Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/114855
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Type: Journal article
Title: Cost-effectiveness of individualized nutrition and exercise therapy for rehabilitation following hip fracture
Author: Milte, R.
Miller, M.
Crotty, M.
Mackintosh, S.
Thomas, S.
Cameron, I.
Whitehead, C.
Kurrle, S.
Ratcliffe, J.
Citation: Journal of Rehabilitation Medicine, 2016; 48(4):378-385
Publisher: Foundation for Rehabilitation Information
Issue Date: 2016
ISSN: 1650-1977
1651-2081
Statement of
Responsibility: 
Rachel Milte, Michelle D. Miller, Maria Crotty, Shylie Mackintosh, Susie Thomas, Ian D. Cameron, Craig Whitehead, Susan Kurrle, and Julie Ratcliffe
Abstract: Objective: To undertake a cost-utility analysis of the Individual Nutrition Therapy and Exercise Regime: A Controlled Trial of Injured, Vulnerable Elderly (INTERACTIVE) trial. Design: Cost-utility analysis of a randomized controlled trial. Subjects: A total of 175 patients following a hip fracture were allocated to receive either alternate weekly visits from a physical therapist and dietitian (intervention group), or social visits for 6 months (control group). Methods: Costs for utilization of hospitals, health and community services were compared with quality-adjusted life years gained, calculated from responses to the Assessment of Quality of Life instrument. Results: There were minimal differences in mean costs between the intervention ($AUD 45,331 standard deviation (SD): $AUD 23,012) and the control group ($AUD 44,764 SD: $AUD 20,712, p = 0.868), but a slightly higher mean gain in quality-adjusted life years in the intervention group (0.155, SD: 0.132) compared with the control group (0.139, SD: 0.149, p = 0.470). The incremental cost-effectiveness ratio was $AUD 28,350 per quality-adjusted life year gained, which is below the implied cost-effectiveness threshold utilized by regulatory authorities in Australia. Conclusion: A comprehensive 6-month programme of therapy from dietitians and physical therapists could be provided at a relatively low additional cost in this group of frail older adults, and the incremental cost-effectiveness ratio indicates likely cost-effectiveness, although there was a very high level of uncertainty in the findings.
Keywords: Hip fracture; rehabilitation; cost-utility analysis; nutrition therapy
Description: Epub ahead of print Mar 17, 2016
Rights: © 2016 The Authors. Journal Compilation © 2016 Foundation of Rehabilitation Information. Journal of Rehabilitation Medicine is an immediately Open Access journal. Creative Commons licence used: CC BY-NC All articles are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
RMID: 0030098620
DOI: 10.2340/16501977-2070
Grant ID: http://purl.org/au-research/grants/nhmrc/426758
Appears in Collections:Public Health publications

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