falls, in an elderly institutional population. Journal of the American Geriatrics Society, 1981, 29, 322–24.CrossRefGoogle Scholar
3.Campion, E. W., Jette, A. M., Cleary, P. D., & Harris, B. A.Hip fracture: A prospective study of hospital course, complications, and costs. Journal of General Internal Medicine, 1987, 2, 78–82.CrossRefGoogle ScholarPubMed
4.Chrischilles, E., Shireman, T., & Wallace, R.Costs and health effects of osteoporotic fractures. Bone, 1994, 15, 377–86.CrossRefGoogle ScholarPubMed
5.Committee on Ways and Means, U.S. House of Representatives. Overview of entitlement programs: 1993 Green Book. Washington DC: U.S. Government Printing Office, 1994.Google Scholar
6.Cummings, S. R., Rubin, S. M., & Black, D.The future of hip fractures in the United States: Numbers, costs, and potential effects of postmenopausal estrogen. Clinical Orthopaedics and Related Research, 1990, 252, 163–66.CrossRefGoogle Scholar
7.Drummond, M. F., Stoddart, G. L., & Torrance, G. W.Methods for the economic evaluation of health care programmes. New York: Oxford University Press, 1987.Google Scholar
8.Edwards, W. & Edwards, B.Questionnaires and data collection methods for the institutional populations component. National Medical Expenditures Survey Methods 1. National Center for Health Services Research and Health Care Technology Assessment. DHHS Publication No. (PHS)90–3470. Rockville, MD: Public Health Service, 1990.Google Scholar
9.Farmer, M. E., White, L. R., Brody, J. A., & Baily, K. R.Race and sex differences in hip fracture incidence. American Journal of Public Health, 1984, 74, 1374–80.CrossRefGoogle ScholarPubMed
10.Foerester, J.A study of falls: The elderly nursing home resident. Journal of the N.Y.S.N.A., 1981, 12, 9–17.Google Scholar
11.Gryfe, C. I., Amies, A., & Ashley, M. J.A longitudinal study of falls in an elderly population: Incidence and morbidity. Age and Ageing, 1977, 6, 201–10.CrossRefGoogle Scholar
12.Haddix, A. C., Teutsch, S. M., Shaffer, P. A., & Dunet, D. O.Prevention effectiveness: A guide to decision analysis and economic evaluation. New York: Oxford University Press, 1996.Google Scholar
13.Hayes, W. C., Myers, E. R., Morris, J. N., et al. Impact near the hip dominates fracture risk in elderly nursing home residents who fall. Calcified Tissue International, 1993, 52, 192–98.CrossRefGoogle ScholarPubMed
14.Hermanson, R. H., Edwards, J. D., & Rayburn, L. G.Financial accounting, 4th ed.Boston, MA: Irwin, 1989.Google Scholar
15.Kalchthaler, T., Bascon, R. A., & Quintos, V.Falls in the institutionalized elderly. Journal of the American Geriatrics Society, 1978, 26, 424–28.CrossRefGoogle ScholarPubMed
16.Lauritzen, J. B., & Askegaard, V.Protection against hip fractures by energy absorption. Danish Medical Bulletin, 1992, 39, 91–93.Google ScholarPubMed
17.Lauritzen, J. B., McNair, P. A., & Lund, B.Risk factors for hip fractures. Danish Medical Bulletin, 1993, 40, 479–85.Google ScholarPubMed
18.Lauritzen, J. B., Petersen, M. M., & Lund, B.Effect of external hip protectors on hip fractures. Lancet, 1993, 341, 11–13.CrossRefGoogle ScholarPubMed
19.Lu-Yao, G. L., Baron, J. A., Barrett, J. A., & Fisher, E. S.Treatment and survival among elderly Americans with hip fractures: A population-based study. American Journal of Public Health, 1994, 84, 1287–91.CrossRefGoogle ScholarPubMed
20.Maki, B. E., & Fernie, G. R.Impact attenuation of floor coverings in simulated falling accidents. Applied Ergonomics, 1990, 21, 107–14.CrossRefGoogle ScholarPubMed
21.Magaziner, J., Simonsick, E. M., Kashner, T. M., et al. Survival experience of aged hip fracture patients. American Journal of Public Health, 1989, 79, 274–78.CrossRefGoogle ScholarPubMed
22.Marottoli, R. A., Berkman, L. F., Leo-Summers, L., & Cooney, L. M.Predictors of mortality and institutionalization after hip fracture: The New Haven EPESE Cohort. American Journal of Public Health, 1994, 84, 1807–12.CrossRefGoogle ScholarPubMed
23.Melton, L. J.Hip fractures: A worldwide problem today and tomorrow. Bone, 1993, 14, S1–S8.CrossRefGoogle ScholarPubMed
24.Melton, L. J., Kan, S. H., Wahner, H. W., & Riggs, B. L.Lifetime fracture risk: An approach to hip fracture risk assessment based on bone mineral density and age. Journal of Clinical Epidemiology, 1988, 41, 985–94.Google Scholar
25.Morris, E. V., & Isaacs, B.The prevention of falls in a geriatric hospital. Age and Ageing, 1980, 9, 181–85.CrossRefGoogle Scholar
