Table 2.
Mean discounted costs and outcomes of the differing models of secondary prevention care
Representative male* | Usual care | Fracture liaison nurse | Orthogeriatrician |
Total costs | £39,069 (£37,798-£40,514) |
£41,044 (£39,495-£42,621) |
£41,679 (£40,265-£43,262) |
Intervention | 0 | £200 | £420 |
Hospital care | £23,025 (22406-23679) |
£23,678 (22988-24384) |
£23,814 (23132-24525) |
Primary care | £3,276 (3046-3490) |
£3,471 (3234-3714) |
£3,523 (3285-3762) |
Care home | £12,767 (11893-13817) |
£13,695 (12689-14837) |
£13,922 (12962-15039) |
Total Life years | 2.68 (2.56-2.79) |
2.83 (2.70-2.96) |
2.88 (2.75-3.00) |
Total QALYs | 1.64 (1.46-1.83) |
1.74 (1.54-1.96) |
1.77 (1.56-1.98) |
Representative female* | |||
Total costs | £50,534 (49226-52276) |
£52,444 (50935-54340) |
£53,081 (51559-54974) |
Intervention | 0 | £200 | £420 |
Hospital care | £23,893 (23390-24471) |
£24,387 (23804-25040) |
£24,478 (23918-25073) |
Primary care | £4,721 (4417-5016) |
£4,902 (4571-5224) |
£4,955 (4635-5265) |
Care home | £21,921 (20972-23134) |
£22,955 (21925-24301) |
£23,229 (22191-24524) |
Total Life years | 3.89 (3.77-4.03) |
4.04 (3.91-4.19) |
4.09 (3.95-4.24) |
Total QALYs | 2.42 (2.15-2.72) |
2.52 (2.23-2.82) |
2.54 (2.26-2.85) |
Aged 83 years at hip fracture, with an average pre-admission Charlson-comorbidity score of 1.2 and living in their own home before the fracture