Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100038 |
Resumo: | 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. |
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Cost-effectiveness of surgical treatment for hip fractures among the elderly in BrazilHealth Economical AnalysisHip fractureElderly personOBJECTIVES: 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.Sociedade Brasileira de Ortopedia e Traumatologia2015-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100038Revista Brasileira de Ortopedia v.50 n.1 2015reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2015.01.007info:eu-repo/semantics/openAccessLoures,Fabiano BolpatoChaoubah,AlfredoMaciel,Vinícius SilveiraPaiva,Elenir PereiraSalgado,Patrick PereiraNetto,Álvaro Correaeng2015-09-10T00:00:00Zoai:scielo:S0102-36162015000100038Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2015-09-10T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil |
title |
Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil |
spellingShingle |
Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil Loures,Fabiano Bolpato Health Economical Analysis Hip fracture Elderly person |
title_short |
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_sort |
Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil |
author |
Loures,Fabiano Bolpato |
author_facet |
Loures,Fabiano Bolpato Chaoubah,Alfredo Maciel,Vinícius Silveira Paiva,Elenir Pereira Salgado,Patrick Pereira Netto,Álvaro Correa |
author_role |
author |
author2 |
Chaoubah,Alfredo Maciel,Vinícius Silveira Paiva,Elenir Pereira Salgado,Patrick Pereira Netto,Álvaro Correa |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Loures,Fabiano Bolpato Chaoubah,Alfredo Maciel,Vinícius Silveira Paiva,Elenir Pereira Salgado,Patrick Pereira Netto,Álvaro Correa |
dc.subject.por.fl_str_mv |
Health Economical Analysis Hip fracture Elderly person |
topic |
Health Economical Analysis Hip fracture Elderly person |
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. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100038 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100038 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2015.01.007 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.50 n.1 2015 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
_version_ |
1752122359563681792 |