26.Mossey, J. M., Mutran, E., Knott, K., & Craik, R.Determinants of recovery one year following hospital discharge for hip fracture: A prospective study. Journal of Gerontology, 1989, 45, 101–07.Google Scholar
27.Myers, A. H., Baker, S. P., Robinson, E. G., et al. Falls in the institutionalized elderly. Journal of Long-Term Care Administration, 1989, Winter, 12–18.Google Scholar
28.Myers, A. H., Robinson, E. G., VanNatta, M. L., et al. Hip fractures among the elderly: Factors associated with in-hospital mortality. American Journal of Epidemiology, 1991, 134, 1128–37.CrossRefGoogle ScholarPubMed
29.Nickens, H.Intrinsic factors in falling among the elderly. Archives of Internal Medicine, 1985, 145, 1089–93.CrossRefGoogle ScholarPubMed
30.Praemer, A., Furner, S., & Rice, D. P.Musculoskeletal conditions in the United States. Park Ridge, IL: American Academy of Orthopedic Surgeons, 1992.Google Scholar
31.Pudham, D., & Evans, J. G.Factors associated with falls in the elderly: A community study. Age and Ageing, 1981, 10, 141–46.CrossRefGoogle Scholar
32.Ray, W. A., Griffin, M. R., Schaffner, W., et al. Psychotropic drug use and the risk of hip fracture. New England Journal of Medicine, 1987, 316, 363–69.CrossRefGoogle ScholarPubMed
33.Rice, D. R., MacKenzie, E. J., et al. Cost of injury in the United States. San Francisco, CA: Institute for Health and Aging, University of California and Injury Prevention Center, The Johns Hopkins University, 1989.Google Scholar
34.Rothenberger, D. A., Fischer, R. P., Strate, R. G., et al. The motality associated with pelvic fractures. Surgery, 1978, 84, 356–59.Google Scholar
35.Rubenstein, L. A., Robbins, A. S, Schulman, B. L., et al. Falls and instability in the elderly. Journal of the American Geriatrics Society, 1988, 36, 266–78.CrossRefGoogle ScholarPubMed
36.Sattin, R. W.Falls among older persons: A public health perspective. Annual Review of Public Health, 1992, 13, 489–508.CrossRefGoogle Scholar
37.Sattin, R. W., Huber, L., Devito, D. A., et al. The incidence of fall injury events among the elderly in a defined population. American Journal of Epidemiology, 1990, 131, 1028–37.CrossRefGoogle Scholar
38.Sernbo, I., & Johnell, O.Consequences of a hip fracture: A prospective study over 1 year. European Foundations for Osteoporosis, 1993, 3, 148–53.CrossRefGoogle ScholarPubMed
39.Streit, D. A.Technical data on the Penn State Safety Floor. Unpublished data, 1994.Google Scholar
40.Tengs, T. O., Adams, M. E., Pliskin, J. S., et al. Five-hundred life-saving interventions and their cost-effectiveness. Risk Analysis, 1995, 15, 369–90.CrossRefGoogle ScholarPubMed
41.Tinetti, M. E.Factors associated with serious injury during falls by ambulatory nursing home residents. Journal of the American Geriatrics Society, 1987, 35, 644–48.CrossRefGoogle ScholarPubMed
42.Tinetti, M. E., & Speechley, M.Prevention of falls among the elderly. Medical Intelligence, 1989, 320, 1055–59.Google ScholarPubMed
43.Tinetti, M. E., Williams, T. F., & Mayewski, R.Fall risk index for elderly patients based on number of chronic disabilities. American Journal of Medicine, 1986, 80, 429–34.CrossRefGoogle ScholarPubMed
44.Varney, J. M., Okamoto, G. A., & Goebert, D. A.Hospitalizations for hip fractures among elderly persons in Hawaii, 1986–1990. Archives of Physical Medicine Rehabilitation, 1992, 73, 752–57.Google ScholarPubMed
45.Viano, D. C., King, A. I., Melvin, J. W., & Weber, K.Injury biomechanics research: An essential element in the prevention of trauma. Journal of Biomechanics, 1989, 22, 403–17.CrossRefGoogle ScholarPubMed
46.Viscusi, W. K.The value of risks to life and health. Journal of Economic Literature, 1993, 31, 1912–46.Google Scholar
47.Weinstein, M. C.Estrogen use in postmenopausal women—Costs, risks, and benefits. New England Journal of Medicine, 1980, 33, 308–16.CrossRefGoogle Scholar
48.White, B. L., Fisher, W. D., & Laurin, C. A.Rate of mortality for elderly patients after fracture of the hip in the 1980's. Journal of Bone and Joint Surgery (American Volume). 1987, 69A, 1335–1340.Google ScholarPubMed
49.Zerbe, R. O., & Dively, D. D.Benefit-cost analysis in theory and practice. New York:Harper Collins, 1994.Google Scholar
50.Zuckerman, J. D., Fabian, D. R., Aharanoff, G., et al. Enhancing independence in the older hip fracture patient. Geriatrics, 1993, 48, 76–78, 81.Google ScholarPubMed
51.Zylke, J. W.Research focuses not only on where, why, how of falls, but also on preventing them. JAMA, 1990, 263, 2022–23.CrossRefGoogle ScholarPubMed