A cost-consequence analysis of a community-based rehabilitation programme following hip fracture (Fracture in the Elderly Multidisciplinary Rehabilitation—FEMuR III)
Primary result · QALYs gained (complete EQ-5D data)Result — go to the resultDifference 0.02 QALYs 95% CI - 0.036, 0.076Authors' conclusion
The mean health service use costs were higher in the intervention group due to longer inpatient stays. There was no significant difference in QALYs between both groups.
Study context
- Population
- Participants after hip fracture142 with complete EQ-5D data
- Comparison
- FEMuR III community-based rehabilitation intervention vs usual care after hip fracture
- Primary endpoint
- Healthcare service use, costs, and quality of life (EuroQoL-5D-3L), NHS and wider societal perspectives
- Follow-up
- 12 months
Methodological detailsmicro-costing approach, NHS and wider societal perspectives, Trial affected by the COVID-19 pandemic; large proportion of missing data (40%)
- Micro-costing approach
- NHS and wider societal perspectives
- Trial affected by the COVID-19 pandemic; large proportion of missing data (40%)
Primary result
Quality-adjusted life years (QALYs) gained (complete EQ-5D data) · 52 weeks
Difference
0.02 QALYs
95% CI - 0.036, 0.076
P = 0.312
As reported in the abstract
Further findings
| Outcome | Difference (QALYs) (95% CI) |
|---|---|
| QALYs gained (imputed cases)Intervention gained less QALYs than usual care | 0.01 (- 0.056, 0.030) |
- Mean cost of delivering the intervention
- £444 · mean · per participant
Mean health service use costs (complete cost data, n = 115) · 52 weeks
- Higher in the intervention group from both perspectives, due to longer inpatient stays
Original publication
A cost-consequence analysis of a community-based rehabilitation programme following hip fracture (Fracture in the Elderly Multidisciplinary Rehabilitation—FEMuR III). Osteoporos Int. Published 26 March 2025. doi:10.
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