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Erschienen in: Osteoporosis International 5/2003

01.06.2003 | Original Article

The hospital cost of vertebral fractures in the EU: estimates using national datasets

verfasst von: Henrik W. Finnern, David P. Sykes

Erschienen in: Osteoporosis International | Ausgabe 5/2003

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Abstract

The purpose of this study was to estimate the hospital cost of vertebral fractures in the EU using national datasets to explore some of the methodologic limitations associated with such an approach. Hospital costs for vertebral fractures across the EU were compared with the hospital costs associated with hip fractures. Additionally, these costs were placed into the health care context by making comparisons with national health care expenditure. All EU Ministries of Health were contacted to identify national datasets to estimate the average length of stay, cost per diem and the number of patients discharged with vertebral fractures. Where national information was not available expert opinion and data from the relevant literature were used instead. Countries show a marked difference in the length of stay between men and women, with differences ranging from 0.32 days in Austria to 20.2 days in Spain. The average hospitalization rate was found to be 8% across the EU, with higher rates found for men than for women. Interestingly a positive correlation between health expenditure per capita and hospitalization rates was found. The total cost of vertebral fractures in the EU was estimated at €377 million per year. Across the EU the hospital cost of a vertebral fracture was on average 63% that of a hip fracture. National datasets allow us to estimate the cost of vertebral fractures in the EU but show limitations. In the absence of largescale prospective studies, national datasets need to be further refined to ensure more accurate estimations of the cost of vertebral fractures in the EU.
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Literatur
1.
Zurück zum Zitat Nevitt MC, et al (1998) The association of radiographically detected vertebral fracture with back pain and function: a prospective study. Ann Intern Med 128: 793–800 Nevitt MC, et al (1998) The association of radiographically detected vertebral fracture with back pain and function: a prospective study. Ann Intern Med 128: 793–800
2.
Zurück zum Zitat Genant HK, et al (1999) Interim report and recommendations of the World Health Organization Task-force for Osteoporosis. Osteoporos Int 10: 259–264 Genant HK, et al (1999) Interim report and recommendations of the World Health Organization Task-force for Osteoporosis. Osteoporos Int 10: 259–264
3.
Zurück zum Zitat Cauley JA, et al (2000) Risk of mortality after clinical fractures. Osteoporos Int 11: 556–561 Cauley JA, et al (2000) Risk of mortality after clinical fractures. Osteoporos Int 11: 556–561
4.
Zurück zum Zitat Ross PD, Genant HK, Davis JW (1993) Predicting vertebral fracture incidence from prevalent fractures and bone density among non-black, osteoporotic women. Osteoporos Int 3: 120–126 Ross PD, Genant HK, Davis JW (1993) Predicting vertebral fracture incidence from prevalent fractures and bone density among non-black, osteoporotic women. Osteoporos Int 3: 120–126
5.
Zurück zum Zitat Ismail AA (2001) Prevalent vertebral deformity predicts incident hip though not distal forearm fracture: results from the European Prospective Osteoporosis Study. Osteoporos Int 12: 85–90 Ismail AA (2001) Prevalent vertebral deformity predicts incident hip though not distal forearm fracture: results from the European Prospective Osteoporosis Study. Osteoporos Int 12: 85–90
6.
Zurück zum Zitat Black DM, et al (1999) Prevalent vertebral deformities predict hip fractures and new vertebral deformities but not wrist fractures. Study of Osteoporotic Fractures Research Group. J Bone Miner Res 14: 821–828 Black DM, et al (1999) Prevalent vertebral deformities predict hip fractures and new vertebral deformities but not wrist fractures. Study of Osteoporotic Fractures Research Group. J Bone Miner Res 14: 821–828
7.
Zurück zum Zitat Lindsay R, et al (2001) Risk of new vertebral fracture in the year following a fracture. JAMA 285: 320–323 Lindsay R, et al (2001) Risk of new vertebral fracture in the year following a fracture. JAMA 285: 320–323
8.
