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KMID : 0371020080410050287
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Journal of Preventive Medicine and Public Health
2008 Volume.41 No. 5 p.287 ~ p.294
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Estimating the Economic Burden of Osteoporotic Vertebral Fracture among Elderly Korean Women
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Kang Hye-Young
Moon Seong-Hwan
Yang Kyu-Hyun
Kang Dae-Ryong
Jang Young-Hwa
Park Sung-Eun
Choi Won-Jung
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Abstract
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Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective.
Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women W 50 years old with a diagnosis of VF. The first 6-months was defined as a Xclearance period,Ysuch that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with W one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals.
Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84.
Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.
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KEYWORD
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Cost of disease, Insurance claim, Osteoporosis, Vertebral fracture
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