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

or 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


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

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