Document Detail


The economics of fragility fractures in West Virginia.
MedLine Citation:
PMID:  19585898     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Compared to the United States, West Virginia has a higher proportion of residents aged 60 or older. This situation creates a stronger risk factor for osteoporosis and subsequent fragility fractures. The widespread availability of bone densitometry screening to identify osteoporosis and the marketing of effective agents to reduce fractures in the past decade has resulted in cost savings. We estimated the absolute number of fragility fractures associated with osteoporosis in West Virginia and projected their costs over a 5-year period. Cost savings were based on the variables of the proportion of osteoporotic patients identified and their long-term adherence to prescribed calcium,vitamin D, and bisphosphonate therapy. Our results indicate that only a small amount of potential cost savings (varying between less than 0.5% to 3.0%) is currently realized through diagnosis and adherence to prescribed treatment. We conclude that increased screening and recognition of osteoporosis by the primary care provider is a more feasible strategy to improve cost savings and fracture reduction rather than attempts to improve treatment adherence.
Authors:
Alfred K Pfister; William G Sale; Salman Shaukat
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The West Virginia medical journal     Volume:  105     ISSN:  0043-3284     ISO Abbreviation:  W V Med J     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2009-07-09     Completed Date:  2009-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0413777     Medline TA:  W V Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  10-3     Citation Subset:  IM    
Affiliation:
Department of Medicine, WV School of Medicine, Charleston, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cost Savings*
Densitometry
Female
Fractures, Bone / economics*,  epidemiology,  etiology,  prevention & control
Frail Elderly
Humans
Male
Osteoporosis / complications,  drug therapy,  economics*,  epidemiology
Patient Compliance
West Virginia
Comments/Corrections
Comment In:
W V Med J. 2009 Jul-Aug;105(4):6   [PMID:  19585897 ]

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


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