Direct medical costs attributable to peripheral fractures in Canadian post-menopausal women

Bessette, Louis; Jean, Sonia; Lapointe-Garant, M.-P.; Belzile, Étienne L.; Davison, K. Shawn; Ste-Marie, Line; Brown, Jacques P.

doi:10.1007/s00198-011-1785-9

Cited by 30 publications

(18 citation statements)

References 12 publications

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“…Another strength of our national analysis is that were able to verify our estimates with different data within Canada, from three other independent research bodies: the Manitoba Centre for Health Policy (MCHP) [20], the Recognizing Osteoporosis and its Consequences in Quebec (ROCQ) [16], and the prospective Canadian Multicentre Osteoporosis Study (CaMos) [21]. As verification, our estimate of the cost of physician claims was similar to ROCQ [22] and MCHP [9] and the percentage use of home care and LTC was similar between our national estimate and the estimates from MCHP [9] and CaMOS [11]. The percentage use of LTC after a fracture is also consistent with other studies [17].…”

Section: Discussionmentioning

confidence: 60%

The current economic burden of illness of osteoporosis in Canada

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Section: Discussionmentioning

confidence: 60%

The current economic burden of illness of osteoporosis in Canada

et al. 2016

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“…Of note, Australian cost estimates per HF patient appear to be consistent with international reports, which considered hospitalization costs between $US 8,358 and $US 32,195 140 and average cost in the first year following a HF Canadian $46,664. 147 The reported results and projections highlight the need of strategies to prevent post-stroke HF 148 and may have a potential of contributing to healthcare planning and resourcing for the elderly, in whom both HF and stroke remain major public health problems.…”

Section: 54mentioning

confidence: 89%

Hip Fracture After Stroke in the Elderly: Trends in the Beginning of the 21st Century and Projections into the Future in Australia

2014

Clinical Medicine Insights: Geriatrics

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AIMS:To estimate age-and sex-specific incidence rates and time trends of post-stroke hip fracture (HF) in the Australian Capital Territory (ACT) and to present projections of future post-stroke HF incidence in Australia until 2051. METHODS: Analysis of annual age-and sex-specific standardized (to 2006 Australian population) post-stroke HF incidence rates in older stroke survivors (aged 60 years) over an 11 year period (between 1999/2000 and 2009/2010). Projections of number of post-stroke HF in 2021 and 2051 are based on demographic predictors obtained from the Australian Bureau of Statistics. RESULTS: Over the study period among 1784 stroke survivors HF was recorded in 61 (3.42%) subjects (40 women and 21 men), indicating a HF incidence rate of 6.31 per 1000 stroke person-years. The standardized annual post-stroke HF incidence rate (per 100,000 person-years) in women was 1.7 times higher than in men (18.9 vs. 11.1 per, p = 0.008), and in the oldest group (80 years) compared to aged 60-69 years was 10 times higher for women (47.54 vs. 4.73) and 4 times higher for men (26.65 vs. 6.50). Post-stroke HF occurred on average within the first 2.3 years, about 2 times more often in women aged 75 years (p = 0.033) and in survivors after an ischaemic stroke (p = 0.052), but age per se did not affect the time to HF. During the 11-year period the incidence rates of post-stroke HF decreased annually in total by 17.9%. CONCLUSIONS: Post-stroke HF is relatively common, prevalent in women and occurs on average within 2.3 years after the stroke. The incidence of post-stroke HF in elderly people is decreasing. However, because of population ageing and increasing number of stroke survivors, the absolute number of post-stroke patients sustaining a HF and their proportion among the total HF population could be expected to increase.

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“…Taking the same methodological approach, our earlier work estimated the average cost of treating acute fractures and postfracture complications in the year after fracture to be $46,664 (Canadian dollars [CND]) per hip/femur fracture, $5253 for wrist fracture and $10,410 for fractures of other peripheral sites. (15) Major strengths of this study included the use of populationbased administrative databases, providing global measurement of healthcare delivery at the population level and access to a large sample of fracture cases for each fracture site, allowing robust estimation. Moreover, in selecting only medical claims and hospitalizations for fracture care, medical resource utilization directly attributable to fracture care and representing actual utilization of care was assessed.…”

Section: Discussionmentioning

confidence: 99%

“…However, although the burden of osteoporosis-related fractures is high in terms of excess mortality, (8,12) levels of healthcare used, (29) institutionalization, (33) and their associated costs, (15) under-recognition of osteoporosis and its consequences remains problematic (4) despite the availability of effective therapy to reduce fracture risk. Therefore, effective public health interventions need to be introduced to improve the diagnosis and treatment of osteoporosis, particularly in highrisk groups (ie, those with fragility fracture) to reduce their impact on the healthcare system.…”

Section: Discussionmentioning

confidence: 99%

Direct medical resource utilization associated with osteoporosis-related nonvertebral fractures in postmenopausal women

Jean¹,

Bessette²,

Belzile³

et al. 2012

Journal of Bone and Mineral Research

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The purposes of this study were to assess direct medical resource utilization related to the treatment of nonvertebral osteoporotic fractures within 1 year postfracture and to evaluate whether age impacts resource utilization. A previously-validated algorithm for physician claims databases identified 15,327 women aged 50 years or older with incident fracture at nonvertebral osteoporotic sites between January 1, 2004 and December 31, 2005. Administrative databases of the health services available to all residents in Quebec served to study fracture-related health resource utilization in the year after fracture. Data were linked by a unique personal identifier, creating a longitudinal cohort of all fracture cases for health resource utilization. The proportions of fractures treated by open reduction, closed reduction, immobilization or follow-up by an orthopedic surgeon (OS) were evaluated. The mean number of claims for consultation with an OS or other clinicians in inpatient and outpatient visits, the hospitalization rate and length of stay (LOS) were assessed. Hip/femur fractures represented the highest rate of resource utilization because the majority of them required surgery (91.1%) and hospitalization (94.5%) with a mean (median) LOS of 39.2 (31) days. However, other nonvertebral fracture types needed significant clinical care related to surgery (27.9%), follow-up consultation with an OS (77.6%), and hospitalization (27.3% of total LOS). Even pelvic fractures, which often do not require surgical treatment, commanded high resource utilization due to the high hospitalization rate (67.4%) with mean (median) LOS of 34.2 (26) days. Moreover, age was an important determinant of health resource utilization, being associated with an increased number of visits to other physicians, hospitalization, and length of hospitalization (LOS), admissions to long term care (LTC), and death. Osteoporosis-related fractures accounted for substantial healthcare resource utilization. With an aging population and increased prevalence of fractures, strategies for osteoporosis management need to be introduced to reduce the healthcare burden. ß

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Direct medical costs attributable to peripheral fractures in Canadian post-menopausal women

Cited by 30 publications

References 12 publications

The current economic burden of illness of osteoporosis in Canada

The current economic burden of illness of osteoporosis in Canada

Hip Fracture After Stroke in the Elderly: Trends in the Beginning of the 21st Century and Projections into the Future in Australia

Direct medical resource utilization associated with osteoporosis-related nonvertebral fractures in postmenopausal women

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