Healthcare Policy Changes in Osteoporosis Can Improve Outcomes and Reduce Costs in the United States
Healthcare Policy Changes in Osteoporosis Can Improve Outcomes and Reduce Costs in the United States
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DOI：
10.1002/jbm4.10192
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发表时间：
2019-09-01
期刊：
影响因子：
3.8
通讯作者：
Singer, Andrea J.
中科院分区：
文献类型：
--
作者：
Lewiecki, E. Michael;Ortendahl, Jesse D.;Singer, Andrea J.
在美国，骨质疏松症影响超过1000万成年人，具有很高的社会成本（2008年为220亿美元），并且目前诊断不足和治疗不足。鉴于人口老龄化，这一负担预计将上升。我们通过模拟预期的人口变化以及潜在的政策变化来预测美国女性的骨折负担。随着预期的人口老龄化和增长，预计从2018年到2040年，每年骨折将从190万增加到320万（68%），相关成本从570亿美元增加到950亿美元以上。政策驱动的病例发现和高危妇女治疗的扩大可以降低这一负担，在未来22年内预防610万例骨折，同时减少290亿美元的支付者成本和550亿美元的社会成本。越来越多地使用与骨质疏松症相关的干预措施可以减少骨折并节省大量成本，考虑到目前的医疗保健政策，这是一种罕见而幸运的组合。(C)2019作者出版社：Wiley Periodicals，Inc.美国骨与矿物质研究协会（American Society for Bone and Mineral Research）
In the United States, osteoporosis affects over 10 million adults, has high societal costs ($22 billion in 2008), and is currently being underdiagnosed and undertreated. Given an aging population, this burden is expected to rise. We projected the fracture burden in US women by modeling the expected demographic shift as well as potential policy changes. With the anticipated population aging and growth, annual fractures are projected to increase from 1.9 million to 3.2 million (68%), from 2018 to 2040, with related costs rising from $57 billion to over $95 billion. Policy-driven expansion of case finding and treatment of at-risk women could lower this burden, preventing 6.1 million fractures over the next 22 years while reducing payer costs by $29 billion and societal costs by $55 billion. Increasing use of osteoporosis-related interventions can reduce fractures and result in substantial cost-savings, a rare and fortunate combination given the current landscape in healthcare policy. (C) 2019 The Authors. JBMR Plus published by Wiley Periodicals, Inc. on behalf of American Society for Bone and Mineral Research.