Coste de la fractura de cadera osteoporótica en España por comunidad autónoma

Bartra, Agustí; Caeiro, J.R.; Mesa-Ramos, Manuel; Etxebarría-Foronda, I.; Montejo, Jorge; Carpintero, Pedro; Sorio-Vilela, F.; Gatell, S.; Canals, Laura

doi:10.1016/j.recot.2018.03.005

Cited by 14 publications

(11 citation statements)

References 19 publications

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“…e direct cost of osteoporotic hip fracture is 1,256 euros in Poland, 9,996 euros in France, and 29,910 euros in Switzerland [35]. In Spain, the direct costs during the first year of an osteoporotic hip fracture are approximately 12,300 euros in Madrid and 6,500 in Andalucía [36]. e economic cost of the hip fracture is similar to that of an acute coronary syndrome ($ 32,345) and that of a stroke ($ 34,772) [37,38].…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…Initial hospitalization was the main determinant of cost, followed by ambulatory care and home care. The cost per day of hospital stay has been estimated at €1,000, so a delay of 1 day for hip surgery would cost approximately 1800 € [144,147].…”

Section: Costsmentioning

confidence: 99%

Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture

Tarazona-Santabalbina

Ojeda-Thies

Rodríguez

et al. 2021

IJERPH

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Hip fractures are an important socio-economic problem in western countries. Over the past 60 years orthogeriatric care has improved the management of older patients admitted to hospital after suffering hip fractures. Quality of care in orthogeriatric co-management units has increased, reducing adverse events during acute admission, length of stay, both in-hospital and mid-term mortality, as well as healthcare and social costs. Nevertheless, a large number of areas of controversy regarding the clinical management of older adults admitted due to hip fracture remain to be clarified. This narrative review, centered in the last 5 years, combined the search terms “hip fracture”, “geriatric assessment”, “second hip fracture”, “surgery”, “perioperative management” and “orthogeriatric care”, in order to summarise the state of the art of some questions such as the optimum analgesic protocol, the best approach for treating anemia, the surgical options recommendable for each type of fracture and the efficiency of orthogeriatric co-management and functional recovery.

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“…main determinant of cost, followed by ambulatory care and home care [271]. The cost per day of hospital stay has been estimated at €1000, so a delay of 1 day for hip surgery would cost approximately 1800 € [268,272].…”

Section: Costsmentioning

confidence: 99%

Orthogeriatric Care: Reviewing Improvements in Outcomes

Tarazona-Santabalbina¹,

Ojeda-Thies²,

Rodríguez³

et al. 2021

Preprint

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Hip fractures are an important socio-economic problem in western countries. Over the past 60 years orthogeriatric care has improved the management of older patients admitted to hospital after suffering hip fractures. Orthogeriatric co-management units have increased quality of care, reducing adverse events during acute admission, length of stay, both in-hospital and mid-term mortality, as well as healthcare and social costs. Nevertheless, a large number of areas of controversy regarding the clinical management of older adults admitted due to hip fracture remain to be clarified. This narrative review, centered in the last 5 years, combined the search terms “hip fracture”, “geriatric assessment”, “second hip fracture”, “surgery”, “perioperative management” and “orthogeriatric care”, in order to summarise the state of the art of some questions such as the optimum analgesic protocol, the best approach for treating anemia, the surgical options recommendable for each type of fracture and the efficiency of orthogeriatric co-management and functional recovery.

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Coste de la fractura de cadera osteoporótica en España por comunidad autónoma

Cited by 14 publications

References 19 publications

Epidemiology and Direct Medical Cost of Osteoporotic Hip Fracture in Chile

Epidemiology and Direct Medical Cost of Osteoporotic Hip Fracture in Chile

Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture

Orthogeriatric Care: Reviewing Improvements in Outcomes

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