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Commentary: Older people's perspectives on life after hip fractures.(Statistical Data Included)

British Medical Journal

| February 05, 2000 | Ameratunga, Shanthi N; Brown, Paul M | COPYRIGHT 2003 British Medical Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

The 20th century witnessed the addition of 30 years to our life expectancy and the ageing of the "baby boom" generation. With the global population of people aged over 75 projected to increase by almost 140% from 1990 to 2020,[1] the article by Salkeld et al is a timely and provocative exploration of the threat to the quality of life of older people posed by falls and hip fracture. The results suggest older Australian women place a high marginal value on their health and independence, with 80% preferring death to a "bad" hip fracture that would result in admission to a nursing home.

Health values, preferences, or utilities are incorporated directly or indirectly in the development of interventions and allocation of resources for the prevention and treatment of hip fractures. A salient question is whose values? The values expressed by older people may differ substantially from those of surrogate decision…

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