Cost-effectiveness of osteoporosis interventions to improve quality of care after upper extremity fracture: Results from a randomized trial (C-STOP Trial)
Journal of Bone and Mineral Research Jun 20, 2019
Majumdar SR, et al. - In this investigation involving 361 community-dwelling participants 50 years or older (average age was 63 years) with upper extremity fractures, researchers evaluated the cost-effectiveness of two models of osteoporosis care following upper extremity fragility fracture using a high-intensity Fracture Liaison Service (FLS) Case-Manager intervention vs a low-intensity FLS (ie, Active Control), and both relative to usual care. Data reported that per patient cost of the Case Manager and Active Control interventions were $66CAD and $18CAD, respectively. The Case Manager saved $333,000, gained seven QALYs, and averted nine additional fractures per 1000 patients compared to the Active Control. While the implementation of either of these approaches in clinical settings should result in cost savings, reduced fractures and increased quality-adjusted life for older adults following upper extremity fractures, the Case Manager intervention is most likely cost-effective.
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