Zurück zum Zitat Gold DT (1996) The clinical impact of vertebral fractures: quality of life in women with osteoporosis. Bone 18[3 Suppl]: S185–S189 Gold DT (1996) The clinical impact of vertebral fractures: quality of life in women with osteoporosis. Bone 18[3 Suppl]: S185–S189
9.
Zurück zum Zitat Johnell O, Gullberg B, Kanis JA (1997) The hospital burden of vertebral fractures in Europe: a study of national register sources. Osteoporos Int 7: 138–144 Johnell O, Gullberg B, Kanis JA (1997) The hospital burden of vertebral fractures in Europe: a study of national register sources. Osteoporos Int 7: 138–144
10.
Zurück zum Zitat Cooper C, O'Neill T, Silman A, on behalf of the European Vertebral Osteoporosis Study Group (1993) The epidemiology of vertebral fractures. Osteoporos Int 14: 589–597 Cooper C, O'Neill T, Silman A, on behalf of the European Vertebral Osteoporosis Study Group (1993) The epidemiology of vertebral fractures. Osteoporos Int 14: 589–597
11.
Zurück zum Zitat Kanis J, McCloskey E (1992) Epidemiology of vertebral osteoporosis. Bone 13: S1–S10 Kanis J, McCloskey E (1992) Epidemiology of vertebral osteoporosis. Bone 13: S1–S10
12.
Zurück zum Zitat Dolan P, Torgerson DJ (1998) The cost of treating osteoporotic fractures in the United Kingdom female population. Osteoporos Int 8: 611–617 Dolan P, Torgerson DJ (1998) The cost of treating osteoporotic fractures in the United Kingdom female population. Osteoporos Int 8: 611–617
13.
Zurück zum Zitat Anon (1998) Summary report on osteoporosis in the European Community - Action for prevention. European Communities/European Foundation for Osteoporosis (EFFO; now IOF) Anon (1998) Summary report on osteoporosis in the European Community - Action for prevention. European Communities/European Foundation for Osteoporosis (EFFO; now IOF)
14.
Zurück zum Zitat Delmas D, Fraser M (1998) European Union challenges member states to fight the "silent epidemic" of osteoporosis. Eurohealth 4: 1–4 Delmas D, Fraser M (1998) European Union challenges member states to fight the "silent epidemic" of osteoporosis. Eurohealth 4: 1–4
15.
Zurück zum Zitat Johnell O, et al (1992) The apparent incidence of hip fracture in Europe: a study of national register sources. Osteoporos Int 4: 253–263 Johnell O, et al (1992) The apparent incidence of hip fracture in Europe: a study of national register sources. Osteoporos Int 4: 253–263
16.
Zurück zum Zitat Felsenberg D, et al (1998) Prevalence of vertebral deformities in females and males in Germany. Med Klin 93 [Suppl 2]: 31–34 Felsenberg D, et al (1998) Prevalence of vertebral deformities in females and males in Germany. Med Klin 93 [Suppl 2]: 31–34
17.
Zurück zum Zitat The European Prospective Osteoporosis Study (EPOS) Group (2002) Incidence of vertebral fracture in Europe: results from the European Prospective Study (EPOS). J Bone Miner Res: 4: 716–724 The European Prospective Osteoporosis Study (EPOS) Group (2002) Incidence of vertebral fracture in Europe: results from the European Prospective Study (EPOS). J Bone Miner Res: 4: 716–724
18.
Zurück zum Zitat DeLaet CE, et al (1999) Incremental cost of medical care after hip fracture and first vertebral fracture: the Rotterdam study. Osteoporos Int 0: 66–72 DeLaet CE, et al (1999) Incremental cost of medical care after hip fracture and first vertebral fracture: the Rotterdam study. Osteoporos Int 0: 66–72
19.
Zurück zum Zitat The European Institute of Women's Health, http://www.eu.int/comm/ employment_social/equ_opp/news/health_en.htm, accessed on September 24, 2001 The European Institute of Women's Health, http://​www.​eu.​int/​comm/​ employment_social/equ_opp/news/health_en.htm, accessed on September 24, 2001
20.
Zurück zum Zitat The European Institute of Women's Health, http://www.eurohealth.ie/gender/section7.htm, accessed on September 24, 2001 The European Institute of Women's Health, http://​www.​eurohealth.​ie/​gender/​section7.​htm, accessed on September 24, 2001
21.
Zurück zum Zitat Finnern HW, Sykes DP (2001) The hospital cost of vertebral fractures in the European Union (EU). Osteoporos Int 13 [Suppl 1]: S34 Finnern HW, Sykes DP (2001) The hospital cost of vertebral fractures in the European Union (EU). Osteoporos Int 13 [Suppl 1]: S34
Metadaten
Titel
The hospital cost of vertebral fractures in the EU: estimates using national datasets
verfasst von
Henrik W. Finnern
David P. Sykes
Publikationsdatum
01.06.2003
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 5/2003
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-003-1395-2

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