1. Societal costs before and up to 1 year after the first fracture liaison service visit in patients requiring anti-osteoporosis treatments.
- Author
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Maas L, Boonen A, Wyers CE, Bours S, van den Bergh JP, Evers SM, van Kuijk SMJ, and Hiligsmann M
- Subjects
- Humans, Female, Male, Aged, Netherlands, Middle Aged, Aged, 80 and over, Cost of Illness, Health Care Costs statistics & numerical data, Osteoporotic Fractures economics, Osteoporotic Fractures therapy, Bone Density Conservation Agents therapeutic use, Bone Density Conservation Agents economics, Osteoporosis drug therapy, Osteoporosis economics
- Abstract
This study aimed to estimate societal and healthcare costs incurred before and 1 year after the first fracture liaison services (FLS) visit and to explore differences in fracture type. All costs after 1 year significantly decreased compared to costs preceding the first visit. Fracture type did not significantly affect costs., Introduction: Limited literature is available on resource utilization and costs of patients visiting fracture liaison services (FLS). This study aimed to estimate the societal and healthcare costs incurred by patients with a recent fracture requiring anti-osteoporosis medication before and 1 year after the first FLS visit and to explore differences according to fracture type., Methods: Resource utilization was collected through a self-reported questionnaire with a 4-month recall on health resource utilization and productivity losses immediately following the first FLS visit, and 4 and 12 months later. Unit costs derived from the national Dutch guideline for economic evaluations were used to compute societal and healthcare costs. Linear mixed-effect models, adjusted for confounders, were used to analyze societal and healthcare costs over time as well as the effect of fracture type on societal and healthcare costs., Results: A total of 126 patients from two Dutch FLS centers were included, of whom 72 sustained a major fracture (hip, vertebral, humerus, or radius). Societal costs in the 4 months prior to the first visit (€2911) were significantly higher compared to societal costs 4 months (€711, p-value = 0.009) and 12 months later (€581, p-value = 0.001). Fracture type did not have a significant effect on total societal or healthcare costs. All costs 12 months after the initial visit were numerically lower for major fractures compared to others., Conclusion: Societal and healthcare costs in the year following the first FLS visit significantly decreased compared to those costs preceding the first visit., (© 2024. The Author(s).)
- Published
- 2024
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