Expenditures on the treatment of osteoporosis in the elderly in Brazil (2008 - 2010): analysis of associated factors

Moraes, Luci Fabiane Scheffer; Silva, Everton Nunes da; Silva, Diego Augusto Santos; Paula, Ana

doi:10.1590/1809-4503201400030012

Cited by 24 publications

(22 citation statements)

References 15 publications

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“…Recently, Moraes et al 60 published an article providing data on the expenditure of the Ministry of Health of Brazil for the treatment of osteoporosis during 2008–2010. It was found that women, who more frequently receive osteoporosis-related procedures and treatment, incur higher absolute costs than men.…”

Section: Analysis Of the Management Of Osteoporosis In Brazilmentioning

confidence: 99%

The epidemiology and management of postmenopausal osteoporosis: a viewpoint from Brazil

Baccaro

Conde²,

Costa-Paiva

et al. 2015

CIA

166

121

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Brazil has an aging population, with an associated increase in the prevalence of chronic diseases. Postmenopausal osteoporosis is of particular concern because it leads to an increased risk of fractures, with subsequent negative impacts on health in older women. In recent years, efforts have been made to better understand the epidemiology of osteoporosis in Brazil, and to manage both direct and indirect costs to the Brazilian health care system. The reported prevalence of osteoporosis among postmenopausal women in Brazil varies from 15% to 33%, depending on the study methodology and the use of bone densitometry data or self-reporting by participants. A diagnosis of osteoporosis can be made on the basis of fractures occurring without significant trauma or on the basis of low bone mineral density measured by dual energy X-ray absorptiometry. To reduce the risk of osteoporosis, all postmenopausal women should be encouraged to maintain a healthy lifestyle, which includes physical activity and a balanced diet. Smoking and alcohol use should also be addressed. Special attention should be given to interventions to reduce the risk of falls, especially among older women. Calcium intake should be encouraged, preferably through diet. The decision to recommend calcium supplementation should be made individually because there is concern about a possible increased risk of cardiovascular disease associated with this treatment. Brazilian women obtain a minimal amount of vitamin D from their diet, and supplementation is warranted in women with little exposure to solar ultraviolet-B radiation. For women diagnosed with osteoporosis, some form of pharmacologic therapy should be initiated. Compliance with treatment should be monitored, and the treatment period should be individualized for each patient. The Brazilian government provides medication for osteoporosis through the public health system free of charge, but without proper epidemiological knowledge, the implementation of public health programs is impaired.

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Section: Analysis Of the Management Of Osteoporosis In Brazilmentioning

confidence: 99%

The epidemiology and management of postmenopausal osteoporosis: a viewpoint from Brazil

Baccaro

Conde²,

Costa-Paiva

et al. 2015

CIA

166

121

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“…Compared to South American countries, Chile has a health expenditure similar to the countries in the area. e expense for osteoporosis and osteoporotic fractures in Brazil is USD 92 million (2.8 times higher than in Chile) [17], for a population of 209 million (11.7 times higher than the Chilean); hospitalization expense for hip fracture and vertebrae in Argentina is USD 190 million (5.7 times higher than in Chile) [15], for a population of 44 million (2.5 times higher than the Chilean); hospital expenditure for treating hip fractures in Colombia is USD 51 million (1.5 times higher than in Chile) [19,39], for a population of 49 million (2.8 times higher than the Chilean); fragility fracture spending in Mexico is USD 256 million (7.8 times higher than in Chile) [16], for a population of 130 million (7.3 times higher than the Chilean).…”

Section: Discussionmentioning

confidence: 99%

“…In Latin America, studies on the economic impact of osteoporotic fractures (mainly hip fracture) estimate that the annual national expenditure for this cause is 190 million dollars in Argentina [15], 256 million dollars in Mexico [16], and 97 million dollars in Brazil [17].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Direct Medical Cost of Osteoporotic Hip Fracture in Chile

Quevedo

Ormeño

Weissglas

et al. 2020

Journal of Osteoporosis

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The osteoporotic hip fracture is associated with a high impact on morbidity, mortality, and health expenditure. The Chilean health system is made up of a mixed care system, with the public system called FONASA and the private system called ISAPRE. The people with lower incomes are listed on FONASA and correspond to 80.8% of the population. The aims of this study were to describe the incidence of hip fracture in the Chilean population from the age of 45 years and to estimate the direct medical cost of this disease. The records of the Department of the Health Statistics and Information of the Ministry of Health were used, from which the number of national hospital discharges due to hip fractures was obtained (codes S720, S721, and S722 of the ICD-10), in adults aged 45 years or older, by sex, from 2006 to 2017. The cost of osteoporotic hip fracture treatment in the public health system was obtained from the data of the surgical treatment according to the payment method associated with diagnosis (PAD bonus). A surgical intervention budget was used in a private clinic to calculate the direct cost of osteoporotic hip fracture in the private system. Between 2006 and 2017, the number of hospital discharges due to osteoporotic hip fracture in adults aged 45 years and older has increased progressively, registering 9.583 hospital discharges for this cause in 2017, which corresponds to 50% more than those recorded in 2006, with a 3 : 1 F/M ratio. The mean annual rate of hip fractures is 148.7 per 100,000 inhabitants aged above 45 years. The individual cost of managing an osteoporotic hip fracture in the public system was USD$ 3,919, and USD$ 9,092 in the private health system. The incidence of hip fracture was comparable with data from Southern European countries and from neighboring countries, such as Argentina and Uruguay. Hospitalization cost of hip fracture in Chile was 34 million USD per year. Hip fracture constitutes a serious healthcare problem in Chile, and efforts for the prevention and management of osteoporosis are needed.

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Section: Core Recommendations Figure 4 -Node Level 1 (Screening or Agmentioning

confidence: 99%

“…In Brazil, expenditures for osteoporosis in 2008-2010 exceeded $288 million, with most resources directed toward women (118). Most of the osteoporosis-related procedures were outpatient, but most of the expenses were inpatient (118). There are no demonstrable associations of fracture risk among men and women in Brazil with social class, but among women, there is a higher incidence of fractures in metropolitan areas compared with rural areas (119).…”

Section: Core Recommendations Figure 4 -Node Level 1 (Screening or Agmentioning

confidence: 99%

Transculturalization Recommendations For Developing Latin American Clinical Practice Algorithms In Endocrinology Proceedings Of The 2015 Pan-American Workshop By The American Association Of Clinical Endocrinologists And American College Of Endocrinology

Mechanick

Harrell²,

Allende-Vigo

et al. 2016

Endocrine Practice

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Expenditures on the treatment of osteoporosis in the elderly in Brazil (2008 - 2010): analysis of associated factors

Cited by 24 publications

References 15 publications

The epidemiology and management of postmenopausal osteoporosis: a viewpoint from Brazil

The epidemiology and management of postmenopausal osteoporosis: a viewpoint from Brazil

Epidemiology and Direct Medical Cost of Osteoporotic Hip Fracture in Chile

Transculturalization Recommendations For Developing Latin American Clinical Practice Algorithms In Endocrinology Proceedings Of The 2015 Pan-American Workshop By The American Association Of Clinical Endocrinologists And American College Of Endocrinology

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