Health-economic evaluation of collaborative orthogeriatric care for patients with a hip fracture in Germany: a retrospective cohort study using health and long-term care insurance claims data

Claudia Schulz (), Gisela Büchele, Raphael S. Peter, Dietrich Rothenbacher, Christian Brettschneider, Ulrich C. Liener, Clemens Becker, Kilian Rapp and Hans-Helmut König
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Claudia Schulz: University Medical Center Hamburg-Eppendorf
Gisela Büchele: Ulm University
Raphael S. Peter: Ulm University
Dietrich Rothenbacher: Ulm University
Christian Brettschneider: University Medical Center Hamburg-Eppendorf
Ulrich C. Liener: Marienhospital
Clemens Becker: Robert-Bosch-Hospital
Kilian Rapp: Robert-Bosch-Hospital
Hans-Helmut König: University Medical Center Hamburg-Eppendorf

The European Journal of Health Economics, 2021, vol. 22, issue 6, No 4, 873-885

Abstract: Abstract Background Evidence suggests benefits of orthogeriatric co-management (OGCM) for hip fracture patients. Yet, evidence on cost-effectiveness is limited and based on small datasets. The aim of our study was to conduct an economic evaluation of the German OGCM for geriatric hip fracture patients. Methods This retrospective cohort study was based on German health and long-term care insurance data. Individuals were 80 years and older, sustained a hip fracture in 2014, and were treated in hospitals providing OGCM (OGCM group) or standard care (control group). Health care costs from payer and societal perspective, life years gained (LYG) and cost-effectiveness were investigated within 1 year. We applied weighted gamma and two-part models, and entropy balancing to account for the lack of randomisation. We calculated incremental cost-effectiveness ratios (ICER) and employed the net-benefit approach to construct cost-effectiveness acceptability curves. Results 14,005 patients were treated in OGCM, and 10,512 in standard care hospitals. Total average health care costs per patient were higher in the OGCM group: €1181.53 (p

Keywords: Orthogeriatric co-management; Economic evaluation; Cost-effectiveness; Entropy balancing (search for similar items in EconPapers)
Date: 2021
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DOI: 10.1007/s10198-021-01295-z

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