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Treatment rates and healthcare costs of patients with fragility fracture by site of care: a real-world data analysis
SUMMARY: In a characterization of treatment rates and healthcare costs among patients with an osteoporotic-related fragility fracture overall and by site of care, costs were high and treatment rates were low. PURPOSE: Osteoporotic fractures can be debilitating, even fatal, among older adults. The co...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer London
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008255/ https://www.ncbi.nlm.nih.gov/pubmed/36905559 http://dx.doi.org/10.1007/s11657-023-01229-7 |
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author | Singer, A. McClung, M. R. Tran, O. Morrow, C. D. Goldstein, S. Kagan, R. McDermott, M. Yehoshua, A. |
author_facet | Singer, A. McClung, M. R. Tran, O. Morrow, C. D. Goldstein, S. Kagan, R. McDermott, M. Yehoshua, A. |
author_sort | Singer, A. |
collection | PubMed |
description | SUMMARY: In a characterization of treatment rates and healthcare costs among patients with an osteoporotic-related fragility fracture overall and by site of care, costs were high and treatment rates were low. PURPOSE: Osteoporotic fractures can be debilitating, even fatal, among older adults. The cost of osteoporosis and related fractures is projected to increase to more than $25 billion by 2025. The objective of this analysis is to characterize disease-related treatment rates and healthcare costs of patients with an osteoporotic fragility fracture overall and by site of fracture diagnosis. METHODS: In this retrospective analysis, individuals with fragility fractures were identified in the Merative MarketScan® Commercial and Medicare Databases among women 50 years of age or older and diagnosed with fragility fracture between 1/1/2013 and 6/30/2018 (earliest fracture diagnosis = index). Cohorts were categorized by clinical site of care where the diagnosis of fragility fracture was made and were continuously followed for 12 months prior to and following index. Sites of care were inpatient admission, outpatient office, outpatient hospital, emergency room hospital, and urgent care. RESULTS: Of the 108,965 eligible patients with fragility fracture (mean age 68.8), most were diagnosed during an inpatient admission or outpatient office visit (42.7%, 31.9%). The mean annual healthcare costs among patients with fragility fracture were $44,311 (± $67,427) and were highest for those diagnosed in an inpatient setting ($71,561 ± $84,072). Compared with other sites of care at fracture diagnosis, patients diagnosed during an inpatient admission also had highest proportion of subsequent fractures (33.2%), osteoporosis diagnosis (27.7%), and osteoporosis therapy (17.2%) during follow-up. CONCLUSION: The site of care for diagnosis of fragility fracture affects treatment rates and healthcare costs. Further studies are needed to determine how attitude or knowledge about osteoporosis treatment or healthcare experiences differ at various clinical sites of care in the medical management of osteoporosis. |
format | Online Article Text |
id | pubmed-10008255 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer London |
record_format | MEDLINE/PubMed |
spelling | pubmed-100082552023-03-13 Treatment rates and healthcare costs of patients with fragility fracture by site of care: a real-world data analysis Singer, A. McClung, M. R. Tran, O. Morrow, C. D. Goldstein, S. Kagan, R. McDermott, M. Yehoshua, A. Arch Osteoporos Original Article SUMMARY: In a characterization of treatment rates and healthcare costs among patients with an osteoporotic-related fragility fracture overall and by site of care, costs were high and treatment rates were low. PURPOSE: Osteoporotic fractures can be debilitating, even fatal, among older adults. The cost of osteoporosis and related fractures is projected to increase to more than $25 billion by 2025. The objective of this analysis is to characterize disease-related treatment rates and healthcare costs of patients with an osteoporotic fragility fracture overall and by site of fracture diagnosis. METHODS: In this retrospective analysis, individuals with fragility fractures were identified in the Merative MarketScan® Commercial and Medicare Databases among women 50 years of age or older and diagnosed with fragility fracture between 1/1/2013 and 6/30/2018 (earliest fracture diagnosis = index). Cohorts were categorized by clinical site of care where the diagnosis of fragility fracture was made and were continuously followed for 12 months prior to and following index. Sites of care were inpatient admission, outpatient office, outpatient hospital, emergency room hospital, and urgent care. RESULTS: Of the 108,965 eligible patients with fragility fracture (mean age 68.8), most were diagnosed during an inpatient admission or outpatient office visit (42.7%, 31.9%). The mean annual healthcare costs among patients with fragility fracture were $44,311 (± $67,427) and were highest for those diagnosed in an inpatient setting ($71,561 ± $84,072). Compared with other sites of care at fracture diagnosis, patients diagnosed during an inpatient admission also had highest proportion of subsequent fractures (33.2%), osteoporosis diagnosis (27.7%), and osteoporosis therapy (17.2%) during follow-up. CONCLUSION: The site of care for diagnosis of fragility fracture affects treatment rates and healthcare costs. Further studies are needed to determine how attitude or knowledge about osteoporosis treatment or healthcare experiences differ at various clinical sites of care in the medical management of osteoporosis. Springer London 2023-03-11 2023 /pmc/articles/PMC10008255/ /pubmed/36905559 http://dx.doi.org/10.1007/s11657-023-01229-7 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Singer, A. McClung, M. R. Tran, O. Morrow, C. D. Goldstein, S. Kagan, R. McDermott, M. Yehoshua, A. Treatment rates and healthcare costs of patients with fragility fracture by site of care: a real-world data analysis |
title | Treatment rates and healthcare costs of patients with fragility fracture by site of care: a real-world data analysis |
title_full | Treatment rates and healthcare costs of patients with fragility fracture by site of care: a real-world data analysis |
title_fullStr | Treatment rates and healthcare costs of patients with fragility fracture by site of care: a real-world data analysis |
title_full_unstemmed | Treatment rates and healthcare costs of patients with fragility fracture by site of care: a real-world data analysis |
title_short | Treatment rates and healthcare costs of patients with fragility fracture by site of care: a real-world data analysis |
title_sort | treatment rates and healthcare costs of patients with fragility fracture by site of care: a real-world data analysis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10008255/ https://www.ncbi.nlm.nih.gov/pubmed/36905559 http://dx.doi.org/10.1007/s11657-023-01229-7 |
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