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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BMC
2021-07-01
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Series: | BMC Musculoskeletal Disorders |
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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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id | doaj.art-5eca9ed1a4594761980df819f63ca26d |
institution | Directory Open Access Journal |
issn | 1471-2474 |
language | English |
last_indexed | 2024-12-20T02:08:43Z |
publishDate | 2021-07-01 |
publisher | BMC |
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series | BMC Musculoskeletal Disorders |
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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