Costs of incident non-hip osteoporosis-related fractures in postmenopausal women from a payer perspective

Detalhes bibliográficos
Autor(a) principal: Barcelos, Anabela
Data de Publicação: 2023
Outros Autores: Gonçalves, Judite, Mateus, Céu, Canhão, Helena, Rodrigues, Ana Maria
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/161422
Resumo: Funding Information: Open access funding provided by FCT|FCCN (b-on). The study was supported by an unrestricted research grant from Amgen. Publisher Copyright: © 2023, The Author(s).
id RCAP_1e4ba760d49465f785823a8468d5f9f8
oai_identifier_str oai:run.unl.pt:10362/161422
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Costs of incident non-hip osteoporosis-related fractures in postmenopausal women from a payer perspectiveCost-of-illnessHealthcareNon-hip osteoporosis-related fracturesOsteoporosisPostmenopausal womenEndocrinology, Diabetes and MetabolismSDG 3 - Good Health and Well-beingFunding Information: Open access funding provided by FCT|FCCN (b-on). The study was supported by an unrestricted research grant from Amgen. Publisher Copyright: © 2023, The Author(s).Summary: Osteoporosis-related fractures lead to high morbidity, mortality, and healthcare costs among post-menopausal women. This study showed that incident non-hip osteoporosis-related fractures are frequent among women aged 50 + in Portugal, leading to excessive healthcare costs of €74 million per year, in a conservative scenario. Purpose: This study aimed to estimate the costs of incident non-hip osteoporosis-related fractures among postmenopausal women living in Portugal from a payer perspective. Methods: The study includes women ≥ 50 years old who participated in the baseline assessment (2011–2013) and the first follow-up wave (2013–2015) of the Epidemiology of Chronic Diseases cohort, a Portuguese community-based longitudinal prospective study (n = 2,762). Incident non-hip osteoporosis-related fractures were defined as any self-reported low impact non-hip fractures since baseline. Healthcare resource utilization during the year following fracture was obtained from an informal panel of experts. The amounts of resources used were multiplied by the national tariffs practiced in the National Health Service (NHS) to obtain the cost per patient in the year following a wrist, vertebral, or other site fracture, which was subsequently multiplied by the estimated annual number of incident fractures to obtain the total annual cost of incident non-hip osteoporosis-related fractures among postmenopausal women. Results: Each year approximately 5,000 wrist, 3,500 vertebral, and 39,000 other-site osteoporosis-related fractures occur in women aged 50 + in Portugal. Healthcare costs per patient in the year following fracture vary from €2,709.52 for vertebral fractures to €3,096.35 for other fractures. Non-hip incident osteoporosis-related fractures among 50 + women cost approximately €74 million per year. Among all healthcare services, physiotherapy represents the bulk of costs. Conclusions: This study pinpoints the relevance of preventing non-hip osteoporosis-related fractures, as these cost about €74 million per year in direct healthcare costs, a substantial impact on the budget of the Portuguese NHS.Escola Nacional de Saúde Pública (ENSP)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)NOVA School of Business and Economics (NOVA SBE)RUNBarcelos, AnabelaGonçalves, JuditeMateus, CéuCanhão, HelenaRodrigues, Ana Maria2023-12-18T22:32:43Z2023-122023-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/161422eng0937-941XPURE: 70039761https://doi.org/10.1007/s00198-023-06881-winfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:44:18Zoai:run.unl.pt:10362/161422Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:58:31.093279Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Costs of incident non-hip osteoporosis-related fractures in postmenopausal women from a payer perspective
title Costs of incident non-hip osteoporosis-related fractures in postmenopausal women from a payer perspective
spellingShingle Costs of incident non-hip osteoporosis-related fractures in postmenopausal women from a payer perspective
Barcelos, Anabela
Cost-of-illness
Healthcare
Non-hip osteoporosis-related fractures
Osteoporosis
Postmenopausal women
Endocrinology, Diabetes and Metabolism
SDG 3 - Good Health and Well-being
title_short Costs of incident non-hip osteoporosis-related fractures in postmenopausal women from a payer perspective
title_full Costs of incident non-hip osteoporosis-related fractures in postmenopausal women from a payer perspective
title_fullStr Costs of incident non-hip osteoporosis-related fractures in postmenopausal women from a payer perspective
title_full_unstemmed Costs of incident non-hip osteoporosis-related fractures in postmenopausal women from a payer perspective
title_sort Costs of incident non-hip osteoporosis-related fractures in postmenopausal women from a payer perspective
author Barcelos, Anabela
author_facet Barcelos, Anabela
Gonçalves, Judite
Mateus, Céu
Canhão, Helena
Rodrigues, Ana Maria
author_role author
author2 Gonçalves, Judite
Mateus, Céu
Canhão, Helena
Rodrigues, Ana Maria
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
NOVA School of Business and Economics (NOVA SBE)
RUN
dc.contributor.author.fl_str_mv Barcelos, Anabela
Gonçalves, Judite
Mateus, Céu
Canhão, Helena
Rodrigues, Ana Maria
dc.subject.por.fl_str_mv Cost-of-illness
Healthcare
Non-hip osteoporosis-related fractures
Osteoporosis
Postmenopausal women
Endocrinology, Diabetes and Metabolism
SDG 3 - Good Health and Well-being
topic Cost-of-illness
Healthcare
Non-hip osteoporosis-related fractures
Osteoporosis
Postmenopausal women
Endocrinology, Diabetes and Metabolism
SDG 3 - Good Health and Well-being
description Funding Information: Open access funding provided by FCT|FCCN (b-on). The study was supported by an unrestricted research grant from Amgen. Publisher Copyright: © 2023, The Author(s).
publishDate 2023
dc.date.none.fl_str_mv 2023-12-18T22:32:43Z
2023-12
2023-12-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/161422
url http://hdl.handle.net/10362/161422
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0937-941X
PURE: 70039761
https://doi.org/10.1007/s00198-023-06881-w
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799138165841199104

Registros relacionados