Trial reportActa orthopaedica2010
The cost of hemiarthroplasty compared to that of internal fixation for femoral neck fractures. 2-year results involving 222 patients based on a randomized controlled trial.
Trial report in Acta orthopaedica, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01770769 (Undisplaced Femoral Neck Fractures in Patients Aged 70 Years and Older), which is not on this map. Cited by 17 papers, 4 of them syntheses 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.
Undisplaced Femoral Neck Fractures in Patients Aged 70 Years and Older: A Multicentre Randomised Controlled Trial Comparing Internal Fixation to Hemiarthroplasty
Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Valgus-impacted subcapital neck of femur fractures: a systematic review, meta-analysis with cost analysis of fixationHip international : the journal of clinical and experimental research on hip pathology and therapy · 2024Pooled it
- Surgical interventions for treating intracapsular hip fractures in older adults: a network meta-analysis.The Cochrane database of systematic reviews · 2022Pooled it
- Long-Term Efficacy of Screw Fixation vs Hemiarthroplasty for Undisplaced Femoral Neck Fracture in Patients over 65 Years of Age: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2021Pooled it
- Outcomes of internal fixation versus hemiarthroplasty for elderly patients with an undisplaced femoral neck fracture: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2019Pooled 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
- The societal costs of femoral neck fracture patients treated with internal fixation.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014Trial
- Hemiarthroplasty compared to internal fixation with percutaneous cannulated screws as treatment of displaced femoral neck fractures in the elderly: cost-utility analysis performed alongside a randomized, controlled trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012Trial
- Optimizing treatment strategies for femoral neck fractures using a machine learning model.Journal of orthopaedic surgery and research · 2026Article
- Cost-effectiveness analysis of proximal femoral nail versus bipolar hemiarthroplasty for femoral neck fracture.Journal of orthopaedic surgery and research · 2024Article
- Hemiarthroplasty vs. internal fixation for nondisplaced femoral neck fracture in mainland China: a cost-effectiveness analysis.Frontiers in surgery · 2024Article
- A Simple Diagnosis-Related Groups-Based Reimbursement System Is Cost Ineffective for Elderly Patients With Displaced Femoral Neck Fracture Undergoing Hemiarthroplasty in Beijing.Frontiers in medicine · 2021Article
- Reasons for revision of failed hemiarthroplasty: Are there any differences between unipolar and bipolar?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Municipal resources and patient outcomes through the first year after a hip fracture.BMC health services research · 2017Article
- Clinical results of treatment of garden type 1 and 2 femoral neck fractures in patients over 70-year old.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Article
- Risk of hip fracture among older people using anxiolytic and hypnotic drugs: a nationwide prospective cohort study.European journal of clinical pharmacology · 2014Article
- Osteoporotic hip fractures: the burden of fixation failure.TheScientificWorldJournal · 2013Review
- Fractures in the elderly: when is hip replacement a necessity?Clinical interventions in aging · 2011Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThere is very little information on the cost of different treatments for femoral neck fractures. We assessed whether total hospital and societal costs of treatment of elderly patients with displaced femoral neck fractures differ between patients operated with internal fixation or hemiarthroplasty.
methods222 patients (mean age 83 years, 165 women (74%)) who had been randomized to internal fixation or hemiarthroplasty were followed for 2 years. Resource use in hospital, rehabilitation, community-based care, and nursing home use were identified, quantified, evaluated, and analyzed.
resultsThe average cost per patient for the initial hospital stay was lower for patients in the internal fixation group than in the hemiarthroplasty group (9,044 euro vs. 11,887 euro, p < 0.01). When all hospital costs, i.e. rehabilitation, reoperations, and formal and informal contact with the hospital were included, the costs were similar (21,709 euro for internal fixation vs. 19,976 euro for hemiarthroplasty). When all costs were included (hospital admissions, cost of nursing home, and community-based care), internal fixation was the most expensive treatment (47,186 euro vs. 38,615 euro (p = 0.09)).
interpretationThe initial lower average cost per patient for internal fixation as treatment for a femoral neck fracture cannot be used as an argument in favor of this treatment, since the average cost per patient is more than outweighed by subsequent costs, mainly due to a higher reoperation rate after internal fixation.
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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.