vs. usual care fracture liaison nurse Base case £20,794 £23,189 Primary and hospital care costs only (excluding £9,046 £13,039 care home costs) Relative effectiveness estimates (where Dominated £21,798* comparator is no OG or FLN rather than pooled estimate) Relative effectiveness for 30-day mortality also £20,754 £23,140 applying to second hip fracture Effectiveness over mortality beyond 1st year post £16,944 £18,052 hip fracture into lifetime Effectiveness over second hip fracture extending Extendedly £20,036* into lifetime dominated Effectiveness over major non-hip fractures £20,439 £26,559 requiring hospitalisation (OG: HR 1.14, FLN: HR 0.94, Chapter 5) Orthogeriatrician and FLN costs without Extendedly £20,230* qualification costs (£300 and £177 per patient, dominated respectively) Orthogeriatrician at 1 WTE (£560 per patient) £20,794 £28,418 FLN at 0.25 WTE (£50 per patient) £19,066 £28,798 FLN at 0.60 WTE (£120 per patient) £19,817 £26,172 220 hip fracture patients per year seen by OG or £22,922 £31,784 FLN (intervention costs at £859 and £409 per patient, respectively) 690 hip fracture patients per year seen by OG or £19,929 £20,307 FLN (intervention costs at £274 and £131 per
vs. usual care fracture liaison nurse Base case £20,794 £23,189 Primary and hospital care costs only (excluding care home costs) £9,046 £13,039 Relative effectiveness estimates (where comparator is no OG or FLN rather than pooled estimate) Dominated £21,798* Relative effectiveness for 30-day mortality also applying to second hip fracture £20,754 £23,140 Effectiveness over mortality beyond 1st year post hip fracture into lifetime £16,944 £18,052 Effectiveness over second hip fracture extending into lifetime Extendedly dominated £20,036* Effectiveness over major non-hip fractures requiring hospitalisation (OG: HR 1.14, FLN: HR 0.94, Chapter 5) £20,439 £26,559 Orthogeriatrician and FLN costs without qualification costs (£300 and £177 per patient, respectively) Extendedly dominated £20,230* Orthogeriatrician at 1 WTE (£560 per patient) £20,794 £28,418 FLN at 0.25 WTE (£50 per patient) £19,066 £28,798 FLN at 0.60 WTE (£120 per patient) £19,817 £26,172 220 hip fracture patients per year seen by OG or FLN (intervention costs at £859 and £409 per patient, respectively) £22,922 £31,784 690 hip fracture patients per year seen by OG or FLN (intervention costs at £274 and £131 per £19,929 £20,307
2015_12_10%2520v3%2520REFReSH%2520revised.docx