Economic aspects of complicated osteoporosis: The cost of treatment in the first year after fracture
Objective: to estimate the cost of treatment in patients with complicated osteoporosis (OP) in the first year after fracture under the conditions of the Moscow municipal healthcare system.Patients and methods. The investigation enrolled 196 women (mean age, 65.8±9.1 years) who had sustained fracture...
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2016-09-01
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| Series: | Современная ревматология |
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| Online Access: | https://mrj.ima-press.net/mrj/article/view/698 |
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| author | O. V. Dobrovolskaya N. V. Toroptsova O. M. Lesnyak |
| author_facet | O. V. Dobrovolskaya N. V. Toroptsova O. M. Lesnyak |
| author_sort | O. V. Dobrovolskaya |
| collection | DOAJ |
| description | Objective: to estimate the cost of treatment in patients with complicated osteoporosis (OP) in the first year after fracture under the conditions of the Moscow municipal healthcare system.Patients and methods. The investigation enrolled 196 women (mean age, 65.8±9.1 years) who had sustained fractures at five major osteoporotic sites (proximal hip (PH), distal forearm (DF), surgical humeral neck, vertebral column, and medial and/or lateral ankle). A unified questionnaire that included data on inpatient and outpatient treatment, patients' personal costs, and social benefits, as well as tariffs on services of the Moscow City Fund of Obligatory Health Insurance was used to estimate the cost of treatment for complicated OP during one year after fracture.Results. The direct cost of treatment for PH fracture amounted to 101,243 rubles and was significantly higher (p < 0.01) than that for fractures at other sites: DF (22,080 rubles); humeral neck (39,855 rubles), vertebral column (51,167 rubles), and ankle (43,345 rubles). The average cost of treatment in terms of indirect costs of treatment for complicated OP during a year was as high as 61,151 rubles. In the overall cost structure for the disease, hospital costs accounted for 44%; social benefits were 12% and the cost of antiosteoporotic drugs was only 7%, which was associated with the fact that the latter were rarely prescribed by primary healthcare physicians.Conclusion. Costs of treatment in patients with complicated OP in Moscow were estimated in relation to the site of low-energy fracture. The disease was shown to cause considerable economic losses regardless of the site of osteoporotic fracture; however, the cost of antiosteoporotic drugs has an insignificant share in the overall cost structure for treatment. At the same time, secondary prevention of OP requires that combination antiosteoporotic therapy should be performed in all patients who have sustained low-energy fracture. |
| format | Article |
| id | doaj-art-9975905e355f457294dd1f4f6fe1f472 |
| institution | Kabale University |
| issn | 1996-7012 2310-158X |
| language | Russian |
| publishDate | 2016-09-01 |
| publisher | IMA-PRESS LLC |
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| series | Современная ревматология |
| spelling | doaj-art-9975905e355f457294dd1f4f6fe1f4722025-08-20T03:44:21ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2016-09-01103293410.14412/1996-7012-2016-3-29-341985Economic aspects of complicated osteoporosis: The cost of treatment in the first year after fractureO. V. Dobrovolskaya0N. V. Toroptsova1O. M. Lesnyak2V.A. Nasonova Research Institute of Rheumatology, Moscow, Russia 34A, Kashirskoe Shosse, Moscow 115522V.A. Nasonova Research Institute of Rheumatology, Moscow, Russia 34A, Kashirskoe Shosse, Moscow 115522I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia, Saint Petersburg, Russia; 41, Kirochnaya St., Saint Petersburg 191015 Ural State Medical University, Ministry of Health of Russia, Yekaterinburg, Russia 3, Repin St., Yekaterinburg 620028Objective: to estimate the cost of treatment in patients with complicated osteoporosis (OP) in the first year after fracture under the conditions of the Moscow municipal healthcare system.Patients and methods. The investigation enrolled 196 women (mean age, 65.8±9.1 years) who had sustained fractures at five major osteoporotic sites (proximal hip (PH), distal forearm (DF), surgical humeral neck, vertebral column, and medial and/or lateral ankle). A unified questionnaire that included data on inpatient and outpatient treatment, patients' personal costs, and social benefits, as well as tariffs on services of the Moscow City Fund of Obligatory Health Insurance was used to estimate the cost of treatment for complicated OP during one year after fracture.Results. The direct cost of treatment for PH fracture amounted to 101,243 rubles and was significantly higher (p < 0.01) than that for fractures at other sites: DF (22,080 rubles); humeral neck (39,855 rubles), vertebral column (51,167 rubles), and ankle (43,345 rubles). The average cost of treatment in terms of indirect costs of treatment for complicated OP during a year was as high as 61,151 rubles. In the overall cost structure for the disease, hospital costs accounted for 44%; social benefits were 12% and the cost of antiosteoporotic drugs was only 7%, which was associated with the fact that the latter were rarely prescribed by primary healthcare physicians.Conclusion. Costs of treatment in patients with complicated OP in Moscow were estimated in relation to the site of low-energy fracture. The disease was shown to cause considerable economic losses regardless of the site of osteoporotic fracture; however, the cost of antiosteoporotic drugs has an insignificant share in the overall cost structure for treatment. At the same time, secondary prevention of OP requires that combination antiosteoporotic therapy should be performed in all patients who have sustained low-energy fracture.https://mrj.ima-press.net/mrj/article/view/698complicated osteoporosiscost of diseasecosts of treatment |
| spellingShingle | O. V. Dobrovolskaya N. V. Toroptsova O. M. Lesnyak Economic aspects of complicated osteoporosis: The cost of treatment in the first year after fracture Современная ревматология complicated osteoporosis cost of disease costs of treatment |
| title | Economic aspects of complicated osteoporosis: The cost of treatment in the first year after fracture |
| title_full | Economic aspects of complicated osteoporosis: The cost of treatment in the first year after fracture |
| title_fullStr | Economic aspects of complicated osteoporosis: The cost of treatment in the first year after fracture |
| title_full_unstemmed | Economic aspects of complicated osteoporosis: The cost of treatment in the first year after fracture |
| title_short | Economic aspects of complicated osteoporosis: The cost of treatment in the first year after fracture |
| title_sort | economic aspects of complicated osteoporosis the cost of treatment in the first year after fracture |
| topic | complicated osteoporosis cost of disease costs of treatment |
| url | https://mrj.ima-press.net/mrj/article/view/698 |
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