Economic evaluation of arthroplasty choice for femoral neck fractures

摘要

This thesis examined the cost-effectiveness of different types of arthroplasty and fixation methods used to treat femoral neck fractures in the Australian health system. Using a decision analytic model, the study measured the costs and health outcomes associated with different treatment options to determine which prostheses led to cost-effective care. udCemented fixation of prostheses was found to be more cost-effective than uncemented fixation. The cost-effectiveness of different arthroplasties varied with age and whether QALYs or revision surgeries were the health outcome assessed. udThe results support recommendations that cemented prostheses be used for femoral neck fractures. Further research into defining population groups, collecting preference based values of health states and costs would be beneficial to inform further research into this area.