Costs and quality of life associated with osteoporosis-related fractures in Sweden
This prospective observational data collection study assessed the cost and quality of life related to hip, vertebral and wrist fracture 1 year after the fracture, based on a patient sample consisting of 635 male and female patients surviving a year after fracture. Data regarding resource use and qua...
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Veröffentlicht in: | Osteoporosis international 2006, Vol.17 (5), p.637-650 |
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creator | BORGSTRÖM, Fredrik ZETHRAEUS, Niklas SERNBO, Ingemar REHNBERG, Clas JÖNSSON, Bengt JOHNELL, Olof LIDGREN, Lars PONZER, Sari SVENSSON, Olle ABDON, Peter ORNSTEIN, Ewald LUNSJÖ, Karl THORNGREN, Karl Göran |
description | This prospective observational data collection study assessed the cost and quality of life related to hip, vertebral and wrist fracture 1 year after the fracture, based on a patient sample consisting of 635 male and female patients surviving a year after fracture. Data regarding resource use and quality of life related to fractures was collected by questionnaires at baseline, 4 months and 12 months. Information was collected by the use of patients' records, register sources and by asking the patient. Quality of life was estimated with the EQ-5D questionnaire. Costs were estimated from a societal perspective, including direct and indirect costs. The mean fracture-related cost the year after a hip, vertebral and wrist fracture were estimated, in euros (), at 14,221, 12,544 and 2,147, respectively [converted from Swedish krona (SEK) at an exchange rate of 9.1268 SEK/]. The mean reduction in quality of life was estimated at 0.17, 0.26 and 0.06 for hip, vertebral and wrist fracture, respectively. Based on the results, the yearly burden of osteoporosis in Sweden could be estimated at 0.5 billion (SEK 4.6 billion). The patient sample for vertebral fracture was fairly small and included a high proportion of fractures leading to hospitalization, but they indicate a higher cost and loss of quality of life related to vertebral fracture than previously perceived. |
doi_str_mv | 10.1007/s00198-005-0015-8 |
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Data regarding resource use and quality of life related to fractures was collected by questionnaires at baseline, 4 months and 12 months. Information was collected by the use of patients' records, register sources and by asking the patient. Quality of life was estimated with the EQ-5D questionnaire. Costs were estimated from a societal perspective, including direct and indirect costs. The mean fracture-related cost the year after a hip, vertebral and wrist fracture were estimated, in euros (), at 14,221, 12,544 and 2,147, respectively [converted from Swedish krona (SEK) at an exchange rate of 9.1268 SEK/]. The mean reduction in quality of life was estimated at 0.17, 0.26 and 0.06 for hip, vertebral and wrist fracture, respectively. Based on the results, the yearly burden of osteoporosis in Sweden could be estimated at 0.5 billion (SEK 4.6 billion). The patient sample for vertebral fracture was fairly small and included a high proportion of fractures leading to hospitalization, but they indicate a higher cost and loss of quality of life related to vertebral fracture than previously perceived.</description><identifier>ISSN: 0937-941X</identifier><identifier>ISSN: 1433-2965</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-005-0015-8</identifier><identifier>PMID: 16283064</identifier><language>eng</language><publisher>London: Springer</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Clinical Medicine ; Cost analysis ; Cost control ; costs ; Costs and Cost Analysis ; Data collection ; Diseases of the osteoarticular system ; Female ; fracture ; Fractures ; Fractures, Bone - economics ; Fractures, Bone - etiology ; Hip Fractures - economics ; Hip Fractures - etiology ; Hip Fractures/economics/etiology ; Hip joint ; Humans ; Injuries of the limb. Injuries of the spine ; Klinisk medicin ; Male ; Medical and Health Sciences ; Medical sciences ; Medicin och hälsovetenskap ; Middle Aged ; Mortality ; Orthopedics ; Ortopedi ; Osteoporosis ; Osteoporosis - complications ; Osteoporosis - economics ; Osteoporosis. Osteomalacia. Paget disease ; Osteoporosis/complications/economics ; Patients ; Prospective Studies ; Quality of Life ; Questionnaires ; Spinal Fractures - economics ; Spinal Fractures - etiology ; Spinal Fractures/economics/etiology ; Sweden ; Traumas. Diseases due to physical agents ; Wrist Injuries - economics ; Wrist Injuries - etiology ; Wrist Injuries/economics/etiology</subject><ispartof>Osteoporosis international, 2006, Vol.17 (5), p.637-650</ispartof><rights>2006 INIST-CNRS</rights><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c599t-1c8fedef7729efc6ac8069b8e0a9df37603826fa4c799b8cf44cfcba00e20e453</citedby><cites>FETCH-LOGICAL-c599t-1c8fedef7729efc6ac8069b8e0a9df37603826fa4c799b8cf44cfcba00e20e453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17733442$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16283064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-14305$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://research.hhs.se/esploro/outputs/journalArticle/Costs-and-quality-of-life-associated/991001599899106056$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://lup.lub.lu.se/record/413907$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:1935493$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>BORGSTRÖM, Fredrik</creatorcontrib><creatorcontrib>ZETHRAEUS, Niklas</creatorcontrib><creatorcontrib>SERNBO, Ingemar</creatorcontrib><creatorcontrib>REHNBERG, Clas</creatorcontrib><creatorcontrib>JÖNSSON, Bengt</creatorcontrib><creatorcontrib>JOHNELL, Olof</creatorcontrib><creatorcontrib>LIDGREN, Lars</creatorcontrib><creatorcontrib>PONZER, Sari</creatorcontrib><creatorcontrib>SVENSSON, Olle</creatorcontrib><creatorcontrib>ABDON, Peter</creatorcontrib><creatorcontrib>ORNSTEIN, Ewald</creatorcontrib><creatorcontrib>LUNSJÖ, Karl</creatorcontrib><creatorcontrib>THORNGREN, Karl