Document Detail


Direct healthcare costs for 5 years post-fracture in Canada: a long-term population-based assessment.
MedLine Citation:
PMID:  23340947     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: High healthcare costs in the first 1-2 years after an osteoporotic fracture are well recognized, but long-term costs are uncertain. We evaluated incremental costs of non-traumatic fractures up to 5 years from a third-party healthcare payer perspective.
METHODS: A total of 16,198 incident fracture cases and 48,594 matched non-fracture controls were identified in the province of Manitoba, Canada (1997-2002). We calculated the difference in median direct healthcare costs for the year pre-fracture and 5 years post-fracture expressed in 2009 Canadian dollars with adjustment for expected age-related healthcare cost increases.
RESULTS: Incremental median costs for a hip fracture were highest in the first year ($25,306 in women, $21,396 in men), remaining above pre-fracture baseline to 5 years in women but falling below pre-fracture costs by 5 years in men. In those who survived 5 years following a hip fracture, incremental costs remained above pre-fracture costs at 5 years ($12,670 in women, $7,933 in men). Incremental costs were consistently increased for 5 years after spine fracture in women. Total incremental healthcare costs for all incident fractures combined showed a large increase over pre-fracture costs in the first year ($137 million in women, $57 million in men), but fell below pre-fracture costs within 3-4 years. Elevated total healthcare costs were seen at year 5 in women after wrist, humerus and spine fractures, but these were somewhat offset by decreases in total healthcare costs for other fractures.
CONCLUSIONS: High direct healthcare costs post-fracture are seen in the first year, but total costs eventually fall below pre-fracture levels. Among those who survive 5 years following a fracture, healthcare costs remain above pre-fracture levels.
Authors:
W D Leslie; L M Lix; G S Finlayson; C J Metge; S N Morin; S R Majumdar
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-01-23
Journal Detail:
Title:  Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA     Volume:  24     ISSN:  1433-2965     ISO Abbreviation:  Osteoporos Int     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-17     Completed Date:  2013-10-31     Revised Date:  2014-01-14    
Medline Journal Info:
Nlm Unique ID:  9100105     Medline TA:  Osteoporos Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  1697-705     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Follow-Up Studies
Health Care Costs / statistics & numerical data*
Hip Fractures / economics,  epidemiology,  therapy
Humans
Humeral Fractures / economics,  epidemiology,  therapy
Insurance, Health, Reimbursement / statistics & numerical data
Male
Manitoba / epidemiology
Middle Aged
Osteoporotic Fractures / economics*,  epidemiology,  therapy
Spinal Fractures / economics,  epidemiology,  therapy
Time Factors
Wrist Injuries / economics,  epidemiology,  therapy
Comments/Corrections
Erratum In:
Osteoporos Int. 2013 Nov;24(11):2901

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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