The cost-effectiveness of the stopping elderly accidents, deaths and injuries options randomised quality improvement trial to prevent falls among older adults.
Background Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Options was a randomized trial of a telemedicine implementation of the CDC's STEADI older adult fall prevention initiative implemented among adults ages 65 and older at increased risk for falls. Methods Using STEADI Options and pub...
| Publicado en: | Age & Ageing Vol. 55; no. 6; pp. 1 - 9 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jun2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195099704&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195099704 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jun2026 vid: 55 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195099704 10.1093/ageing/afag141 ppf: 1 ppct: 8 formats: tig: atl: The cost-effectiveness of the stopping elderly accidents, deaths and injuries options randomised quality improvement trial to prevent falls among older adults. aug: au: Rein, David B Peterson, Cora Brault, Matthew W Lamuda, Phoebe A Hackney, Madeleine E Vaughan, Camille P 2nd, Theodore M Johnson Haddad, Yara K Team, Emory STEADI Implementation affil: NORC - Public Health, 1025 Hill Street SE Atlanta, Atlanta, GA 30315, USA CDC - National Center for Injury Prevention and Control, Atlanta, Georgia, USA NORC, Chicago, IL, USA Emory University, Department of Medicine, Division of Geriatrics and Gerontology, Emory University School of Medicine, Atlanta, Georgia, USAAtlanta VA Health Care System, Decatur, GA, USA Emory University School of Medicine, Department of Family and Preventive Medicine, Atlanta, GA, USAEmory University School of Medicine-Department of Medicine, Division of General Internal Medicine, ATLANTA, GA, USA su: Georgia Centers for Disease Control & Prevention (U.S.) Elder care Cost effectiveness Primary health care Randomized controlled trials Uncertainty Occupational therapy Preventive health services Medical care costs Old age Mortality prevention Prevention of injury Risk assessment Cost control Physical therapy Academic medical centers Research funding Statistical sampling Descriptive statistics Simulation methods in education Telemedicine Conceptual structures Statistics Diary (Literary form) Quality assurance Comparative studies Confidence intervals Telenursing Data analysis software Accidental falls Insurance companies sug: subj: Elder care Cost effectiveness Primary health care Randomized controlled trials Uncertainty Occupational therapy Preventive health services Medical care costs Old age Georgia Centers for Disease Control & Prevention (U.S.) Continuing Care Retirement Communities Administration of Public Health Programs Insurance Agencies and Brokerages Direct Health and Medical Insurance Carriers Other Direct Insurance (except Life, Health, and Medical) Carriers Direct group life, health and medical insurance carriers Marketing Research and Public Opinion Polling Mortality prevention Prevention of injury Risk assessment Cost control Physical therapy Academic medical centers Research funding Statistical sampling Descriptive statistics Simulation methods in education Telemedicine Conceptual structures Statistics Diary (Literary form) Quality assurance Comparative studies Confidence intervals Telenursing Data analysis software Accidental falls Insurance companies keyword: accidents aged copyrightHolder:British Geriatrics Society copyrightYear:2026 cost effectiveness cost savings cost-effectiveness fall prevention health care systems https://dx.doi.org/10.1093/ageing/afag141 inLanguage:en older adults preventive care preventive health services publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42315165/ sensitivity analysis STEADI accidents aged copyrightHolder:British Geriatrics Society copyrightYear:2026 cost effectiveness cost savings cost-effectiveness fall prevention health care systems https://dx.doi.org/10.1093/ageing/afag141 inLanguage:en older adults preventive care preventive health services publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42315165/ sensitivity analysis STEADI ab: Background Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Options was a randomized trial of a telemedicine implementation of the CDC's STEADI older adult fall prevention initiative implemented among adults ages 65 and older at increased risk for falls. Methods Using STEADI Options and published data, we simulated the intervention's cost-effectiveness as compared to standard of care from the healthcare payer's perspective, over a one-year time horizon with a 0% discount rate. Using an incremental net benefit (INB) framework we estimated cost-effectiveness assuming a baseline willingness-to-pay (WTP) of $25 478 to prevent one medically treated fall and performed univariate and probabilistic sensitivity analyses. Results Cumulatively when compared to the control participants, those in the intervention cost -$873 (95% U.I. -$3839, $2081) less, experienced fewer falls treated within the healthcare system −0.037 (95% Confidence interval (C.I.), −0.090, 0.015), and fewer falls treated by other providers −0.007 (95% C.I. -0.070, 0.053). The intervention's INB of $1995 (95% U.I. -$2166, $6118) per enrollee, was cost saving in 71.8% of simulations and cost-effective in 82.9% of simulations. Cost-effectiveness was insensitive to wide changes in the model's parameters, was cost-effective in 71.8% of simulations at a WTP of $0 and 85.4% of simulations at a WTP of $50 000. Conclusion Within the study cohort, the intervention was highly likely to be cost-effective. However, differences in medically treated falls and total healthcare costs were not statistically significant; therefore, we cannot rule out the possibility that the intervention had no impact. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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