Göran</creatorcontrib><title>Costs and quality of life associated with osteoporosis-related fractures in Sweden</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><description>This prospective observational data collection study assessed the cost and quality of life related to hip, vertebral and wrist fracture 1 year after the fracture, based on a patient sample consisting of 635 male and female patients surviving a year after fracture. Data regarding resource use and quality of life related to fractures was collected by questionnaires at baseline, 4 months and 12 months. Information was collected by the use of patients' records, register sources and by asking the patient. Quality of life was estimated with the EQ-5D questionnaire. Costs were estimated from a societal perspective, including direct and indirect costs. The mean fracture-related cost the year after a hip, vertebral and wrist fracture were estimated, in euros (), at 14,221, 12,544 and 2,147, respectively [converted from Swedish krona (SEK) at an exchange rate of 9.1268 SEK/]. The mean reduction in quality of life was estimated at 0.17, 0.26 and 0.06 for hip, vertebral and wrist fracture, respectively. Based on the results, the yearly burden of osteoporosis in Sweden could be estimated at 0.5 billion (SEK 4.6 billion). The patient sample for vertebral fracture was fairly small and included a high proportion of fractures leading to hospitalization, but they indicate a higher cost and loss of quality of life related to vertebral fracture than previously perceived.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Clinical Medicine</subject><subject>Cost analysis</subject><subject>Cost control</subject><subject>costs</subject><subject>Costs and Cost Analysis</subject><subject>Data collection</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>fracture</subject><subject>Fractures</subject><subject>Fractures, Bone - economics</subject><subject>Fractures, Bone - etiology</subject><subject>Hip Fractures - economics</subject><subject>Hip Fractures - etiology</subject><subject>Hip Fractures/economics/etiology</subject><subject>Hip joint</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Klinisk medicin</subject><subject>Male</subject><subject>Medical and Health Sciences</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Orthopedics</subject><subject>Ortopedi</subject><subject>Osteoporosis</subject><subject>Osteoporosis - complications</subject><subject>Osteoporosis - economics</subject><subject>Osteoporosis. Osteomalacia. Paget disease</subject><subject>Osteoporosis/complications/economics</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Spinal Fractures - economics</subject><subject>Spinal Fractures - etiology</subject><subject>Spinal Fractures/economics/etiology</subject><subject>Sweden</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Klinisk medicin</topic><topic>Male</topic><topic>Medical and Health Sciences</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Orthopedics</topic><topic>Ortopedi</topic><topic>Osteoporosis</topic><topic>Osteoporosis - complications</topic><topic>Osteoporosis - economics</topic><topic>Osteoporosis. Osteomalacia. Paget disease</topic><topic>Osteoporosis/complications/economics</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Spinal Fractures - economics</topic><topic>Spinal Fractures - etiology</topic><topic>Spinal Fractures/economics/etiology</topic><topic>Sweden</topic><topic>Traumas. 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Data regarding resource use and quality of life related to fractures was collected by questionnaires at baseline, 4 months and 12 months. Information was collected by the use of patients' records, register sources and by asking the patient. Quality of life was estimated with the EQ-5D questionnaire. Costs were estimated from a societal perspective, including direct and indirect costs. The mean fracture-related cost the year after a hip, vertebral and wrist fracture were estimated, in euros (), at 14,221, 12,544 and 2,147, respectively [converted from Swedish krona (SEK) at an exchange rate of 9.1268 SEK/]. The mean reduction in quality of life was estimated at 0.17, 0.26 and 0.06 for hip, vertebral and wrist fracture, respectively. Based on the results, the yearly burden of osteoporosis in Sweden could be estimated at 0.5 billion (SEK 4.6 billion). The patient sample for vertebral fracture was fairly small and included a high proportion of fractures leading to hospitalization, but they indicate a higher cost and loss of quality of life related to vertebral fracture than previously perceived.</abstract><cop>London</cop><pub>Springer</pub><pmid>16283064</pmid><doi>10.1007/s00198-005-0015-8</doi><tpages>14</tpages></addata></record> |
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subjects | Aged Aged, 80 and over Biological and medical sciences Clinical Medicine Cost analysis Cost control costs Costs and Cost Analysis Data collection Diseases of the osteoarticular system Female fracture Fractures Fractures, Bone - economics Fractures, Bone - etiology Hip Fractures - economics Hip Fractures - etiology Hip Fractures/economics/etiology Hip joint Humans Injuries of the limb. Injuries of the spine Klinisk medicin Male Medical and Health Sciences Medical sciences Medicin och hälsovetenskap Middle Aged Mortality Orthopedics Ortopedi Osteoporosis Osteoporosis - complications Osteoporosis - economics Osteoporosis. Osteomalacia. Paget disease Osteoporosis/complications/economics Patients Prospective Studies Quality of Life Questionnaires Spinal Fractures - economics Spinal Fractures - etiology Spinal Fractures/economics/etiology Sweden Traumas. Diseases due to physical agents Wrist Injuries - economics Wrist Injuries - etiology Wrist Injuries/economics/etiology |
title | Costs and quality of life associated with osteoporosis-related fractures in Sweden |
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