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1000 Titel
  • Cost-effectiveness of group-based exercise to prevent falls in elderly community-dwelling people
1000 Autor/in
  1. Scheckel, Benjamin |
  2. Stock, Stephanie |
  3. Müller, Dirk |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-07-26
1000 Erschienen in
1000 Quellenangabe
  • 21(1):440
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s12877-021-02329-0 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8314607/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!Clinical studies indicate that strength-balance training for active fall prevention can prevent fractures in older people. The present modelling study evaluates the cost-effectiveness of fall prevention exercise (FPE) provided to independently living older people compared to no intervention in Germany.!##!Method!#!We designed a Markov model to evaluate the cost-effectiveness of a group-based FPE-program provided to independently living people ≥75 years from the perspective of the German statutory health insurance (SHI). Input data was obtained from public databases, clinical trials and official statistics. The incremental cost-effectiveness ratio (ICER) was presented as costs per avoided hip fracture. Additionally, we performed deterministic and probabilistic sensitivity analyses and, estimated monetary consequences for the SHI in a budget impact analysis (BIA).!##!Results!#!For women, the costs per hip fracture avoided amounted to €52,864 (men: €169,805). Results of deterministic and probabilistic sensitivity analyses confirmed the robustness of the results. According to the BIA, for the reimbursement of FPE additional costs of €3.0 million (women) and €7.8 million (men) are expected for the SHI.!##!Conclusions!#!Group-based FPE appears to be no cost-effective option to prevent fall-related hip fractures in independently living elderly. To allow a more comprehensive statement on the cost effectiveness of FPE fracture types other than hip should be increasingly evaluated in clinical trials.
1000 Sacherschließung
lokal Female [MeSH]
lokal Hip Fractures/prevention
lokal Cost-Benefit Analysis [MeSH]
lokal Aged [MeSH]
lokal Fall prevention
lokal Cost-effectiveness
lokal Humans [MeSH]
lokal Elderly people
lokal Independent Living [MeSH]
lokal Hip Fractures/epidemiology [MeSH]
lokal Quality-Adjusted Life Years [MeSH]
lokal Male [MeSH]
lokal Research
lokal Hip fracture
lokal Markov model
lokal Exercise [MeSH]
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/U2NoZWNrZWwsIEJlbmphbWlu|https://frl.publisso.de/adhoc/uri/U3RvY2ssIFN0ZXBoYW5pZQ==|https://frl.publisso.de/adhoc/uri/TcO8bGxlciwgRGlyaw==
1000 Hinweis
  • DeepGreen-ID: 1ecd894d0eef4ee28ca4ed40543b771b ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
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1000 Erstellt am 2023-11-15T17:17:21.264+0100
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