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- Title
Non-hip, non-spine fractures drive healthcare utilization following a fracture: the Global Longitudinal Study of Osteoporosis in Women (GLOW).
- Authors
Ioannidis, G.; Flahive, J.; Pickard, L.; Papaioannou, A.; Chapurlat, R.; Saag, K.; Silverman, S.; Anderson, F.; Gehlbach, S.; Hooven, F.; Boonen, S.; Compston, J.; Cooper, C.; Díez-Perez, A.; Greenspan, S.; Lacroix, A.; Lindsay, R.; Netelenbos, J.; Pfeilschifter, J.; Rossini, M.
- Abstract
Summary: We evaluated healthcare utilization associated with treating fracture types in >51,000 women aged ≥55 years. Over the course of 1 year, there were five times more non-hip, non-spine fractures than hip or spine fractures, resulting in twice as many days of hospitalization and rehabilitation/nursing home care for non-hip, non-spine fractures. Introduction: The purpose of this study is to evaluate medical healthcare utilization associated with treating several types of fractures in women ≥55 years from various geographic regions. Methods: Information from the Global Longitudinal Study of Osteoporosis in Women (GLOW) was collected via self-administered patient questionnaires at baseline and year 1 ( n = 51,491). Self-reported clinically recognized low-trauma fractures at year 1 were classified as incident spine, hip, wrist/hand, arm/shoulder, pelvis, rib, leg, and other fractures. Healthcare utilization data were self-reported and included whether the fracture was treated at a doctor's office/clinic or at a hospital. Patients were asked if they had undergone surgery or been treated at a rehabilitation center or nursing home. Results: During 1-year follow-up, there were 195 spine, 134 hip, and 1,654 non-hip, non-spine fractures. Clinical vertebral fractures resulted in 617 days of hospitalization and 512 days of rehabilitation/nursing home care; hip fractures accounted for 1,306 days of hospitalization and 1,650 days of rehabilitation/nursing home care. Non-hip, non-spine fractures resulted in 3,805 days in hospital and 5,186 days of rehabilitation/nursing home care. Conclusions: While hip and vertebral fractures are well recognized for their associated increase in health resource utilization, non-hip, non-spine fractures, by virtue of their 5-fold greater number, require significantly more healthcare resources.
- Subjects
AGE distribution; ANALYSIS of variance; ANATOMY; BONE fractures; UTILIZATION review (Medical care); OSTEOPOROSIS; POPULATION geography; QUESTIONNAIRES; RESEARCH funding; WORLD health; DISEASE prevalence; SEVERITY of illness index; DATA analysis software; DESCRIPTIVE statistics; DISEASE complications
- Publication
Osteoporosis International, 2013, Vol 24, Issue 1, p59
- ISSN
0937-941X
- Publication type
Article
- DOI
10.1007/s00198-012-1968-z