PMS22 ECONOMIC BURDEN OF OSTEOPOROSIS-RELATED FRACTURE HOSPITALIZATIONS IN FRANCE

  • Maravic M
  • Vainchtock A
  • Jouaneton B
  • et al.
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Abstract

Objective. To estimate the number and costs of hospitalizations associated with postmenopausal osteoporosis-related fractures in France. Methods. Data were extracted from the 2008 Hospital National Database (PMSI). Inclusion criteria were established according to ICD-10 codes related to osteoporosis as the primary or secondary diagnosis (if the primary diagnosis was dorsalgia, dorsopathy or fractures others than of the skull, cervical vertebra, fingers or toes). Hospital stays were selected for women aged >50 years. Hospitalizations associated with chemotherapy were excluded (N = 19,461 hospitalizations). As the rules of coding are not strictly followed in real practice, an additional database analysis was performed to include stays related to surgical management of hip fractures, coded as primary diagnosis after exclusion of polytrauma or fracture related to cancer (N = 50,848 hospitalizations). Duplicate hospitalizations were excluded (N = 2502). We assessed number of hospitalizations, number of patients, type of hospital and management, and length of stay and costs. Hospital costs were calculated according to the public and private hospital tariff (2009J)[1]. Results. There were 67,807 hospitalizations (64,793 patients) associated with osteoporosis-related fractures; 83% of the patients >75 years and 83% of the total hospitalizations were in patients >75 years. A total of 76% of the hospitalizations occurred in public care hospitals and 80% were associated with the surgical management of fractures. The overall cost of hospitalizations was 415,429,993 of which 4.2% was related to medical devices. Women aged >75 years accounted for 88% of the total costs for hospitalizations. The mean (SD) length of stay was 12.1+/- 7.89 days. The mean (SD) hospital cost including medical devices was 61272. Conclusion. In 2008, postmenopausal osteoporosis-related fracture hospitalizations were associated with a substantial economic burden in France. Patients aged >75 years accounted for 88% of the total costs. [1] Arrete du 27 fevrier 2009 fixant pour l'annee 2009 les ressources d'assurance maladie des etablissements de sante exercant une activite de medecine, chirurgie, obstetrique et odontologie, French Official Journal. Feb 28th, 2009.

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Maravic, M., Vainchtock, A., Jouaneton, B., & Tochon, V. (2011). PMS22 ECONOMIC BURDEN OF OSTEOPOROSIS-RELATED FRACTURE HOSPITALIZATIONS IN FRANCE. Value in Health, 13(7), A306. https://doi.org/10.1016/s1098-3015(11)72175-1

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