Welcome!

News Feed Item

Surgery to repair a hip fracture reduces lifetime health care costs by more than $65,000 per patient, adds years of patient life quality and mobility

ROSEMONT, Ill., Aug. 27, 2014 /PRNewswire-USNewswire/ -- Each year, more than 300,000 Americans, primarily adults over age 65, sustain a hip fracture, a debilitating injury that can diminish life quality and expectancy, and result in lost work days and substantial, long-term financial costs to patients, families, insurers and government agencies.  And while surgery, the primary treatment for hip fractures, successfully reduces mortality risk and improves physical function, little is known about the procedure's value and return on investment. 

A new study, appearing in the journal Clinical Orthopaedics and Related Research, found that average lifetime societal benefits in the U.S. reduced the direct medical costs of hip fracture surgery by $65,000 to $68,000 per patient (in 2009 dollars), and that total, lifetime societal savings exceeded $16 billion for older patients.  These savings resulted from a reduction in the length and intensity of care after the injury, as well as a reduction in the amount of longer-term medical care and assistance needed by patients who undergo surgery for a hip fracture, when compared with those who are treated without surgery.

"Not only is surgery extremely successful in returning hip fracture patients to active, independent living, but the procedure also provides a significant societal benefit and value," said orthopaedic surgeon John Tongue, MD, co-author of the study, "Surgery for Hip Fractures Yields Societal Benefits that Exceed the Direct Medical Costs."

"These are important findings as the nation ages, and as policy makers and payers increasingly focus on the rising costs of health care," said Dr. Tongue.

Hip fracture surgery gave Jimmy Ming Hsu his "normal life back."  Hsu fractured his hip when he fell in the shower during a trip out of the country. He immediately flew back to New York City where his hip was surgically reset. "The results were wonderful," said Hsu.  The surgery "helped me regain mobility and get my life back."

This study showed that surgery to repair a hip fracture produced an average increase of 2.5 quality -adjusted life years (QALYs) based on a patient's life expectancy and level of physical function for patients with intracapsular fractures, and 1.9 years for patients with extracapsular fractures. "Our study quantifies the economic value of surgical treatment of hip fractures in terms of reduced lifetime medical costs to society," said Dr. Tongue.

The risk for hip fractures, a break in the upper quarter of the femur (thigh) bone, increases substantially with age with approximately 90 percent of hip fractures occurring in people older than age 65. As the number of older Americans continues to grow, the incidence of hip fracture is expected to increase substantially.  The article stated that the annual incidence of hip fractures is expected to exceed 500,000 by 2040.

In this study, researchers estimated the impact of surgical and nonsurgical treatment in patients, age 65 and older, based on a comprehensive set of outcomes, including long-term medical costs, home modification costs and costs associated with long-term nursing home care. Based on a literature review, analysis of Medicare claims data and the input of a panel of clinical experts, the researchers created a Markov model a standard predictive tool that accounts for various possible outcomes to measure the cost and potential savings of repairing hip fractures via surgery.

The specific findings included:

  • The average per-patient savings was $65,279 for surgery to correct a displaced intracapsular hip fracture (occurring at the neck or head of the femur), and $67,964 for a displaced extracapsular hip fracture (occurring farther down the bone), when compared to nonsurgical treatment. 
  • While surgical costs for a displaced intracapsular fracture were estimated to be $19,710 greater than nonoperative treatment, and $22,317 more for an extracapsular fracture, costs for both procedures were offset by savings from lower long-term medical costs: $84,990 for intracapsular fractures and $90,281 for extracapsular fractures.
  • The lifetime cost of a hip fracture is estimated at $81,300, of which approximately 44 percent of the costs were associated with nursing facility expenses.
  • The lifetime total per-patient societal savings from surgical treatment of hip fractures was estimated at $160,000.
  • For the population over age 65 as a whole, the annual total societal savings is estimated at $16 billion.

The full study, which received financial support from the American Academy of Orthopaedic Surgeons (AAOS), is available at http://anationinmotion.org/value/hip-fracture/.

Orthopaedic surgeons restore mobility and reduce pain; they help people get back to work and to independent, productive lives. Visit ANationInMotion.org to read successful orthopaedic stories.

Newsroom.aaos.org is your source for bone and joint health news, stats, facts, images and spokesperson interview requests. 

