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The burden of illness of osteoporosis in Canada.
- Source :
-
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA [Osteoporos Int] 2012 Nov; Vol. 23 (11), pp. 2591-600. Date of Electronic Publication: 2012 Mar 08. - Publication Year :
- 2012
-
Abstract
- Unlabelled: To update the 1993 burden of illness of osteoporosis in Canada, administrative and community data were used to calculate the 2010 costs of osteoporosis at $2.3 billion in Canada or 1.3% of Canada's healthcare expenditures. Prevention of fractures in high-risk individuals is key to decrease the financial burden of osteoporosis.<br />Introduction: Since the 1996 publication of the burden of osteoporosis in 1993 in Canada, the population has aged and the management of osteoporosis has changed. The study purpose was to estimate the current burden of illness due to osteoporosis in Canadians aged 50 and over.<br />Methods: Analyses were conducted using five national administrative databases from the Canadian Institute for Health Information for the fiscal-year ending March 31 2008 (FY 2007/2008). Gaps in national data were supplemented by provincial and community data extrapolated to national levels. Osteoporosis-related fractures were identified using a combination of most responsible diagnosis at discharge and intervention codes. Fractures associated with severe trauma codes were excluded. Costs, expressed in 2010 dollars, were calculated for osteoporosis-related hospitalizations, emergency care, same day surgeries, rehabilitation, continuing care, homecare, long-term care, prescription drugs, physician visits, and productivity losses. Sensitivity analyses were conducted to measure the impact on the results of key assumptions.<br />Results: Osteoporosis-related fractures were responsible for 57,413 acute care admissions and 832,594 hospitalized days in FY 2007/2008. Acute care costs were estimated at $1.2 billion. When outpatient care, prescription drugs, and indirect costs were added, the overall yearly cost of osteoporosis was over $2.3 billion for the base case analysis and as much as $3.9 billion if a proportion of Canadians were assumed to be living in long-term care facilities due to osteoporosis.<br />Conclusions: Osteoporosis is a chronic disease that affects a large segment of the adult population and results in a substantial economic burden to the Canadian society.
- Subjects :
- Aged
Bone Density Conservation Agents economics
Bone Density Conservation Agents therapeutic use
Canada epidemiology
Cost of Illness
Drug Costs statistics & numerical data
Emergency Service, Hospital economics
Emergency Service, Hospital statistics & numerical data
Female
Home Care Services economics
Home Care Services statistics & numerical data
Hospitalization economics
Hospitalization statistics & numerical data
Humans
Long-Term Care economics
Male
Middle Aged
Osteoporosis economics
Osteoporosis therapy
Osteoporotic Fractures economics
Osteoporotic Fractures therapy
Prevalence
Sensitivity and Specificity
Health Care Costs statistics & numerical data
Osteoporosis epidemiology
Osteoporotic Fractures epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1433-2965
- Volume :
- 23
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
- Publication Type :
- Academic Journal
- Accession number :
- 22398854
- Full Text :
- https://doi.org/10.1007/s00198-012-1931-z