Key result
Internal fixation for displaced femoral neck fractures had a 1-year projected cost of $18,100 compared to $15,843 for hemiarthroplasty, yielding a net societal benefit of $224,549,497 in Ontario.
Why the study?
Does internal fixation compared to hemiarthroplasty provide a net societal benefit in patients over 60 years with displaced femoral neck fractures?
Population
108 patients over the age of 60 years with displaced femoral neck fractures
Comparison
Internal fixation (IF) vs Hemiarthroplasty (HA)
Design
Other
Follow-up
1 year (projected)
Authors
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May inform Ontario resource allocation favoring internal fixation; leaves open whether randomized trials support practice change.
Does internal fixation compared to hemiarthroplasty provide a net societal benefit in patients over 60 years with displaced femoral neck fractures?
Effect estimate: Incremental cost of $2257
Absolute Event Rate: 18100% vs 15843%
Internal fixation for displaced femoral neck fractures in the elderly provides a net societal benefit over hemiarthroplasty despite higher incremental costs.
Alolabi et al. (2009) studied Displaced femoral neck fractures (n=108). Internal fixation vs. Hemiarthroplasty was evaluated on 1-year projected cost (Incremental cost of $2257). Internal fixation for displaced femoral neck fractures had a 1-year projected cost of $18,100 compared to $15,843 for hemiarthroplasty, yielding a net societal benefit of $224,549,497 in Ontario.
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