Estimating the excess costs for patients with incident fractures, prevalent fractures, and nonfracture osteoporosis

Abstract

Summary-Based on a population age 50+, significant excess costs relative to matched controls exist for patients with incident fractures that are similar in relative magnitude to other chronic diseases such as stroke or heart disease. Prevalent fractures also have significant excess costs that are similar in relative magnitude to asthma/chronic obstructive pulmonary disease.Introduction-Cost of illness studies for osteoporosis that only include incident fractures may ignore the long-term cost of prevalent fractures and primary preventive care. We estimated the excess costs for patients with incident fractures, prevalent fractures, and nonfracture osteoporosis relative to matched controls.

The current economic burden of illness of osteoporosis in Canada

“…The CMI is a group index that includes 33 Resource Utilization Group (RUG)-III categories for resource intensity including: personal support, nursing, physical therapy, occupational therapy, social work, and dietetics, which can be translated as a relative resource intensity cost per day by CMI. Unlike the previous estimate, which was based on a small survey, outpatient physician costs were derived from linked data from the province of Manitoba [9]. Like the previous estimate, prescription drugs costs were derived from IMS Brogan [10].…”

Is there a specific fracture ‘cascade’?

“…Secondary prevention, though, is not sufficient to fully address the public health problem posed by osteoporosis as the majority of fractures may represent the first such event ever experienced by that patient, 29 and they impose adverse consequences and costs. 30 Rather, continued efforts are needed to develop more robust predictors of first fractures for use in primary prevention efforts as efficacious therapies are available should suitable patients be identified. 31 Given the likelihood that clinical access to dual-energy X-ray absorptiometry assessments will increasingly be limited by reimbursement restrictions, creative alternatives must be sought.…”

Hospitalisations, admission costs and re‐fracture risk related to osteoporosis in Western Australia are substantial: a 10‐year review

“…For this reason, quantification of direct hospital costs may be preferable to derive an accurate, albeit non-exhaustive, cost burden. 22 These data are important to inform decision making for planning, resourcing and evaluating health service activity, particularly in the context of osteoporosis. 22 As a means to quantify the impact of osteoporotic re-fractures at a system-level, the aim of this study was to undertake an analysis of the occurrence of re-fractures due to osteoporosis requiring hospitalisation in WA during a 10-year period.…”

“…22 These data are important to inform decision making for planning, resourcing and evaluating health service activity, particularly in the context of osteoporosis. 22 As a means to quantify the impact of osteoporotic re-fractures at a system-level, the aim of this study was to undertake an analysis of the occurrence of re-fractures due to osteoporosis requiring hospitalisation in WA during a 10-year period. In particular, this study aimed to: i) describe the number of hospitalisations, readmissions, bed days and treatment costs incurred; ii) determine the time to first readmission for osteoporotic fracture; and ii) estimate the risk of re-fracture due to osteoporosis over 10 years.…”

“…In particular, this study aimed to: i) describe the number of hospitalisations, readmissions, bed days and treatment costs incurred; ii) determine the time to first readmission for osteoporotic fracture; and ii) estimate the risk of re-fracture due to osteoporosis over 10 years. and international 22 osteoporosis studies.…”