Direct costs of common osteoporotic fractures (Hip, Vertebral and Forearm) in Iran

Abstract Background Osteoporotic fractures impose significant costs on society. The objective of this study was to estimate the direct costs of the hip, vertebral, and forearm fractures in the first year after fracture incidence in Iran. Methods We surveyed a sample of 300 patients aged over 50 year...

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Main Authors: Marziyeh Rajabi, Afshin Ostovar, Ali Akbari Sari, Sayed Mahmoud Sajjadi-Jazi, Noushin Fahimfar, Bagher Larijani, Rajabali Daroudi
Format: Article
Language:English
Published: BMC 2021-07-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-021-04535-8
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author Marziyeh Rajabi
Afshin Ostovar
Ali Akbari Sari
Sayed Mahmoud Sajjadi-Jazi
Noushin Fahimfar
Bagher Larijani
Rajabali Daroudi
author_facet Marziyeh Rajabi
Afshin Ostovar
Ali Akbari Sari
Sayed Mahmoud Sajjadi-Jazi
Noushin Fahimfar
Bagher Larijani
Rajabali Daroudi
author_sort Marziyeh Rajabi
collection DOAJ
description Abstract Background Osteoporotic fractures impose significant costs on society. The objective of this study was to estimate the direct costs of the hip, vertebral, and forearm fractures in the first year after fracture incidence in Iran. Methods We surveyed a sample of 300 patients aged over 50 years with osteoporotic fractures (hip, vertebral, and forearm) admitted to four hospitals affiliated to Tehran University of Medical Sciences, Iran, during 2017 and were alive six months after the fracture. Inpatient cost data were obtained from the hospital patient records. Using a questionnaire, the data regarding outpatient costs were collected through a phone interview with patients at least six months after the fracture incidence. Direct medical and non-medical costs were estimated from a societal perspective. All costs were converted to the US dollar using the average exchange rate in 2017 (1USD = IRR 34,214) Results The mean ± standard deviation (SD) age of the patient was 69.83 ± 11.25 years, and 68% were female. One hundred and seventeen (39%) patients had hip fractures, 56 (18.67%) patients had vertebral fractures, and 127 (42.33%) ones had forearm fractures. The mean direct cost (medical and non-medical) during the year after hip, vertebral and forearm fractures were estimated at USD5,381, USD2,981, and USD1,209, respectively. Conclusion The direct cost of osteoporotic fracture in Iran is high. Our findings might be useful for the economic evaluation of preventive and treatment interventions for osteoporotic fractures as well as estimating the economic burden of osteoporotic fractures in Iran.
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spelling doaj.art-5eca9ed1a4594761980df819f63ca26d2022-12-21T19:57:07ZengBMCBMC Musculoskeletal Disorders1471-24742021-07-012211710.1186/s12891-021-04535-8Direct costs of common osteoporotic fractures (Hip, Vertebral and Forearm) in IranMarziyeh Rajabi0Afshin Ostovar1Ali Akbari Sari2Sayed Mahmoud Sajjadi-Jazi3Noushin Fahimfar4Bagher Larijani5Rajabali Daroudi6Department of Health Management and Economics, School of Public Health, Tehran University of Medical SciencesOsteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical SciencesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesOsteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesDepartment of Health Management and Economics, School of Public Health, Tehran University of Medical SciencesAbstract Background Osteoporotic fractures impose significant costs on society. The objective of this study was to estimate the direct costs of the hip, vertebral, and forearm fractures in the first year after fracture incidence in Iran. Methods We surveyed a sample of 300 patients aged over 50 years with osteoporotic fractures (hip, vertebral, and forearm) admitted to four hospitals affiliated to Tehran University of Medical Sciences, Iran, during 2017 and were alive six months after the fracture. Inpatient cost data were obtained from the hospital patient records. Using a questionnaire, the data regarding outpatient costs were collected through a phone interview with patients at least six months after the fracture incidence. Direct medical and non-medical costs were estimated from a societal perspective. All costs were converted to the US dollar using the average exchange rate in 2017 (1USD = IRR 34,214) Results The mean ± standard deviation (SD) age of the patient was 69.83 ± 11.25 years, and 68% were female. One hundred and seventeen (39%) patients had hip fractures, 56 (18.67%) patients had vertebral fractures, and 127 (42.33%) ones had forearm fractures. The mean direct cost (medical and non-medical) during the year after hip, vertebral and forearm fractures were estimated at USD5,381, USD2,981, and USD1,209, respectively. Conclusion The direct cost of osteoporotic fracture in Iran is high. Our findings might be useful for the economic evaluation of preventive and treatment interventions for osteoporotic fractures as well as estimating the economic burden of osteoporotic fractures in Iran.https://doi.org/10.1186/s12891-021-04535-8CostsFractureOsteoporosisQuality of life
spellingShingle Marziyeh Rajabi
Afshin Ostovar
Ali Akbari Sari
Sayed Mahmoud Sajjadi-Jazi
Noushin Fahimfar
Bagher Larijani
Rajabali Daroudi
Direct costs of common osteoporotic fractures (Hip, Vertebral and Forearm) in Iran
BMC Musculoskeletal Disorders
Costs
Fracture
Osteoporosis
Quality of life
title Direct costs of common osteoporotic fractures (Hip, Vertebral and Forearm) in Iran
title_full Direct costs of common osteoporotic fractures (Hip, Vertebral and Forearm) in Iran
title_fullStr Direct costs of common osteoporotic fractures (Hip, Vertebral and Forearm) in Iran
title_full_unstemmed Direct costs of common osteoporotic fractures (Hip, Vertebral and Forearm) in Iran
title_short Direct costs of common osteoporotic fractures (Hip, Vertebral and Forearm) in Iran
title_sort direct costs of common osteoporotic fractures hip vertebral and forearm in iran
topic Costs
Fracture
Osteoporosis
Quality of life
url https://doi.org/10.1186/s12891-021-04535-8
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