Table 2.
Costs associated with comprehensive geriatric assessment (intervention) versus usual care (control)
| Costs | Comments | ||
|---|---|---|---|
| Intervention | Control | ||
| Cohen 2002,22 US: | |||
| Geriatric unit-usual care outpatient v usual care inpatient-usual care outpatient | $36 592 (SD 1844) | $38 624 (SD 2037) | Cost-cost analysis separated into institutional costs and costings estimated for nursing home admissions based on standardised HMO rates |
| Geriatric unit-geriatric outpatient v usual care inpatient-geriatric outpatient | $35 935 (SD 1829) | $35 951 (SD 1827) | |
| Collard 1985,25 US: | |||
| Choate | $4015.17 (SE 0.03) | $4545.13 (SE 0.03) | Cost-cost analysis (hospital costs only) |
| Symmes | $3591.42 (SE 0.03) | $4155.54 (SE 0.02) | |
| Fretwell 1990,27 US | $3148 (SD 7210) | $4163 (SD 18 406) | Cost-cost analysis (hospital costs only) |
| Applegate 1990,19 US: | |||
| Geriatric unit (rehab diagnosis) v usual care (rehab diagnosis) | $32 978 (SD 35 130) | $18 409 (SD 16 555) | Health and social care costs up to 1 year after randomisation |
| Geriatric unit (medical/surgical diagnosis) v usual care (medical/surgical diagnosis) | $25 846 (SD 29 628) | $15 248 (SD 13 152) | |
| Asplund 2000,21 Sweden (Swedish kroner) | 10 800 (IQR 9300-12 300) | 12 800 (IQR 11 500-14 100) | Cost-cost analysis (hospital costs only) |
| Counsell 2000,26 US | $5640 | $5754 | Included in experimental group costs are costs of renovation of geriatric unit |
| Hogan 1987,30 Canada | $C98.36 | $C77.68 | Monthly costings for physician services only |
| Landefeld 1995,35 US | $6608 | $7240 | Cost-cost analysis (hospital costs only) |
| Nikolaus 1999,41 Germany (deutschmark): | |||
| Geriatric unit-early supported discharge | 3 365 000 ($1 922 400) | 4 145 000 ($2 368 300) | Costs for hospital care and nursing homes (estimated as costs per 100 people per year) |
| Geriatric unit only | 3 983 000 ($2 276 600) | ||
| Rubenstein 1984,45 US | $22 597 | $27 826 | Costs per year survived including hospital and nursing home costs |
| Naughton 1994,40 US | $4525 (SD 5087) | $6474 (SD 7000) | Cost-cost analysis (hospital costs only) |
| White 1994,52 US | $23 906 | $45 189 | Cost-cost analysis (hospital costs only) |
SD=standard deviation, IQR=interquartile range, SE=standard error.