https://scholars.lib.ntu.edu.tw/handle/123456789/563625
標題: | Economic impact and cost-effectiveness of fracture liaison services: a systematic review of the literature | 作者: | Wu C.-H. Kao I.-J. Hung W.-C. Lin S.-C. Liu H.-C. Hsieh M.-H. Bagga S. Achra M. Cheng T.-T. RONG-SEN YANG |
公開日期: | 2018 | 出版社: | Springer London | 卷: | 29 | 期: | 6 | 起(迄)頁: | 1227-1242 | 來源出版物: | Osteoporosis International | 摘要: | Fracture liaison services (FLS), implemented in different ways and countries, are reported to be a cost-effective or even a cost-saving secondary fracture prevention strategy. This presumed favorable cost-benefit relationship is encouraging and lends support to expanded implementation of FLS per International Osteoporosis Foundation Best Practice Standards. This study summarizes the economic impact and cost-effectiveness of FLS implemented to reduce subsequent fractures in individuals with osteoporosis. This systematic review identified studies reporting economic outcomes for FLS in osteoporotic patients aged 50 and older through a comprehensive search of MEDLINE, EMBASE, Cochrane Central, and PubMed of studies published January, 2000 to December, 2016. Grey literature (e.g., Google scholar, conference abstracts/posters) were also hand searched through February 2017. Two independent reviewers screened titles and abstracts and conducted full-text review on qualified articles. All disagreements were resolved by discussion between reviewers to reach consensus or by a third reviewer. In total, 23 qualified studies that evaluated the economic aspects of FLS were included: 16 cost-effectiveness studies, 2 cost-benefit analyses, and 5 studies of cost savings. Patient populations varied (prior fragility fracture, non-vertebral fracture, hip fracture, wrist fracture), and FLS strategies ranged from mail-based interventions to comprehensive nurse/physician-coordinated programs. Cost-effectiveness studies were conducted in Canada, Australia, USA, UK, Japan, Taiwan, and Sweden. FLS was cost-effective in comparisons with usual care or no treatment, regardless of the program intensity or the country in which the FLS was implemented (cost/QALY from $3023–$28,800 US dollars (USD) in Japan to $14,513–$112,877 USD in USA. Several studies documented cost savings. FLS, implemented in different ways and countries, are reported to be cost-effective or even cost-saving. This presumed favorable cost-benefit relationship is encouraging and lends support to expanded implementation of FLS per International Osteoporosis Foundation Best Practice Standards. ? 2018, International Osteoporosis Foundation and National Osteoporosis Foundation. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042191817&doi=10.1007%2fs00198-018-4411-2&partnerID=40&md5=af3bb743862f36410b298691c8746c39 https://scholars.lib.ntu.edu.tw/handle/123456789/563625 |
ISSN: | 0937-941X | DOI: | 10.1007/s00198-018-4411-2 | SDG/關鍵字: | bisphosphonic acid derivative; Australia; Canada; cost benefit analysis; cost control; cost effectiveness analysis; disability-adjusted life year; economic aspect; fracture liaison service; fragility fracture; health service; hip fracture; human; Japan; life expectancy; osteoporosis; priority journal; quality adjusted life year; Review; Sweden; systematic review; Taiwan; United Kingdom; United States; wrist fracture; economics; fragility fracture; health care cost; health care delivery; organization and management; osteoporosis; secondary prevention; Cost-Benefit Analysis; Delivery of Health Care; Health Care Costs; Humans; Osteoporosis; Osteoporotic Fractures; Secondary Prevention |
顯示於: | 醫學系 |
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