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Table of Contents
Vol. 47, No. 1, 2001
Issue release date: January – February
Section title: Clinical Section
Gerontology 2001;47:21–29
(DOI:10.1159/000052766)

Isolating the Cost of Osteoporosis-Related Fracture for Postmenopausal Women

A Population-Based Study

Martin B.C. · Chisholm M.A. · Kotzan J.A.
Department of Clinical and Administrative Sciences, College of Pharmacy, University of Georgia, Athens, Ga., USA

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Article / Publication Details

First-Page Preview
Abstract of Clinical Section

Published online: March 12, 2001
Issue release date: January – February

Number of Print Pages: 9
Number of Figures: 6
Number of Tables: 4

ISSN: 0304-324X (Print)
eISSN: 1423-0003 (Online)

For additional information: http://www.karger.com/GER

Abstract

Background: Osteoporosis is a condition that will pose an increasing burden on health systems as populations age. Objective: The objective of this study was to estimate the net ‘per case’ direct medical cost of fracture of indigent women age 50 years or greater and describe the cost of fracture for Medicaid and Medicare payers by inpatient hospital, physician, long-term care, prescription and miscellaneous expenditures. Methods: This study utilized a quasi-experimental retrospective interrupted time series design to isolate the economic impact of fracture. Administrative claims data for a continuous period of 24 months (12 months prior to fracture and 12 months after fracture) describing the Medicaid and Medicare expenditures for a cohort of women suffering from femur or other fracture in 1993 was abstracted and analyzed. ICD-9CM and CPT-4 codes were used to identify incident cases of fracture. Interrupted time series regression models were estimated using monthly expenditures. Results: A total of 765 Medicaid eligible women 50 years of age or greater experienced a fracture in the base year and met inclusion criteria. Of these, 226 experienced a femur fracture. The time series models detected significant increases in expenditures the month of fracture, however, total Medicaid expenditures returned to baseline trend charge in 7 and 5 months for femur and nonfemur fracture, respectively. Increases in long-term care expenditures persisted throughout the time series, but were offset by reductions in other categories of service. Conclusion: The net per case costs of femur and nonfemur fracture are about USD 3,300 and USD 1,300, respectively. The impact of fracture on Medicaid expenditures is temporary as costs rise sharply and return to baseline trend charges within a 12-month period.

© 2001 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Clinical Section

Published online: March 12, 2001
Issue release date: January – February

Number of Print Pages: 9
Number of Figures: 6
Number of Tables: 4

ISSN: 0304-324X (Print)
eISSN: 1423-0003 (Online)

For additional information: http://www.karger.com/GER


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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