Evidence map›Paper›PMID 39569421›Full record

Trial reportJournal of rehabilitation medicine2024

Rehabilitation and care after hip fracture: a cost-utility analysis of stepped-wedge cluster randomized trial.

Jonas A Ipsen, Jan Abel Olsen, Bjarke Viberg, Lars T Pedersen, Inge H Bruun, Eva Draborg

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of rehabilitation medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jonas A IpsenDepartment of Physical Therapy and Occupational Therapy, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; Department of Orthopaedic Surgery and Traumatology. Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark. jonas.ammundsen.ipsen@rsyd.dk.
Jan Abel OlsenDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.ORCID 0000-0001-9472-2669
Bjarke VibergDepartment of Orthopaedic Surgery and Traumatology, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark; Department of Orthopaedic Surgery and Traumatology. Odense University Hospital, Odense, Denmark; Department of Clinical Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-5169-4282
Lars T PedersenDepartment of Physical Therapy and Occupational Therapy, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; Department of Health Education, University College South Denmark, Esbjerg, Denmark.ORCID 0000-0002-2393-9307
Inge H BruunDepartment of Physical Therapy and Occupational Therapy, Lillebaelt Hospital, University Hospital of Southern Denmark, Kolding, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-5860-5297
Eva DraborgDanish Centre for Health Economics, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-5894-7243

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the effectiveness and costs of Rehabilitation for Life (RFL) compared with usual rehabilitation and care after hip fracture to determine which course offered the most value for money.

designCost-utility analysis. PATIENT: Community-dwelling patients aged 65+ after hip fracture.

method123 intervention and 122 control patients were included. Data was collected at 5 points from discharge to 1-year follow-up. Cost analysis included expenses to hospital, general practice, specialist services, medications, rehabilitation, home and informal care, transport, and waiting times. The primary outcome was the incremental cost per quality-adjusted life year (QALY).

resultsThe intervention group experienced a statistically significant mean QALY gain of 0.02 -compared with the control group. The intervention was more costly by €4,224, resulting in an incremental cost of €159,990 per QALY gained. Two municipalities had several patients in respite care, yielding an imbalance. A subanalysis excluding these patients demonstrated QALY gain at 0.03 and the cost difference of €2,586 was not statistically significant.

conclusionThe intervention demonstrated a slight improvement in effectiveness over the control but was costly. For patients not requiring respite care, the intervention effect was slightly higher, and the cost differences statistically insignificant. In total 91% received informal care and the economic contribution of informal care exceeded the municipal home care services.

Indexed as

Cost-Benefit AnalysisHip FracturesQuality-Adjusted Life YearsAgedAged, 80 and overFemaleHealth Care CostsHumansMale

Identifiers

PMID39569421
PMCPMC11600605

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.