Cost-effectiveness of preventing hip fractures by hip protectors in elderly institutionalized residents in Germany

Value Health. 2008 Dec;11(7):1088-95. doi: 10.1111/j.1524-4733.2008.00393.x.


Objective: To determine the long-term cost-effectiveness of hip protector use in the prevention of hip fractures in elderly institutionalized residents in Germany compared to no prevention.

Methods: A lifetime Markov decision model was developed using published data on costs and health outcomes. A societal and statutory health insurance perspective was adopted.

Results: From a societal/statutory health insurance perspective, use of hip protectors yields savings of 315 EURO/257 EURO and a gain of 0.13 quality-adjusted life years per person over lifetime.

Conclusion: Hip protector use in elderly institutionalized residents in Germany is highly cost-effective.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cost-Benefit Analysis
  • Female
  • Germany
  • Hip Fractures / economics*
  • Hip Fractures / prevention & control*
  • Homes for the Aged / economics*
  • Humans
  • Male
  • Markov Chains
  • Nursing Homes / economics*
  • Protective Clothing / economics*
  • Quality-Adjusted Life Years