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Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil

Overview of attention for article published in Revista Brasileira de Ortopedia (English Edition), January 2015
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1 tweeter

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28 Mendeley
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Title
Cost-effectiveness of surgical treatment for hip fractures among the elderly in Brazil
Published in
Revista Brasileira de Ortopedia (English Edition), January 2015
DOI 10.1016/j.rboe.2015.01.007
Pubmed ID
Authors

Fabiano Bolpato Loures, Alfredo Chaoubah, Vinícius Silveira Maciel, Elenir Pereira Paiva, Patrick Pereira Salgado, Álvaro Correa Netto

Abstract

To estimate the cost per quality-adjusted life-year (QALY) focusing on the length of time between trauma and surgery. A retrospective cohort with systematic sampling was conducted among all the patients who were admitted to the study hospital through the Brazilian National Health System (SUS) over a three-year period. Two treatment strategies were compared: early treatment, if the patient was operated up to the fourth day; and late treatment, if this was done after the fourth day. The cost was the direct medical cost from the point of view of SUS, which was gathered from the management system, from the SUS table of procedures, medications and implant material costs (SIGTAP), to account for the costs associated with the hospital, medical fees and implants used. The outcome of usefulness was measured indirectly by means of EuroQOL-5D, which is an instrument used worldwide, and these measurements were transformed into usefulness by means of the standard rules of the Regional Planning and Development Center of Minas Gerais (CEDEPLAR) of 2013. The sample included 110 patients: 27 in the early group and 83 in the late group. The confounding variables of age, gender, anesthetic risk (ASA), fracture type and surgery type were controlled for. The samples were shown to be homogenous with regard to these variables. The cost per QALY of the early strategy was R$ 5,129.42 and the cost of the late strategy was R$ 8,444.50. The early strategy was highly favorable in relation to the late strategy in this study.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 28 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 28 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 18%
Researcher 5 18%
Student > Ph. D. Student 5 18%
Student > Doctoral Student 2 7%
Professor > Associate Professor 2 7%
Other 6 21%
Unknown 3 11%
Readers by discipline Count As %
Medicine and Dentistry 10 36%
Nursing and Health Professions 5 18%
Social Sciences 3 11%
Economics, Econometrics and Finance 2 7%
Psychology 1 4%
Other 3 11%
Unknown 4 14%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 August 2015.
All research outputs
#2,928,154
of 5,565,787 outputs
Outputs from Revista Brasileira de Ortopedia (English Edition)
#15
of 52 outputs
Outputs of similar age
#104,326
of 192,343 outputs
Outputs of similar age from Revista Brasileira de Ortopedia (English Edition)
#2
of 4 outputs
Altmetric has tracked 5,565,787 research outputs across all sources so far. This one is in the 33rd percentile – i.e., 33% of other outputs scored the same or lower than it.
So far Altmetric has tracked 52 research outputs from this source. They receive a mean Attention Score of 1.2. This one has gotten more attention than average, scoring higher than 57% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 192,343 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 4 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.