Health care costs of osteopenia, osteoporosis, and fragility fractures in Mexico

Carlos, Fernando; Clark, Patricia; Galindo-Suárez, R.M.; Chico-Barba, Gabriela

doi:10.1007/s11657-013-0125-4

Cited by 38 publications

(18 citation statements)

References 23 publications

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“…The prevalence of frailty in older adults living at poverty and social vulnerability in Brazil is 27.3%, with an additional pre-frailty prevalence of 60.6% [32]. The high occurrence of frailty in Brazilian older adults highlights the importance of greater assistance in health care, as well as its socioeconomic costs [33]. …”

Section: Discussionmentioning

confidence: 99%

Time Spent in Sedentary Behaviour as Discriminant Criterion for Frailty in Older Adults

Silva

Tribess

Meneguci

et al. 2018

IJERPH

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This paper aims to analyse whether time spent in sedentary behaviour was a discriminant criterion for frailty in older adults. This was a cross-sectional study conducted in a sample of 457 elderly individuals aged ≥60 years. Frailty was defined as the presence of three or more of the following criteria: Unintentional weight loss, low walking speed at a 4.57 m course, reduced manual grip strength, exhaustion and insufficient physical activity level. Participants were classified into two groups: Non-frail or frail. Exposure to sedentary behaviour was assessed by the time spent sitting during a typical week, according to the adapted version of the International Physical Activity Questionnaire. Descriptive (mean, frequency) and inferential statistics (Poisson regression, Pearson’s Chi-square, Receiver Operating Characteristic Curve) were used to analyse the data, comparing them to the time-related areas exposed to sedentary behaviour by gender and the presence of fragility. The prevalence of frailty was 22.1% (n = 101). The most accurate cut-off points of sitting time for predicting frailty were >495 min/day (men) or >536 min/day (women). Time spent in sedentary behaviour can be used to indicate fragility in the elderly of both sexes.

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Section: Discussionmentioning

confidence: 99%

Time Spent in Sedentary Behaviour as Discriminant Criterion for Frailty in Older Adults

Silva

Tribess

Meneguci

et al. 2018

IJERPH

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“…Because of increased secular trends in the incidence of osteoporotic hip fractures occurring in numerous Western and Asian populations,6 the medical care costs caused by osteoporotic fractures (OFs) have increased 7 8. Approximately half of all patients with hip fractures lose their physical independence and require institutionalisation, and 20–25% expire after 1 year of living with a hip fracture 9 10.…”

Section: Introductionmentioning

confidence: 99%

Increased risk of osteoporotic fractures in patients with systemic sclerosis: a nationwide population-based study

et al. 2014

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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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Health care costs of osteopenia, osteoporosis, and fragility fractures in Mexico

Abstract: Low bone density entails substantial epidemiological and financial burden in Mexico, and their impact will grow considerably during the next years.

Cited by 38 publications

References 23 publications

Time Spent in Sedentary Behaviour as Discriminant Criterion for Frailty in Older Adults

Time Spent in Sedentary Behaviour as Discriminant Criterion for Frailty in Older Adults

Increased risk of osteoporotic fractures in patients with systemic sclerosis: a nationwide population-based study

Epidemiology and Direct Medical Cost of Osteoporotic Hip Fracture in Chile

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