ArticleThe Journal of arthroplasty2009
A cost-effectiveness analysis of the arthroplasty options for displaced femoral neck fractures in the active, healthy, elderly population.
Article in The Journal of arthroplasty, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Current status of cost utility analyses in total joint arthroplasty: a systematic review.Clinical orthopaedics and related research · 2015Pooled it
- Total medical costs of treating femoral neck fracture patients with hemi- or total hip arthroplasty: a cost analysis of a multicenter prospective study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016Trial
- In-Hospital Outcomes of Hip Arthroplasty for Femoral Neck Fractures in Young Adult Patients: A Nationwide Study.Advances in orthopedics · 2025Article
- Cost-effectiveness analysis of proximal femoral nail versus bipolar hemiarthroplasty for femoral neck fracture.Journal of orthopaedic surgery and research · 2024Article
- Hemiarthroplasty for Femoral Neck Fracture.JBJS essential surgical techniques · 2019Article
- Cost-utility analysis of total knee arthroplasty for osteoarthritis in a regional medical center in China.Health economics review · 2019Article
- The effect of time to surgery on outcomes and complication rates following total hip arthroplasty for fractured neck of femur.Annals of the Royal College of Surgeons of England · 2019Article
- Disparities in Total Hip Arthroplasty Versus Hemiarthroplasty in the Management of Geriatric Femoral Neck Fractures.Geriatric orthopaedic surgery & rehabilitation · 2017Article
- Evaluation of Contemporary Trends in Femoral Neck Fracture Management Reveals Discrepancies in Treatment.Geriatric orthopaedic surgery & rehabilitation · 2016Article
- Computer-assisted navigation in ACL reconstruction is attractive but not yet cost efficient.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Article
- Surgery for hip fracture yields societal benefits that exceed the direct medical costs.Clinical orthopaedics and related research · 2014Article
- Economic evaluation of access to musculoskeletal care: the case of waiting for total knee arthroplasty.BMC musculoskeletal disorders · 2014Article
- Modeling the indirect economic implications of musculoskeletal disorders and treatment.Cost effectiveness and resource allocation : C/E · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 5 institutions in 1 country.
Funding
Abstract
This study was performed to explore the cost-effectiveness of total hip arthroplasty (THA) compared with hemiarthroplasty (HEMI) in the treatment of displaced femoral neck fractures in active otherwise healthy older patients in whom the optimum treatment is believed to be an arthroplasty procedure. A Markov decision model was used to determine whether THA or HEMI was most cost-effective for the management of a displaced femoral neck fracture in this patient population. Total hip arthroplasty was associated with an average cost $3000 more than HEMI, and the average quality-adjusted life year gain was 1.53. The incremental cost-effectiveness ratio associated with the THA treatment strategy is $1960 per quality-adjusted life year. Currently available data support the use of THA as the more cost-effective treatment strategy in this specific population. The increased upfront cost appears to be offset by the improved functional results when compared with HEMI in this select patient group.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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 OpenQuestion graph.