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Cost effectiveness of preventing hip fractures in the elderly population using vitamin D and calcium
Author(s)D J Torgerson, J A Kanis
Journal titleQuarterly Journal of Medicine, vol 88, 1995
Pagespp 135-139
KeywordsFractures ; Osteoporosis ; Older women ; Vitamins ; Preventative medicine ; Cost effectiveness.
AnnotationOsteoporotic fractures among older people are a significant cause of mortality and morbidity and cost. Recent evidence suggests that vitamin D and calcium can reduce the incidence of hip fracture in older women. The authors estimated the costs of using either parenteral vitamin D alone, or oral vitamin D plus calcium, in a number of treatment strategies. These were: all women in a community setting; women with low body mass index (BMI) in the community; women in nursing homes; and women with low BMI in nursing homes. Treating either treatment on women with the lowest BMI reduced the cost of averting a hip fracture, as did targeting women in nursing homes. After removing cost savings for treatment costs, savings to the NHS occurred for all parenteral vitamin D strategies, but only one of the oral vitamin D and calcium strategies. Preventing fractures with injectable vitamin D is likely to produce savings for the NHS (national health service). The addition of calcium will increase costs significantly, unless the intervention is targeted on those at high risk. (RH).
Accession NumberCPA-000105008 A
ClassmarkCUF: CLO: BD: CFE: LK2: WEC *

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