, Volume 19, Issue 5, pp 449–468 | Cite as

Hip Fracture Prevention

Cost-Effective Strategies
Review Article


The available literature on cost benefit, cost effectiveness and cost utility of different drug and non-drug regimens in preventing hip fractures was reviewed.

The cost of a hip fracture and of the different treatment regimens varied considerably from one country to another. In primary prevention, potential savings only exceeded costs in women over the age of 70 years treated with hormonal replacement therapy (HRT). In the case of HRT, treating those with low bone mineral density levels (secondary prevention) seems to be more cost effective than general treatment (primary prevention).

There are few studies that have compared several different preventive regimens. Cost effectiveness is directly related to the cost of the regimen used because there is no significant difference in their effectiveness. That is, a high cost regimen such as bisphosphonates would be less cost effective than a low cost regimen such as HRT, judged from existing literature.

High risk groups can be identified (nursing home residents) and treated with low cost interventions (calcium plus vitamin D or hip protectors). Considerable differences in the estimates used for the efficacy of different regimens in studies exist.

Further studies comparing several hip fracture preventive regimens are required in order to establish the most cost-effective strategy.


Bone Mineral Density Vertebral Fracture Alendronate Risedronate Nursing Home Resident 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Research librarian, Miss Edith Clausen is acknowledged for skilful technical assistance.


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Copyright information

© Adis International Limited 2001

Authors and Affiliations

  • Peter Vestergaard
    • 1
    • 3
  • Lars Rejnmark
    • 1
    • 2
  • Leif Mosekilde
    • 1
  1. 1.Department of Endocrinology and Metabolism, Aarhus AmtssygehusAarhus University HospitalAarhusDenmark
  2. 2.Institute of Clinical PharmacologyAarhus UniversityAarhusDenmark
  3. 3.The Osteoporosis ClinicAarhus AmtssygehusAarhus CDenmark

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