Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel
Journal cover image

Comparison of cost-effectiveness of vitamin D screening with that of universal supplementation in preventing falls in community-dwelling older adults.

Publication ,  Journal Article
Lee, RH; Weber, T; Colón-Emeric, C
Published in: J Am Geriatr Soc
May 2013

OBJECTIVES: To compare the cost-effectiveness of population screening for vitamin D insufficiency with that of universal vitamin D supplementation in community-dwelling older adults. DESIGN: A Markov decision model simulating follow-up over a 36-month period. Published data were used to estimate values for the model, including costs (measured in 2011 U.S. dollars), utilities (measured in quality-adjusted life years (QALYs)), and probabilities. SETTING: Decision analysis simulation from a societal perspective. PARTICIPANTS: Hypothetical cohort of community-dwelling women and men aged 65 to 80. MEASUREMENTS: Net monetary benefit (NMB) was calculated by subtracting the incremental cost of the strategy from the product of incremental QALYs and willingness-to-pay threshold. A higher NMB indicates greater cost-effectiveness. RESULTS: In women aged 65 to 80, population screening was slightly more cost-effective than universal supplementation, with an incremental NMB of $224 compared with $189 (P < .001). Population screening in men was also more cost-effective than universal supplementation (incremental NMB $298 vs $260, P < .001). Results differed according to age group. In those aged 65, population screening had cost-effectiveness similar to that of universal supplementation in women ($59 vs $71) and men ($114 vs $120), whereas in those aged 80, population screening was substantially more cost-effective than universal supplementation in women ($563 vs $428) and men ($703 vs $571). CONCLUSION: Population screening and universal supplementation for vitamin D insufficiency are cost-effective strategies in community-dwelling older women and men. In the oldest old, population screening may be more cost-effective than universal supplementation.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

May 2013

Volume

61

Issue

5

Start / End Page

707 / 714

Location

United States

Related Subject Headings

  • Vitamin D Deficiency
  • Vitamin D
  • United States
  • Risk Factors
  • Retrospective Studies
  • Quality-Adjusted Life Years
  • Mass Screening
  • Markov Chains
  • Male
  • Incidence
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lee, R. H., Weber, T., & Colón-Emeric, C. (2013). Comparison of cost-effectiveness of vitamin D screening with that of universal supplementation in preventing falls in community-dwelling older adults. J Am Geriatr Soc, 61(5), 707–714. https://doi.org/10.1111/jgs.12213
Lee, Richard H., Thomas Weber, and Cathleen Colón-Emeric. “Comparison of cost-effectiveness of vitamin D screening with that of universal supplementation in preventing falls in community-dwelling older adults.J Am Geriatr Soc 61, no. 5 (May 2013): 707–14. https://doi.org/10.1111/jgs.12213.
Lee, Richard H., et al. “Comparison of cost-effectiveness of vitamin D screening with that of universal supplementation in preventing falls in community-dwelling older adults.J Am Geriatr Soc, vol. 61, no. 5, May 2013, pp. 707–14. Pubmed, doi:10.1111/jgs.12213.
Journal cover image

Published In

J Am Geriatr Soc

DOI

EISSN

1532-5415

Publication Date

May 2013

Volume

61

Issue

5

Start / End Page

707 / 714

Location

United States

Related Subject Headings

  • Vitamin D Deficiency
  • Vitamin D
  • United States
  • Risk Factors
  • Retrospective Studies
  • Quality-Adjusted Life Years
  • Mass Screening
  • Markov Chains
  • Male
  • Incidence