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Osteoporosis in the European Union: a compendium of country-specific reports

Osteoporosis in the European Union: a compendium of country-specific reports
Osteoporosis in the European Union: a compendium of country-specific reports
Summary
This report describes epidemiology, burden, and treatment of osteoporosis in each of the 27 countries of the European Union (EU27).

Introduction
In 2010, 22 million women and 5.5 million men were estimated to have osteoporosis in the EU; and 3.5 million new fragility fractures were sustained, comprising 620,000 hip fractures, 520,000 vertebral fractures, 560,000 forearm fractures and 1,800,000 other fractures. The economic burden of incident and prior fragility fractures was estimated at € 37 billion. Previous and incident fractures also accounted for 1,180,000 quality-adjusted life years lost during 2010. The costs are expected to increase by 25 % in 2025. The majority of individuals who have sustained an osteoporosis-related fracture or who are at high risk of fracture are untreated and the number of patients on treatment is declining. The aim of this report was to characterize the burden of osteoporosis in each of the EU27 countries in 2010 and beyond.

Methods
The data on fracture incidence and costs of fractures in the EU27 were taken from a concurrent publication in this journal (Osteoporosis in the European Union: Medical Management, Epidemiology and Economic Burden) and country specific information extracted.

Results
The clinical and economic burden of osteoporotic fractures in 2010 is given for each of the 27 countries of the EU. The costs are expected to increase on average by 25 % in 2025. The majority of individuals who have sustained an osteoporosis-related fracture or who are at high risk of fracture are untreated and the number of patients on treatment is declining.

Conclusions
In spite of the high cost of osteoporosis, a substantial treatment gap and projected increase of the economic burden driven by aging populations, the use of pharmacological prevention of osteoporosis has decreased in recent years, suggesting that a change in healthcare policy concerning the disease is warranted.
Epidemiology fracture economic burden, european union, treatment, health technology assessment
1862-3522
137
Svedbom, A.
3f3a5ff8-d010-4139-b1b6-47f5357f3810
Hernlund, E.
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Ivergard, M.
165a74bf-8e8d-4720-9ff9-45134425bd38
Compston, J.
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Cooper, C.
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Stenmark, J.
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McCloskey, E.V.
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Jonsson, B.
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Kanis, J.A.
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Svedbom, A.
3f3a5ff8-d010-4139-b1b6-47f5357f3810
Hernlund, E.
cd9762b6-9817-42fc-adba-8e90d33018eb
Ivergard, M.
165a74bf-8e8d-4720-9ff9-45134425bd38
Compston, J.
b64c0d0e-97dd-44c8-97ba-f756f0bc966d
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Stenmark, J.
32e7f186-7e38-4f03-9e95-3797e51edc15
McCloskey, E.V.
38518227-db8f-4a53-88a6-462f469151de
Jonsson, B.
6971845f-f173-4620-a78f-e366a78688c4
Kanis, J.A.
8da04a36-08a7-4310-b4b4-a6d432439587

Svedbom, A., Hernlund, E., Ivergard, M., Compston, J., Cooper, C., Stenmark, J., McCloskey, E.V., Jonsson, B. and Kanis, J.A. (2013) Osteoporosis in the European Union: a compendium of country-specific reports. Archives of Osteoporosis, 8 (1-2), 137. (doi:10.1007/s11657-013-0137-0). (PMID:24113838)

Record type: Article

Abstract

Summary
This report describes epidemiology, burden, and treatment of osteoporosis in each of the 27 countries of the European Union (EU27).

Introduction
In 2010, 22 million women and 5.5 million men were estimated to have osteoporosis in the EU; and 3.5 million new fragility fractures were sustained, comprising 620,000 hip fractures, 520,000 vertebral fractures, 560,000 forearm fractures and 1,800,000 other fractures. The economic burden of incident and prior fragility fractures was estimated at € 37 billion. Previous and incident fractures also accounted for 1,180,000 quality-adjusted life years lost during 2010. The costs are expected to increase by 25 % in 2025. The majority of individuals who have sustained an osteoporosis-related fracture or who are at high risk of fracture are untreated and the number of patients on treatment is declining. The aim of this report was to characterize the burden of osteoporosis in each of the EU27 countries in 2010 and beyond.

Methods
The data on fracture incidence and costs of fractures in the EU27 were taken from a concurrent publication in this journal (Osteoporosis in the European Union: Medical Management, Epidemiology and Economic Burden) and country specific information extracted.

Results
The clinical and economic burden of osteoporotic fractures in 2010 is given for each of the 27 countries of the EU. The costs are expected to increase on average by 25 % in 2025. The majority of individuals who have sustained an osteoporosis-related fracture or who are at high risk of fracture are untreated and the number of patients on treatment is declining.

Conclusions
In spite of the high cost of osteoporosis, a substantial treatment gap and projected increase of the economic burden driven by aging populations, the use of pharmacological prevention of osteoporosis has decreased in recent years, suggesting that a change in healthcare policy concerning the disease is warranted.

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More information

e-pub ahead of print date: October 2013
Published date: December 2013
Additional Information: This is an Open Access article
Keywords: Epidemiology fracture economic burden, european union, treatment, health technology assessment
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 359621
URI: http://eprints.soton.ac.uk/id/eprint/359621
ISSN: 1862-3522
PURE UUID: 5cdd1cf1-5604-4857-a533-8c8d1240d4e0
ORCID for C. Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 12 Nov 2013 09:42
Last modified: 17 Dec 2019 01:56

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Contributors

Author: A. Svedbom
Author: E. Hernlund
Author: M. Ivergard
Author: J. Compston
Author: C. Cooper ORCID iD
Author: J. Stenmark
Author: E.V. McCloskey
Author: B. Jonsson
Author: J.A. Kanis

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