Impact of coexisting overactive bladder in Medicare patients with osteoporosis.

Autor: Caplan EO; Comprehensive Health Insights Inc., 515 W. Market Street, 7th Floor, Louisville, KY, United States. Electronic address: ecaplan@humana.com., Abbass IM; Comprehensive Health Insights Inc., 515 W. Market Street, 7th Floor, Louisville, KY, United States., Suehs BT; Comprehensive Health Insights Inc., 515 W. Market Street, 7th Floor, Louisville, KY, United States., Ng DB; Astellas Pharma Global Development, 1 Astellas Way, Northbrook, IL, 60062, United States., Gooch K; Astellas Pharma Global Development, 1 Astellas Way, Northbrook, IL, 60062, United States., Kirby C; Humana Inc.,101 South 5th St., Louisville, KY, 40202, United States., Abbott P; Humana Inc.,101 South 5th St., Louisville, KY, 40202, United States.
Jazyk: angličtina
Zdroj: Archives of gerontology and geriatrics [Arch Gerontol Geriatr] 2018 Mar - Apr; Vol. 75, pp. 44-50. Date of Electronic Publication: 2017 Nov 21.
DOI: 10.1016/j.archger.2017.11.005
Abstrakt: Background: Osteoporosis and overactive bladder (OAB) are prevalent conditions in older adults and are independent risk factors for falls and fractures. A paucity of evidence exists examining the impact of coexisting OAB in patients with osteoporosis.
Objective: To examine the impact of OAB on healthcare resource utilization (HRU), clinical outcomes, and healthcare costs among older adult patients with osteoporosis.
Methods: This retrospective analysis compared patients with osteoporosis with and without OAB. Patients with an osteoporosis diagnosis, enrolled in a Medicare Advantage plan, and aged 65-89 inclusive were eligible. Incident OAB among patients with prevalent osteoporosis was identified. A comparison group of patients with osteoporosis but no evidence of OAB was propensity score matched on baseline characteristics. Fall and/or fracture outcomes, HRU and healthcare costs were evaluated during 12 months of follow-up. Bivariate comparisons of outcomes were conducted. Ordinary least squared regression was used to examine the relationship between OAB and total healthcare costs.
Results: After matching, 5,526 patients in each group were included. Patients with osteoporosis and OAB demonstrated greater all-cause HRU across all encounter types compared to patients without OAB (all P values<0.001). Patients with osteoporosis and OAB had a greater frequency of any fall/fracture (17.7% vs. 14.9%, P<0.001). Patients with osteoporosis and OAB had 35% greater all-cause total healthcare costs than patients without OAB (P<0.001).
Conclusions: Patients with OAB and osteoporosis had significantly greater all-cause HRU and costs. Falls and fractures were significantly more common in patients with osteoporosis and OAB compared to patients with osteoporosis without OAB.
(Copyright © 2017 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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