The burden of osteoporosis in California, 1998
The burden of osteoporosis in California, 1998
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DOI：
10.1007/s001980200060
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发表时间：
2002-01-01
影响因子：
4
通讯作者：
Rice, DP
中科院分区：
文献类型：
--
作者：
Max, W;Sinnot, P;Rice, DP
这项研究估计了加州骨质疏松症的成本，包括医疗保健服务和过早死于这种疾病的生命价值。费用估计用于诊断“骨质疏松症”，以及脊柱、前臂、髋部和其他由骨质疏松症引起的骨折的比例。第二次诊断骨质疏松症所产生的额外费用也包括在内。1998年，骨质疏松症占直接保健费用的24亿美元以上，过早死亡造成的生产力损失超过400万美元。大部分费用是由髋部骨折和其他骨折造成的。事实上，只有15%的费用是针对被诊断为骨质疏松症的人支付的，而且在这一群体中，大多数费用与第二次诊断有关，而不是与第一次诊断有关。这种疾病在很大程度上是老年白人女性的诊断：四分之三的住院费用由女性承担，80%的住院患者是白人，四分之三的人年龄超过65岁。正如预期的那样，医疗保险支付了大部分医院护理费用--几乎占总数的四分之三。养老院护理是骨质疏松症患者的最大成本，占治疗骨质疏松症费用的59%。
This study estimates the cost of osteoporosis in California, including health care services and the value of lives lost prematurely to the disease. Costs are estimated for diagnoses of 'osteoporosis' and for the proportion of spine, forearm, hip and other fractures that are caused by the disease. The additional costs resulting from a secondary diagnosis of osteoporosis are also included. Osteoporosis accounted for over $2.4 billion in direct health care costs in 1998, and over $4 million in lost productivity resulting from premature death. Most of the cost results from hip fractures and other fractures. In fact, only 15% of costs are for people with a diagnosis of losteoporosis' per se, and, of this group, most of the costs are associated with a secondary, not a primary diagnosis. The disease is largely a diagnosis of older white women: three-quarters of the hospitalization costs are incurred by women, 80% of those hospitalized are white, and three-quarters are over age 65 years. As would be expected, Medicare pays for most of the hospital care - almost three-fourths of the total. Nursing home care represents the largest cost for people with osteoporosis, accounting for 59% of the money spent treating the disease.