SSE/EFI Working Paper Series in Economics and Finance
No 512:
Costs and quality of life associated with osteoporosis related fractures - Results from a Swedish survey
Niklas Zethraeus ()
, Fredrik Borgström ()
, Olof Johnell, John Kanis, Karin Önnby and Bengt Jönsson ()
Abstract: There are few studies investigating the consequences of
osteoporotic (low bone density) fractures in terms of costs and health
outcomes. The purpose of this Swedish pilot study is to assess the costs
and quality of life related to fractures of the hip, spine, wrist and
shoulder and further to identify important cost items that should be
included in future studies in this area. Data were collected using a
questionnaire administered by a nurse at Malmö University Hospital. The
costs are collected based on a societal perspective and include both direct
and indirect costs. Health effects were measured by the EuroQol
questionnaire, rating scale method and the SF-36. The total costs varied
between SEK 23 000 for a wrist fracture and SEK 63 000 for a hip fracture.
Although that the response rate is low the cost and quality of life related
to hip fracture are close to the results presented in other studies. The
major new finding is that spine fractures are associated with higher costs
and lower quality of life than previously assumed. Future studies must
include a sufficient number of patients in order to obtain reliable cost
and health effect estimates after osteoporotic fractures in general and
after spine fractures in particular. Such studies will provide important
inputs for health economic evaluations assessing the cost-effectiveness of
the treatment and prevention of osteoporosis.
Keywords: costs; fracture; osteoporosis; quality of life; (follow links to similar papers)
JEL-Codes: D61; I10; I12; (follow links to similar papers)
18 pages, October 8, 2002
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