Ioannidis, G., Flahive, J., Pickard, L., Papaionnou, A., Chapurlat, R.D., Saag, K.G., Silverman, S., Anderson, F.A., Gehlbach, S.H., Hooven, F.H., Boonen, S., Compston, J.E., Cooper, C., Diez-Perez, A., Greenspan, S.L., LaCroix, A.Z., Lindsay, R., Netelenbos, J.C., Pfeilschifter, J., Rossini, M., Roux, C., Sambrook, P.N., Siris, E.S., Watts, N.B. and Adachi, J.D. (2013) Non-hip, non-spine fractures drive healthcare utilization following a fracture: the Global Longitudinal Study of Osteoporosis in Women. Osteoporosis International, 24 (1), 59-67. (doi:10.1007/s00198-012-1968-z). (PMID:22525976)
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 andr ehabilitation/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.
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