Real-world cost-effectiveness analysis of the fracture liaison services model of care for hip fracture in Taiwan

被引:9
|
作者
Chien, Li-Nien [1 ]
Li, Yi-Fan [2 ]
Yang, Rong-Sen [3 ]
Yang, Tsung-Han [4 ]
Chen, Yi-Han [5 ]
Huang, Wei-Jia [6 ]
Tsai, Hsin-Yi [7 ]
Li, Chun-Yi [7 ]
Chan, Ding-Cheng [6 ,8 ,9 ]
机构
[1] Taipei Med Univ, Sch Hlth Care Adm, Coll Management, Taipei, Taiwan
[2] Natl Res Inst Chinese Med, Div Clin Chinese Med, Minist Hlth & Welf, Hsinchu, Taiwan
[3] Natl Taiwan Univ Hosp, Dept Orthoped, Taipei, Taiwan
[4] Natl Taiwan Univ Hosp, Hsinchu Branch, Dept Orthoped, Hsinchu, Taiwan
[5] Taipei Med Univ, Sch Publ Hlth, Coll Publ Hlth, Taipei, Taiwan
[6] Natl Taiwan Univ Hosp, Dept Geriatr & Gerontol, 25,Ln 442,Jingguo Rd, Taipei 30059, Taiwan
[7] Amgen Taiwan Ltd, Taipei, Taiwan
[8] Natl Taiwan Univ Hosp, Superintendent Off, Hsin Chu Branch, Hsinchu, Taiwan
[9] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei, Taiwan
关键词
Hip fracture; Fracture liaison service (FLS); Net monetary benefit; Cost-effectiveness analysis; OSTEOPOROSIS; PROBABILITY; GUIDELINES; NATIONWIDE; MORTALITY; UPDATE; RATIO;
D O I
10.1016/j.jfma.2021.05.028
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: This study was to perform an economic evaluation to understand clinical outcomes and health resource use between hip fracture patients receiving hospital-based post fracture fracture liaison service (FLS) care and those receiving usual care (UC) in Taiwan. Methods: This cohort study included hospital-based data of 174 hip fracture patients who received FLS care (FLS group) from National Taiwan University Hospital, and 1697 propensity score-matched patients who received UC (UC group) of National Health Insurance claim based data. Two groups had similar baseline characteristics but differed in hip fracture care after propensity score matching. Clinical outcomes included refracture-free survival (RFS), hip-refracture-free survival (HRFS), and overall survival (OS). Health resource use included inpatient, outpatient, and pharmacy costs within 2 years follow-up after the index of hip fracture. The economic evaluation of the FLS model was analyzed using the net monetary benefit regression framework based on the National Health Insurance perspective.
引用
收藏
页码:425 / 433
页数:9
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