Navigation Links
Retrospective study analyzes expenses of osteoporosis-related fracture over 3 years
Date:9/14/2008

Montreal, September 15, 2008 In a retrospective analysis of more than 30,000 female Medicare patients 65 years and older, osteoporosis fractures resulted in fracture-related medical expenses of $15,522 per person over three years. The study, presented at the American Society for Bone and Mineral Research (ASBMR) 30th Annual Meeting, is the first to analyze the actual long-term fracture-related medical expenses incurred over a three-year period using a U.S. medical claims database.

Medicare costs were evaluated for successive six-month periods following a fracture. Each period was compared to the six months prior to the initial fracture to determine the excess fracture-related expenses. Nearly a quarter of the total additional medical costs were incurred beyond the first six months of acute care. Patients with wrist, hip, humerus, and clavicle fractures incurred excess medical costs continuously over each six month period of the three-year follow-up.

"The medical needs resulting from an osteoporotic fracture extend well beyond simply caring for the broken bone," said Diana Brixner, RPh, PhD, Executive Director of the Pharmacotherapy Outcomes Research Center, University of Utah Health Sciences Center. "Beyond the acute care needs, long-term care as a result of the fracture is the next largest expense, but other health problems such as pain, disability, and depression related to the fracture can occur and also contribute to the expanded medical expenses."

The majority of patients (64 percent) were not treated for osteoporosis during the three years following their fracture, despite being at high risk for suffering another fracture. Fourteen percent of patients experienced another fracture during the three-year follow-up period, contributing an additional $16,872 per patient in Medicare medical expenses. The average time before occurrence of the subsequent fracture was approximately 13 months. Nonvertebral fractures accounted for 85 percent of all the fragility fractures and 87 percent of the total additional medical expenses observed in the study.

"Significant patient morbidity and medical expense could be spared if osteoporosis was not under diagnosed and undertreated," said Dr. Brixner. "Therapies that help prevent both vertebral and nonvertebral fractures can help mitigate fracture-related downstream costs. As our population ages, more than ever, patients who are at risk need to be identified and considered for treatment."

Study Details

In this analysis, women aged 65 years and older were identified from a medical and pharmaceutical claims database (Medstat MarketScan) and had a new Medicare claim for a closed non-traumatic (index) fracture at any of seven skeletal sites (hip, wrist, humerus, clavicle, leg, pelvis or spine) between July 1, 2000 and June 30, 2005. Out of 1,665,837 women 65 years and older, 31,758 (3 percent) were identified with a Medicare claim for one of the specified fragility fractures. Women with a claim for malignant neoplasm, radiation oncology or chemotherapy were excluded. The cohort was followed in 6-month increments over a 3-year follow-up period. To estimate the fracture-related excess medical cost, each post-fracture time increment was compared to the 6-month period preceding the fracture. Only Medicare payments were included in the analysis. The excess medical cost was examined by place of service, fracture site, and subsequent fractures and reported in 2007 US dollars. A women was considered to be on osteoporosis therapy if she had at least 2 prescriptions with a therapy indicated for the treatment of osteoporosis, without a gap greater than 45 days between refills


'/>"/>

Contact: Kate Gormley
kgormley@dorland.com
215-928-2720
Dorland Global Public Relations
Source:Eurekalert

Related medicine news :

1. Penn study finds pro-death proteins required to regulate healthy immune function
2. New study shows promise in reducing surgical risks associated with surgical bleeding
3. Study, meta-analysis examine factors associated with death from heatstroke
4. Study suggests loss of 2 types of neurons -- not just 1 -- triggers Parkinsons symptoms
5. Study says COPD testing is not measuring up
6. Preclinical study suggests organ-transplant drug may aid in lupus fight
7. Ability to cope with stress can increase good cholesterol in older white men, study finds
8. High alcohol consumption increases stroke risk, Tulane study says
9. Mailman School of Public Health study examines link between racial discrimination and substance use
10. Pitt study finds inequality in tobacco advertising
11. Stanford study highlights cost-effective method of lowering heart disease risks
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/26/2017)... ... 2017 , ... Occupational pesticide exposure is linked to an ... according to a study released today at the 1st Pan American Parkinson’s and ... pesticides and incidence of sporadic PD through occupational exposure. This latest study, led ...
(Date:2/24/2017)... ... February 24, 2017 , ... ... replacement options at his office, Antoine Dental Center. Currently, patients can get single ... restrictions may apply, but patients can learn more about these offers by contacting ...
(Date:2/24/2017)... , ... February 24, 2017 , ... An in-depth computational ... the University of Pittsburgh points to eight genes that may explain why susceptibility to ... to the results of a study published today in the journal npj Schizophrenia. ...
(Date:2/24/2017)... ... , ... In the Health Care IT campaign, Robert Herjavec discusses health IT ... you will be attacked, but when.” However, he and many others involved highlight a ... Improvements in auditing and monitoring have taken security in health care a very long ...
(Date:2/24/2017)... ... , ... The narrative in “ Signal 8: An Australian Paramedic’s Story ” ... paramedic experiences. Schanssema describes the tragedies he saw, as well as his struggles with ... Schanssema, initially unsure of the career path he wanted to take, found fulfillment in ...
Breaking Medicine News(10 mins):
(Date:2/23/2017)... , Südkorea, 23. Februar 2017 LG Innotek ... Sterilisationsaufgaben vorgestellt. Die Sterilisationsleistung beträgt das 1,5-fache des 45-mW-Moduls ... Strahlung im Bereich zwischen 200 und 280 nm und eignet ... Bakterien, indem es ihre DNA zerstört. Das Produkt von ... ...
(Date:2/23/2017)... Feb. 23, 2017 ITL Limited, ( ASX: ITD ), ... for the half year ended 31 December 2016 compared with the ... presentation can be viewed here . Highlights ... $1.04m; up 104%) Earnings per share of 2.2 ... of $17.5m (Dec 2015: $15.7m; up 11%) Profit ...
(Date:2/23/2017)... 2017 Research and Markets has announced the addition ... report to their offering. ... The latest research Menopause Drugs Price Analysis and Strategies - 2016, provides ... research answers the following questions: What are ... they positioned in the Global Menopause market? What are ...
Breaking Medicine Technology: