Non-hip, non-spine fractures drive healthcare utilization following a fracture: the Global Longitudinal Study of Osteoporosis in Women (GLOW)

Autor: Robert Lindsay, F H Hooven, Julie M. Flahive, Stephen H. Gehlbach, C Roux, J C Netelenbos, Laura Pickard, Johannes Pfeilschifter, Cyrus Cooper, Alexandra Papaioannou, Frederick A. Anderson, George Ioannidis, P. N. Sambrook, Steven Boonen, Juliet E. Compston, Ethel S. Siris, Adolfo Diez-Perez, Maurizio Rossini, Nelson B. Watts, S. Silverman, Jonathan D. Adachi, Susan L. Greenspan, Andrea Z. LaCroix, Kenneth G. Saag, Roland Chapurlat
Přispěvatelé: Internal medicine, Other Research
Rok vydání: 2012
Předmět:
Zdroj: Osteoporosis International, 24(1), 59-67. Springer London
Ioannidis, G, Flahive, J, Pickard, L, Papaioannou, A, Chapurlat, R, Saag, K, Silverman, S, Anderson, F, Gehlbach, S, Hooven, F, Boonen, S, Compston, J, Cooper, C, Diez-Perez, A, Greenspan, S, Lacroix, A, Lindsay, R, Netelenbos, J C, Pfeilschifter, J, Rossini, M, Roux, C, Sambrook, P, Siris, E, Watts, N & Adachi, J 2013, ' Non-hip, non-spine fractures drive healthcare utilization following a fracture: the Global Longitudinal Study of Osteoporosis in Women (GLOW) ', Osteoporosis International, vol. 24, no. 1, pp. 59-67 . https://doi.org/10.1007/s00198-012-1968-z
ISSN: 1433-2965
0937-941X
DOI: 10.1007/s00198-012-1968-z
Popis: UNLABELLED: 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.
Databáze: OpenAIRE
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