EE34 Comparing the Cost-Effectiveness of the Otago Exercise Programme Among Older Women and Men: A Secondary Analysis of a Randomized Controlled Trial

Using stratified analyses, we examined the cost-effectiveness of OEP, from a health care system perspective, among women and men who have previously fallen. This study was secondary analyses (by men), 12-month prospective economic evaluation randomized clinical trial (OEP compared with usual care). Three hundred forty four community-dwelling older adults (≥70; 172 OEP (110 women; 62 (119 53 men)) sustained fall in past 12 months received baseline assessment at Vancouver Falls Prevention Clinic, Canada (www.fallsclinic.ca) were included. A gender by OEP/usual interaction for falls incidence rate ratio (IRR). Outcome measures included: IRR, incremental cost-per prevented (ICER), cost per quality adjusted life year (QALY, ICUR) gained, mean total resource utilization costs. Men frailer that baseline. incurred higher healthcare costs $6794 (SD: $11906)). There no significant on IRR. The efficacy did not vary gender. IRR group demonstrated 39% (IRR: 0.61, CI: 0.40-0.93) reduction but (32% 0.69, 0.47-1.02)). ICER showed effective preventing less costly men, while it costlier $42. ICUR impact life. Future studies should explore factors (i.e., seeking behaviours, related frailty) may explain observed variation as prevention strategy.