Visit us:
Orthoinfo.org 
About the American Academy of Orthopaedic Surgeons
Facebook.org/AAOS1 
Twitter.com/AAOS1 
Plus.Google.com/+AAOSPR

SOURCE American Academy of Orthopaedic Surgeons

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
DevOps is not just last year’s buzzword. Companies with DevOps practices are 2.5x more likely to exceed profitability, market share, and productivity goals. But how do you enable high performance? What can you do right now to start? Find out from DevOps experts including Gene Kim, co-author of "The Phoenix Project," and the Dynatrace Center of Excellence.
SYS-CON Events announced today that Avere Systems, a leading provider of enterprise storage for the hybrid cloud, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Avere delivers a more modern architectural approach to storage that doesn’t require the overprovisioning of storage capacity to achieve performance, overspending on expensive storage media for inactive data or the overbuilding of data centers ...
Sensors and effectors of IoT are solving problems in new ways, but small businesses have been slow to join the quantified world. They’ll need information from IoT using applications as varied as the businesses themselves. In his session at @ThingsExpo, Roger Meike, Distinguished Engineer, Director of Technology Innovation at Intuit, showed how IoT manufacturers can use open standards, public APIs and custom apps to enable the Quantified Small Business. He used a Raspberry Pi to connect sensors...
SYS-CON Events announced today that Catchpoint Systems, Inc., a provider of innovative web and infrastructure monitoring solutions, has been named “Silver Sponsor” of SYS-CON's DevOps Summit at 18th Cloud Expo New York, which will take place June 7-9, 2016, at the Javits Center in New York City, NY. Catchpoint is a leading Digital Performance Analytics company that provides unparalleled insight into customer-critical services to help consistently deliver an amazing customer experience. Designed...
With the proliferation of both SQL and NoSQL databases, organizations can now target specific fit-for-purpose database tools for their different application needs regarding scalability, ease of use, ACID support, etc. Platform as a Service offerings make this even easier now, enabling developers to roll out their own database infrastructure in minutes with minimal management overhead. However, this same amount of flexibility also comes with the challenges of picking the right tool, on the right ...
SYS-CON Events announced today that Alert Logic, Inc., the leading provider of Security-as-a-Service solutions for the cloud, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. Alert Logic, Inc., provides Security-as-a-Service for on-premises, cloud, and hybrid infrastructures, delivering deep security insight and continuous protection for customers at a lower cost than traditional security solutions. Ful...
SYS-CON Events announced today that Interoute, owner-operator of one of Europe's largest networks and a global cloud services platform, has been named “Bronze Sponsor” of SYS-CON's 18th Cloud Expo, which will take place on June 7-9, 2015 at the Javits Center in New York, New York. Interoute is the owner-operator of one of Europe's largest networks and a global cloud services platform which encompasses 12 data centers, 14 virtual data centers and 31 colocation centers, with connections to 195 ad...
Recognizing the need to identify and validate information security professionals’ competency in securing cloud services, the two leading membership organizations focused on cloud and information security, the Cloud Security Alliance (CSA) and (ISC)^2, joined together to develop an international cloud security credential that reflects the most current and comprehensive best practices for securing and optimizing cloud computing environments.
Companies can harness IoT and predictive analytics to sustain business continuity; predict and manage site performance during emergencies; minimize expensive reactive maintenance; and forecast equipment and maintenance budgets and expenditures. Providing cost-effective, uninterrupted service is challenging, particularly for organizations with geographically dispersed operations.
SYS-CON Events announced today that Commvault, a global leader in enterprise data protection and information management, has been named “Bronze Sponsor” of SYS-CON's 18th International Cloud Expo, which will take place on June 7–9, 2016, at the Javits Center in New York City, NY, and the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Commvault is a leading provider of data protection and information management...
SYS-CON Events announced today that VAI, a leading ERP software provider, will exhibit at SYS-CON's 18th International Cloud Expo®, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. VAI (Vormittag Associates, Inc.) is a leading independent mid-market ERP software developer renowned for its flexible solutions and ability to automate critical business functions for the distribution, manufacturing, specialty retail and service sectors. An IBM Premier Business Part...
With an estimated 50 billion devices connected to the Internet by 2020, several industries will begin to expand their capabilities for retaining end point data at the edge to better utilize the range of data types and sheer volume of M2M data generated by the Internet of Things. In his session at @ThingsExpo, Don DeLoach, CEO and President of Infobright, will discuss the infrastructures businesses will need to implement to handle this explosion of data by providing specific use cases for filte...
In most cases, it is convenient to have some human interaction with a web (micro-)service, no matter how small it is. A traditional approach would be to create an HTTP interface, where user requests will be dispatched and HTML/CSS pages must be served. This approach is indeed very traditional for a web site, but not really convenient for a web service, which is not intended to be good looking, 24x7 up and running and UX-optimized. Instead, talking to a web service in a chat-bot mode would be muc...
It's easy to assume that your app will run on a fast and reliable network. The reality for your app's users, though, is often a slow, unreliable network with spotty coverage. What happens when the network doesn't work, or when the device is in airplane mode? You get unhappy, frustrated users. An offline-first app is an app that works, without error, when there is no network connection.
SYS-CON Events announced today that AppNeta, the leader in performance insight for business-critical web applications, will exhibit and present at SYS-CON's @DevOpsSummit at Cloud Expo New York, which will take place on June 7-9, 2016, at the Javits Center in New York City, NY. AppNeta is the only application performance monitoring (APM) company to provide solutions for all applications – applications you develop internally, business-critical SaaS applications you use and the networks that deli...