Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil
OBJECTIVES: To estimate the cost per quality-adjusted life-year (QALY) focusing on the length of time between trauma and surgery.METHODS: A retrospective cohort with systematic sampling was conducted among all the patients who were admitted to the study hospital through the Brazilian National Health...
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| Format: | Article |
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Sociedade Brasileira de Ortopedia e Traumatologia
2015-02-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100038&lng=en&tlng=en |
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| author | Fabiano Bolpato Loures Alfredo Chaoubah Vinícius Silveira Maciel Elenir Pereira Paiva Patrick Pereira Salgado Álvaro Correa Netto |
| author_facet | Fabiano Bolpato Loures Alfredo Chaoubah Vinícius Silveira Maciel Elenir Pereira Paiva Patrick Pereira Salgado Álvaro Correa Netto |
| author_sort | Fabiano Bolpato Loures |
| collection | DOAJ |
| description | OBJECTIVES: To estimate the cost per quality-adjusted life-year (QALY) focusing on the length of time between trauma and surgery.METHODS: A retrospective cohort with systematic sampling was conducted among all the patients who were admitted to the study hospital through the Brazilian National Health System (SUS) over a three-year period. Two treatment strategies were compared: early treatment, if the patient was operated up to the fourth day; and late treatment, if this was done after the fourth day. The cost was the direct medical cost from the point of view of SUS, which was gathered from the management system, from the SUS table of procedures, medications and implant material costs (SIGTAP), to account for the costs associated with the hospital, medical fees and implants used. The outcome of usefulness was measured indirectly by means of EuroQOL-5D, which is an instrument used worldwide, and these measurements were transformed into usefulness by means of the standard rules of the Regional Planning and Development Center of Minas Gerais (CEDEPLAR) of 2013.RESULTS: The sample included 110 patients: 27 in the early group and 83 in the late group. The confounding variables of age, gender, anesthetic risk (ASA), fracture type and surgery type were controlled for. The samples were shown to be homogenous with regard to these variables. The cost per QALY of the early strategy was R$ 5,129.42 and the cost of the late strategy was R$ 8,444.50.CONCLUSION: The early strategy was highly favorable in relation to the late strategy in this study. |
| first_indexed | 2024-03-08T07:39:21Z |
| format | Article |
| id | doaj.art-b54d6812842d41b79c321e9e3eceb6a8 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:39:21Z |
| publishDate | 2015-02-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-b54d6812842d41b79c321e9e3eceb6a82024-02-02T17:47:01ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782015-02-01501384210.1016/j.rboe.2015.01.007S0102-36162015000100038Cost-effectiveness of surgical treatment for hip fractures among the elderly in BrazilFabiano Bolpato LouresAlfredo ChaoubahVinícius Silveira MacielElenir Pereira PaivaPatrick Pereira SalgadoÁlvaro Correa NettoOBJECTIVES: To estimate the cost per quality-adjusted life-year (QALY) focusing on the length of time between trauma and surgery.METHODS: A retrospective cohort with systematic sampling was conducted among all the patients who were admitted to the study hospital through the Brazilian National Health System (SUS) over a three-year period. Two treatment strategies were compared: early treatment, if the patient was operated up to the fourth day; and late treatment, if this was done after the fourth day. The cost was the direct medical cost from the point of view of SUS, which was gathered from the management system, from the SUS table of procedures, medications and implant material costs (SIGTAP), to account for the costs associated with the hospital, medical fees and implants used. The outcome of usefulness was measured indirectly by means of EuroQOL-5D, which is an instrument used worldwide, and these measurements were transformed into usefulness by means of the standard rules of the Regional Planning and Development Center of Minas Gerais (CEDEPLAR) of 2013.RESULTS: The sample included 110 patients: 27 in the early group and 83 in the late group. The confounding variables of age, gender, anesthetic risk (ASA), fracture type and surgery type were controlled for. The samples were shown to be homogenous with regard to these variables. The cost per QALY of the early strategy was R$ 5,129.42 and the cost of the late strategy was R$ 8,444.50.CONCLUSION: The early strategy was highly favorable in relation to the late strategy in this study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100038&lng=en&tlng=enAnálise Econômica em SaúdeFratura do quadrilIdoso |
| spellingShingle | Fabiano Bolpato Loures Alfredo Chaoubah Vinícius Silveira Maciel Elenir Pereira Paiva Patrick Pereira Salgado Álvaro Correa Netto Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil Revista Brasileira de Ortopedia Análise Econômica em Saúde Fratura do quadril Idoso |
| title | Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil |
| title_full | Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil |
| title_fullStr | Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil |
| title_full_unstemmed | Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil |
| title_short | Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil |
| title_sort | cost effectiveness of surgical treatment for hip fractures among the elderly in brazil |
| topic | Análise Econômica em Saúde Fratura do quadril Idoso |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100038&lng=en&tlng=en |
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