Abstrakt

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.

OriginalsprogEngelsk
Artikelnummerjrm00351
TidsskriftJournal of Rehabilitation Medicine
Vol/bind54
ISSN1650-1977
DOI
StatusUdgivet - 24. nov. 2022

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