Document Detail


The burden of osteoporosis in California, 1998.
MedLine Citation:
PMID:  12107664     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study estimates the cost of osteoporosis in California, including health care services and the value of lives lost prematurely to the disease. Costs are estimated for diagnoses of "osteoporosis" and for the proportion of spine, forearm, hip and other fractures that are caused by the disease. The additional costs resulting from a secondary diagnosis of osteoporosis are also included. Osteoporosis accounted for over $2.4 billion in direct health care costs in 1998, and over $4 million in lost productivity resulting from premature death. Most of the cost results from hip fractures and other fractures. In fact, only 15% of costs are for people with a diagnosis of "osteoporosis" per se, and, of this group, most of the costs are associated with a secondary, not a primary diagnosis. The disease is largely a diagnosis of older white women: three-quarters of the hospitalization costs are incurred by women, 80% of those hospitalized are white, and three-quarters are over age 65 years. As would be expected, Medicare pays for most of the hospital care -- almost three-fourths of the total. Nursing home care represents the largest cost for people with osteoporosis, accounting for 59% of the money spent treating the disease.
Authors:
W Max; P Sinnot; C Kao; H-Y Sung; D P Rice
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
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:  13     ISSN:  0937-941X     ISO Abbreviation:  Osteoporos Int     Publication Date:  2002  
Date Detail:
Created Date:  2002-07-10     Completed Date:  2002-07-30     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9100105     Medline TA:  Osteoporos Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  493-500     Citation Subset:  IM    
Affiliation:
Institute for Health & Aging, School of Nursing, University of California, San Francisco, 94143-0646, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
California / epidemiology
Comorbidity
Cost of Illness*
Female
Fractures, Bone / economics*,  etiology,  mortality
Health Care Costs / statistics & numerical data*
Home Care Services / economics
Hospital Costs
Humans
Male
Middle Aged
Osteoporosis / complications,  economics*,  mortality

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


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