TY - JOUR
T1 - Non-hip, non-spine fractures drive healthcare utilization following a fracture: The Global Longitudinal Study of Osteoporosis in Women (GLOW)
AU - Ioannidis, G.
AU - Flahive, J.
AU - Pickard, L.
AU - Papaioannou, A.
AU - Chapurlat, R. D.
AU - Saag, K. G.
AU - Silverman, S.
AU - Anderson, F. A.
AU - Gehlbach, S. H.
AU - Hooven, F. H.
AU - Boonen, S.
AU - Compston, J. E.
AU - Cooper, C.
AU - Díez-Perez, A.
AU - Greenspan, S. L.
AU - Lacroix, A. Z.
AU - Lindsay, R.
AU - Netelenbos, J. C.
AU - Pfeilschifter, J.
AU - Rossini, M.
AU - Roux, C.
AU - Sambrook, P. N.
AU - Siris, E. S.
AU - Watts, N. B.
AU - Adachi, J. D.
PY - 2013/1/1
Y1 - 2013/1/1
N2 - 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. © 2012 International Osteoporosis Foundation and National Osteoporosis Foundation.
AB - 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. © 2012 International Osteoporosis Foundation and National Osteoporosis Foundation.
KW - Fracture
KW - Geographic region
KW - Healthcare services
KW - Healthcare utilization
KW - Osteoporosis
U2 - 10.1007/s00198-012-1968-z
DO - 10.1007/s00198-012-1968-z
M3 - Article
VL - 24
SP - 59
EP - 67
JO - Osteoporosis International
JF - Osteoporosis International
SN - 0937-941X
IS - 1
ER -