ArticleThe Lancet regional health. Western Pacific2024
The cost-effectiveness of a co-managed care model for elderly hip fracture patients in China: a modelling study.
Article in The Lancet regional health. Western Pacific, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Older adult care efficiency and health outcomes: a meta-analysis of the Chinese and Japanese experiences.Frontiers in public health · 2025Pooled it
- Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026Article
- Protocol for the ACTIVE trial: a multicentre, open-label, cluster-randomized controlled trial of a quality improvement programme for older adults with hip fracture in resource-limited hospitals in China.Bone & joint open · 2026Article
- Sex Disparities in Autism Spectrum Disorder Among Adolescents in the Western Pacific Region: Insights From Epidemiological Trends and Clinical Sample.Journal of autism and developmental disorders · 2026Article
- Factors influencing the implementation of best clinical practices for hip fracture management in resource-constrained hospitals in China and co-design of quality improvement interventions: a qualitative study.The Lancet regional health. Western Pacific · 2026Article
- A Web-Based Machine Learning Calculator for Predicting Preoperative Deep Vein Thrombosis in Elderly Hip Fractures Patients.Clinical interventions in aging · 2026Article
- Optimisation strategies for intramedullary nailing parameters in subtrochanteric fractures of the femur: a multimodal assessment based on finite element and biomechanical experiments.International journal of surgery (London, England) · 2025Article
- A real-world analysis of 1,823 hospitalized osteoporotic fractures in Northeast China.Frontiers in endocrinology · 2024Article
- Construction and validation of a predictive model for the risk of prolonged preoperative waiting time in patients with intertrochanteric fractures.Frontiers in medicine · 2024Article
Corrections and comments
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Authors and funding
21 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The clinical effectiveness of multidisciplinary co-managed care for hip fracture patients in China has been demonstrated in a multicenter non-randomized controlled study. This study aims to estimate the cost-effectiveness of the co-managed care. Methods: The study is based on a multicenter clinical trial (n = 2071) in China. We developed a state transition microsimulation model to estimate the cost-effectiveness of the co-managed care compared with usual care for hip fracture patients from healthcare system perspective. The costs incorporated into the model included hospitalization costs, post-discharge expenses, and secondary fracture therapy costs. Effectiveness was measured using quality-adjusted life years (QALYs). Costs and effects were discounted at 5% annually. A simulation cycle length of 1-year and a lifetime horizon were employed. The cost-effectiveness threshold was established at USD 37,118. To address uncertainties, one-way deterministic sensitivity analysis and probabilistic sensitivity analysis were conducted. Findings: In the base case analysis, the co-managed care group had a lifetime cost of USD 31,571 and achieved an effectiveness of 3.22 QALYs, whereas the usual care group incurred a cost of USD 27,878 and gained 2.85 QALYs. The incremental cost-effectiveness ratio was USD 9981 per QALY gained; thus the co-managed care model was cost-effective. The cost-effectiveness was sensitive to the age of having hip fractures and hospitalization costs in the intervention group. Interpretation: The co-managed care in hip fracture patients represents value for money, and should be scaled up and prioritized for funding in China. Funding: The study is supported by Capital's Funds for Health Improvement and Research (2022-1-2071, 2018-1-2071).
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