Hostname: page-component-848d4c4894-75dct Total loading time: 0 Render date: 2024-05-26T18:19:09.324Z Has data issue: false hasContentIssue false

Estimating the Costs of Hip Fracture and Potential Savings

Published online by Cambridge University Press:  10 March 2009

Niklas Zethraeus
Affiliation:
Stockholm School of Economics
Ulf-G Gerdtham
Affiliation:
Stockholm School of Economics

Abstract

This paper examines the determinants of hip fracture costs and further evaluates potential savings in costs when the occurrence of hip fracture is prevented. The costs of hip fracture are comprised of direct costs from health care and the social welfare system. Data were collected for 1,080 postmenopausal women admitted from private residence for primary hip fracture surgery during the year of 1992 in the city of Stockholm, Sweden. It was found that the cost of hip fracture is significantly related to age, mortality the year after a fracture, type of fracture, costs 1 year before a fracture, and hospital admission. The savings in direct costs for an average woman surviving the year after a fracture amount to SEK 210,000.

Type
General Essays
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.Agarwal, N., Reyes, J. D., Westerman, A. D., & Cayten, C. G.Factors influencing DRG 210 (hip fracture) reimbursement. Journal of Trauma, 1986, 26, 426–31.CrossRefGoogle ScholarPubMed
2.Bauer, G. C. H.Orthopedic technology for the elderly. International Journal of Technology Assessment in Health Care, 1985, 1, 5974.CrossRefGoogle Scholar
3.Borgquist, L., Lindelöw, G., & Thorngren, K.-G.Costs of hip fracture: Rehabilitation of 180 patients in primary health care. Ada Orthopaedica Scandinavica, 1991, 62, 3948.CrossRefGoogle ScholarPubMed
4.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, 7882.CrossRefGoogle ScholarPubMed
5.Chrischilles, E., Shireman, T., & Wallace, R.Costs and health effects of osteoporotic fractures. Bone, 1994, 15, 377–86.CrossRefGoogle ScholarPubMed
6.Cooper, C., Campion, G., & Melton, L. J.Hip fractures in the elderly: A world-wide projection. Osteoporosis International, 1992, 2, 285–89.CrossRefGoogle ScholarPubMed
7.Cragg, J. G.Some statistical models for limited dependent variables with application to the demand for durable goods. Econometrica, 1971, 39, 829–44.CrossRefGoogle Scholar
8.Cummings, S. R.Bone mass and bone loss in the elderly: A special case? International Journal of Fertility, 1993, 38(suppl. 2), 9297.Google ScholarPubMed
9.Hollingworth, W.,Todd, C.,Parker, M., et al. Cost analysis of early discharge after hip fracture. British Medical Journal, 1993, 307, 903–06.CrossRefGoogle ScholarPubMed
10.Holmberg, S., & Thorngren, K.-G.Consumption of hospital resources for femoral neck fracture. Acta Orthopaedica Scandinavia, 1988, 59, 377–81.CrossRefGoogle ScholarPubMed
11.Meltzer, D.Accounting for future costs in medical cost-effectiveness analysis. Journal of Health Economics, 1997, 16, 3364.CrossRefGoogle ScholarPubMed
12.Office of Technology Assessment. Hip fracture outcomes in people age fifty and over— Background paper. Publication no. OTA-BP-H-120. Washington, DC: U.S. Congressional Office of Office Technology Assessment, 1994.Google Scholar
13.Phillips, S.,Fox, N.,Jacobs, J., & Wright, W. E.The direct medical costs of osteoporosis for American women aged 45 and older, 1986. Bone, 1988, 9, 271–79.CrossRefGoogle ScholarPubMed
14.Population statistics, part 3. Stockholm: Statistics Sweden, 1993.Google Scholar
15.Riggs, B. L., & Melton, L. J.The prevention and treatment of osteoporosis. New England Journal of Medicine, 1992, 327, 620–27.Google ScholarPubMed
16.Sernbo, I.Hip fracture. Unpublished thesis, Lund University, Malmö, Sweden, 1988.Google ScholarPubMed
17.Sernbo, I., & Johnell, O.Consequences of a hip fracture: A prospective study over 1 year. Osteoporosis International, 1993, 3, 148–53.CrossRefGoogle ScholarPubMed
18.Stockholm County Council, Stockholm inpatient register, 1990.Google Scholar
19.Weinstein, M. C.Principles of cost-effective resource allocation in health care organizations. International Journal of Technology Assessment in Health Care, 1990, 6, 93103.CrossRefGoogle ScholarPubMed
20.Zethraeus, N.,Strömberg, L.,Jönsson, B., et al. The cost of a hip fracture: Estimates for 1,709 patients in Sweden. Acta Orthopaedica Scandinavica, 1997, 68, 1317.CrossRefGoogle Scholar
21.Zweifel, P.,Felder, S., & Meier, M.Ageing of population and health care expenditure: A red herring? Paper presented at Third European Conference on Health Economics, The Stockholm School of Economics, Sweden, 08 2022, 1995.Google Scholar