A health economic analysis of osteoporotic fractures: who carries the burden?
نویسندگان
چکیده
UNLABELLED This is a cost-of-illness study of osteoporotic fractures in Denmark estimating the incremental societal cost associated with osteoporotic fractures, with both direct cost and productivity cost. This study includes cost regarding hospitals, general practices, the patients, the municipalities and regions. The total cost of osteoporotic fractures in Denmark was estimated at EUR 1.563 billion. PURPOSE The aim of this study is to estimate the societal burden imposed by osteoporotic fractures in Denmark. In contrast to prior studies, this study will present a comprehensive model for the cost of osteoporotic fractures regarding hospitals, general practices, the municipalities, the regions and the patients. METHODS This cost-of-illness study applied an incidence-based bottom-up approach from a societal perspective, including both direct costs and productivity costs. The study focused on incremental cost associated with osteoporotic fractures using a Markov model. Danish citizens ≥50 years with an osteoporotic fracture between 2001 and 2010 were studied. RESULTS The total cost of osteoporotic fractures in Denmark was estimated to EUR 1.563 billion in 2011, at EUR 628 million and EUR 936 million for men and women, respectively. The most expensive fracture for both genders was first hip fracture. The municipalities carried the majority of the costs, with 55-57 % of incremental lifetime cost. CONCLUSIONS This study showed that the incremental societal burden of osteoporotic fractures is an important health problem. Medical costs of the osteoporotic fractures were substantial cost for the health care sector, but were by far exceeded by the cost for the municipality in terms of social services and rehabilitation.
منابع مشابه
Economic burden of osteoporotic fractures in Austria
OBJECTIVE Osteoporotic fractures impose a huge economic burden on society. Though several cost of illness studies from other countries exist, no equivalent study has been conducted in Austria. Our study aims at assessing costs resulting from osteoporotic fractures in Austria in the year 2008 from a societal perspective. METHODS We took both direct and indirect costs into consideration. Direct...
متن کاملEconomic Burden of Osteoporotic Fracture of the Elderly in South Korea: A National Survey.
BACKGROUND Osteoporotic fractures (OFs) in the elderly are common worldwide, and the predicted number of the aging population is increasing the burden of OF on health care systems. OBJECTIVES To estimate the economic burden of OF in people older than 65 years in South Korea from a societal perspective. METHODS National Health Insurance claim databases were used to analyze health care utiliz...
متن کاملThe burden of osteoporotic fractures beyond acute care: the Canadian Multicentre Osteoporosis Study (CaMos).
BACKGROUND the burden associated with osteoporotic fractures has commonly been reported in terms of utilisation of acute care. However, individuals with fractures suffer lasting deficits in quality of life and the burden of care extends well beyond the initial acute care period. The burden of fractures related to post-acute heath care utilisation, and informal care giving, has not been sufficie...
متن کاملClinical impact of recent genetic discoveries in osteoporosis
Osteoporotic fracture carries an enormous public health burden in terms of mortality and morbidity. Current approaches to identify individuals at high risk for fracture are based on assessment of bone mineral density and presence of other osteoporosis risk factors. Bone mineral density and susceptibility to osteoporotic fractures are highly heritable, and over 60 loci have been robustly associa...
متن کاملPublic health impact of osteoporosis.
OBJECTIVE To describe the public health impact of osteoporosis including the magnitude of the problem and important consequences of osteoporotic fractures. METHODS Literature review of key references selected by author. RESULTS Current demographic trends leading to an increased number of individuals surviving past age 65 will result in an increased number of osteoporotic fractures. Importan...
متن کامل