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Article Dans Une Revue Annals of Gerentology and Geriatric Research Année : 2023

Economic assessments of intervention strategies in the prevention of frailty for elderly of 60 years and over living at home: a systematic review

Résumé

Abstract Introduction: The objective was to conduct a systematic review of economic assessment of interventional strategies, in the prevention of frailty in elderly of 60 years and over living at home. Methods: The keywords were searched in databases such as Pubmed, ScienceDirect, Google Scholar and Embase. Articles published in English and French between 31/10/2010 and 31/12/2021 were included. The CHEERS statement reading grid was used to assess the quality of the studies in terms of economic assessments. Results: The search had identified nine relevant research studies, including seven randomised controlled trials and two quasi-experimental studies. Of these studies, we classified them into three programs: five studies on frailty screening, three studies on falls prevention and one study on the analysis of drugs and treatments prescribed and delivered. According to the cost-effectiveness plan of these programs, four studies had no conclusion on economic results, two studies had a dominant strategy, less expensive and more efficient, and three studies had a dominated strategy, more expensive and not efficient. Only 40% of the studies were of good quality. Conclusion: Only two multidimensional and interdisciplinary intervention strategies were highly efficient, cost-effective and improved the quality of life of elderly. Economic results were more mixed. Many methodological weaknesses were present in these studies.

Dates et versions

hal-04117015 , version 1 (05-06-2023)

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Gilles Kehoua, Myriam Le Goff-Pronost, Caroline Gayot, Marie-Laure Laroche, Michel Druet-Cabanac, et al.. Economic assessments of intervention strategies in the prevention of frailty for elderly of 60 years and over living at home: a systematic review. Annals of Gerentology and Geriatric Research, 2023, 9 (1), pp.1056. ⟨10.21203/rs.3.rs-1499205/v1⟩. ⟨hal-04117015⟩
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