期刊
OSTEOPOROSIS INTERNATIONAL
卷 24, 期 1, 页码 59-67出版社
SPRINGER LONDON LTD
DOI: 10.1007/s00198-012-1968-z
关键词
Fracture; Geographic region; Healthcare services; Healthcare utilization; Osteoporosis
资金
- Warner Chilcott Company, LLC
- Sanofi-Aventis
- Eli Lilly Co.
- Merck
- Novartis
- Amgen
- Roche
- Proctor Gamble
- Advisory Committee
- Eli Lily Co.
- Wyeth
- Lilly
- Medicines Company
- Scios
- Eli Lilly
- Pfizer
- Servier RD
- Alliance for Better Bone Health (sanofi-aventis and Proctor Gamble)
- Kyphon
- NPS
- Medical Research Council [MC_U147585824, MC_UU_12011/1, MC_UP_A620_1014, U1475000001] Funding Source: researchfish
- National Institute for Health Research [NF-SI-0508-10082] Funding Source: researchfish
- NATIONAL INSTITUTE ON AGING [P30AG024827] Funding Source: NIH RePORTER
We evaluated healthcare utilization associated with treating fracture types in > 51,000 women aged a parts per thousand yen55 years. Over the course of 1 year, there were five times more non-hip, non-spine fractures than hip or spine fractures, resulting in twice as many days of hospitalization and rehabilitation/nursing home care for non-hip, non-spine fractures. The purpose of this study is to evaluate medical healthcare utilization associated with treating several types of fractures in women a parts per thousand yen55 years from various geographic regions. Information from the Global Longitudinal Study of Osteoporosis in Women (GLOW) was collected via self-administered patient questionnaires at baseline and year 1 (n = 51,491). Self-reported clinically recognized low-trauma fractures at year 1 were classified as incident spine, hip, wrist/hand, arm/shoulder, pelvis, rib, leg, and other fractures. Healthcare utilization data were self-reported and included whether the fracture was treated at a doctor's office/clinic or at a hospital. Patients were asked if they had undergone surgery or been treated at a rehabilitation center or nursing home. During 1-year follow-up, there were 195 spine, 134 hip, and 1,654 non-hip, non-spine fractures. Clinical vertebral fractures resulted in 617 days of hospitalization and 512 days of rehabilitation/nursing home care; hip fractures accounted for 1,306 days of hospitalization and 1,650 days of rehabilitation/nursing home care. Non-hip, non-spine fractures resulted in 3,805 days in hospital and 5,186 days of rehabilitation/nursing home care. While hip and vertebral fractures are well recognized for their associated increase in health resource utilization, non-hip, non-spine fractures, by virtue of their 5-fold greater number, require significantly more healthcare resources.
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