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COST-EFFECTIVENESS OF PHYSICAL REHABILITATION AND CARE OF OLDER HOME-DWELLING PERSONS AFTER HIP FRACTURE: A SYSTEMATIC REVIEW AND NARRATIVE SYNTHESIS

OBJECTIVE: To provide a systematic review of the literature and knowledge base of cost per quality-adjusted life year of physical rehabilitation and care of older persons after hip fracture. MATERIAL AND METHODS: A research librarian assisted in searching 9 databases (14 May to 27 May 2021), with ex...

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Autores principales: IPSEN, Jonas Ammundsen, PEDERSEN, Lars T., DARBORG, Eva, BRUUN, Inge H., ABRAHAMSEN, Charlotte, VIBERG, Bjarke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical Journals Sweden AB 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709712/
https://www.ncbi.nlm.nih.gov/pubmed/36314360
http://dx.doi.org/10.2340/jrm.v54.3421
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author IPSEN, Jonas Ammundsen
PEDERSEN, Lars T.
DARBORG, Eva
BRUUN, Inge H.
ABRAHAMSEN, Charlotte
VIBERG, Bjarke
author_facet IPSEN, Jonas Ammundsen
PEDERSEN, Lars T.
DARBORG, Eva
BRUUN, Inge H.
ABRAHAMSEN, Charlotte
VIBERG, Bjarke
author_sort IPSEN, Jonas Ammundsen
collection PubMed
description OBJECTIVE: To provide a systematic review of the literature and knowledge base of cost per quality-adjusted life year of physical rehabilitation and care of older persons after hip fracture. MATERIAL AND METHODS: A research librarian assisted in searching 9 databases (14 May to 27 May 2021), with exclusion of studies on cognitively impaired or institutionalized individuals. A stepwise selection process was conducted by 2 authors, study quality was assessed using Drummond et al.’s checklist, and comparison between different countries was assessed using Welte et al.’s checklist. RESULTS: Three studies were included, which employed 3 different interventions initiated at 3 different postoperative time-points. One high-quality study demonstrated that comprehensive geriatric assessment was cost-effective compared with coordinated care. The other 2 studies did not find the interventions studied to be cost-effective, and both studies were deemed to be of moderate quality. CONCLUSION: The body of evidence on the cost-effectiveness of physical rehabilitation and care after hip fracture is limited and heterogeneous, with only 1 high-quality study. Thus, stakeholders perform decision-making with a limited knowledge base of the cost-effectiveness of physical rehabilitation and care. We recommend researchers to assess cost-per-QALY.
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spelling pubmed-97097122022-11-30 COST-EFFECTIVENESS OF PHYSICAL REHABILITATION AND CARE OF OLDER HOME-DWELLING PERSONS AFTER HIP FRACTURE: A SYSTEMATIC REVIEW AND NARRATIVE SYNTHESIS IPSEN, Jonas Ammundsen PEDERSEN, Lars T. DARBORG, Eva BRUUN, Inge H. ABRAHAMSEN, Charlotte VIBERG, Bjarke J Rehabil Med Review Article OBJECTIVE: To provide a systematic review of the literature and knowledge base of cost per quality-adjusted life year of physical rehabilitation and care of older persons after hip fracture. MATERIAL AND METHODS: A research librarian assisted in searching 9 databases (14 May to 27 May 2021), with exclusion of studies on cognitively impaired or institutionalized individuals. A stepwise selection process was conducted by 2 authors, study quality was assessed using Drummond et al.’s checklist, and comparison between different countries was assessed using Welte et al.’s checklist. RESULTS: Three studies were included, which employed 3 different interventions initiated at 3 different postoperative time-points. One high-quality study demonstrated that comprehensive geriatric assessment was cost-effective compared with coordinated care. The other 2 studies did not find the interventions studied to be cost-effective, and both studies were deemed to be of moderate quality. CONCLUSION: The body of evidence on the cost-effectiveness of physical rehabilitation and care after hip fracture is limited and heterogeneous, with only 1 high-quality study. Thus, stakeholders perform decision-making with a limited knowledge base of the cost-effectiveness of physical rehabilitation and care. We recommend researchers to assess cost-per-QALY. Medical Journals Sweden AB 2022-11-24 /pmc/articles/PMC9709712/ /pubmed/36314360 http://dx.doi.org/10.2340/jrm.v54.3421 Text en © Published by Medical Journals Sweden, on behalf of the Foundation for Rehabilitation Information https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Review Article
IPSEN, Jonas Ammundsen
PEDERSEN, Lars T.
DARBORG, Eva
BRUUN, Inge H.
ABRAHAMSEN, Charlotte
VIBERG, Bjarke
COST-EFFECTIVENESS OF PHYSICAL REHABILITATION AND CARE OF OLDER HOME-DWELLING PERSONS AFTER HIP FRACTURE: A SYSTEMATIC REVIEW AND NARRATIVE SYNTHESIS
title COST-EFFECTIVENESS OF PHYSICAL REHABILITATION AND CARE OF OLDER HOME-DWELLING PERSONS AFTER HIP FRACTURE: A SYSTEMATIC REVIEW AND NARRATIVE SYNTHESIS
title_full COST-EFFECTIVENESS OF PHYSICAL REHABILITATION AND CARE OF OLDER HOME-DWELLING PERSONS AFTER HIP FRACTURE: A SYSTEMATIC REVIEW AND NARRATIVE SYNTHESIS
title_fullStr COST-EFFECTIVENESS OF PHYSICAL REHABILITATION AND CARE OF OLDER HOME-DWELLING PERSONS AFTER HIP FRACTURE: A SYSTEMATIC REVIEW AND NARRATIVE SYNTHESIS
title_full_unstemmed COST-EFFECTIVENESS OF PHYSICAL REHABILITATION AND CARE OF OLDER HOME-DWELLING PERSONS AFTER HIP FRACTURE: A SYSTEMATIC REVIEW AND NARRATIVE SYNTHESIS
title_short COST-EFFECTIVENESS OF PHYSICAL REHABILITATION AND CARE OF OLDER HOME-DWELLING PERSONS AFTER HIP FRACTURE: A SYSTEMATIC REVIEW AND NARRATIVE SYNTHESIS
title_sort cost-effectiveness of physical rehabilitation and care of older home-dwelling persons after hip fracture: a systematic review and narrative synthesis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709712/
https://www.ncbi.nlm.nih.gov/pubmed/36314360
http://dx.doi.org/10.2340/jrm.v54.3421
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