The healthcare system costs of hip fracture care in South Africa

Abstract

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Incidence and number of fragility fractures of the hip in South Africa: estimated projections from 2020 to 2050

“…Nationally fewer than 20% of the population are covered by a medical aid scheme (33), with coverage likely to be half of this among Black Africans (34). Data on the management and costs of hip fracture in SA are only now emerging, but our recent analysis across five public hospitals in KZN estimated mean costs of acute management following an index hip fracture to be RAND 108,525 (approximately €6,446 at an exchange rate of 0.0594) (8). By way of comparison, in the European Union (EU) each individual hip fracture is estimated to cost €13,816 on average (21).…”

“…Hip fracture has been described as the international barometer of the impact of osteoporosis (6). Hip fractures in high-income settings have considerable impact on morbidity, mortality and healthcare costs (7), with recent data from South Africa (SA) suggesting similar healthcare costs (8), long hospital stays and high mortality (9). Although incidence of fragility fracture in the region has historically been considered to be low, recent data suggest such fractures are actually more common than previously reported (10,11).…”

The incidence, prevalence, and health burden of hip fractures in China: Data from the global burden of disease study 2019

“…In 2019, the global incidence of hip fracture is estimated to be over 14 million, with the disease burden estimated to be 2.9 million years lived with disability (YLD) ( Dong et al, 2022b ). As the global population continues to increase and age, the health burden associated with hip fractures is expected to increase in the future, posing a major socioeconomic and healthcare challenge worldwide ( Ferris et al, 2022 , Hou et al, 2022 , Kwak et al, 2022 , Mafirakureva et al, 2023 ).…”