Carlo Favaretti

Quando l’analisi economica ha un punto di vista societario e non si esaurisce in una valutazione d’impatto sul budget di un singolo ospedale!

http://jama.jamanetwork.com/article.aspx?articleid=1273017

ABSTRACT

Context  Visual impairment is a known risk factor for fractures. Little is known about the association of cataract surgery with fracture risk.

Objective  To determine the association of cataract surgery with subsequent fracture risk in US Medicare beneficiaries with a diagnosis of cataract.

Design, Setting, and Participants  Retrospective study of 1-year fracture incidence in a 5% random sample of Medicare Part B beneficiaries with cataract who received and did not receive cataract surgery from 2002 through 2009.

Main Outcome Measures  One-year incidence of hip fractures. Analyses were adjusted for age; sex; race/ethnicity; US region of residence; systemic comorbidities, including Charlson Comorbidity Index (CCI) score; ocular comorbidities; cataract severity; and presence of physically limiting conditions. Adjusted odds ratios (ORs) of hip fractures…

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