Abstract:
BACKGROUND:fall-risk assessment with fall-prevention intervention referral for at-risk groups to avoid falls could be cost-effective from a care-payer perspective.
AIMS:to model the cost-effectiveness of a fall-risk assessment (QTUG compared to TUG) with referral to one of four fall-prevention interventions (Otago, FaME, Tai Chi, home safety assessment and modification) compared to no care pathway, when the decision to screen is based on older age in a primary care setting for community-dwelling people.
METHODS:a cohort-based, decision analytic Markov model was stratified by five age groupings (65-70, 70-75, 65-89, 70-89 and 75-89) to estimate cost per quality-adjusted life years (QALYs). Costs included fall-risk assessment, fall-prevention intervention and downstream resource use (e.g. inpatient and care home admission). Uncertainty was explored using univariate, bivariate and probabilistic sensitivity analyses.
RESULTS:screening with QTUG dominates (>QALYs;
journal_name
Age Ageingjournal_title
Age and ageingauthors
Franklin M,Hunter RMdoi
10.1093/ageing/afz125subject
Has Abstractpub_date
2019-12-01 00:00:00pages
57-66issue
1eissn
0002-0729issn
1468-2834pii
5618820journal_volume
49pub_type
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