[Costs due to osteoporosis-induced fractures in The Netherlands; possibilities for cost control].
[Costs due to osteoporosis-induced fractures in The Netherlands; possibilities for cost control].
复制标题
[荷兰因骨质疏松引起的骨折造成的费用；
DOI：
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复制
发表时间：
1996
影响因子：
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通讯作者：
H. Pols
中科院分区：
文献类型：
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作者：
C. De Laet;B. van Hout;A. Hofman;H. Pols
目的
荷兰骨质疏松性骨折医疗费用的评估和费用控制可能性的讨论。
设计
使用已公布的数据结合常规医院和疗养院登记的数据计算成本。
设置
荷兰.
方法
我们估计了与髋部、前臂和椎骨骨折相关的骨质疏松症的总成本。发病率数据和数据从医院和疗养院住宿有关的信息成本。该分析是根据1993年的数据对50岁及以上的男性和女性进行的。该等假设的有效性已于敏感度分析中测试。
结果
据估计，每年与骨质疏松症有关的骨折的直接医疗费用超过4亿建筑工人。超过三分之一的费用来自85岁及以上的群体，而这一群体只占人口的1.3%。大约85%的费用是由髋部骨折引起的。在髋部骨折的这些费用中，80%是由于住院。住院时间与出院状态（去疗养院的患者的住院时间比离开自己家的患者长近8天）和年龄（住院时间增加0.3天/岁）相关。在疗养院和门诊护理的费用分别占总费用的20%和10%。
结论
从短期来看，控制成本主要可以通过缩短住院时间来实现。这可以通过提供更好的出院方法到合适的护理机构来实现。预防骨折的成本效益目前尚不清楚。由于治疗的持续时间和高年龄骨折的频率，干预的时机非常重要。
OBJECTIVE
Evaluation of the medical costs of osteoporotic fractures in the Netherlands and a discussion of the possibilities of cost control.
DESIGN
Cost calculation using published data combined with data from routine hospital and nursing home registration.
SETTING
The Netherlands.
METHODS
We estimated the total cost of osteoporosis related to fractures of the hip, forearm and vertebrae. Incidence data and data from hospital and nursing home stays were related to information about costs. The analysis was performed for men and women aged 50 and older based on data from 1993. The validity of the assumptions was tested in a sensitivity analysis.
RESULTS
The direct medical cost of osteoporosis-related fractures was estimated to be over 400 million builders each year. More than one-third of this cost originated in the group aged 85 and over, while this group only represented 1.3% of the population. About 85% of the costs were caused by hip fractures. Of those costs of hip fractures 80% was due to the hospital admissions. The length of stay in the hospital was associated with discharge status (the length of stay for patients going to a nursing home was almost 8 days longer than for patients leaving for their own homes) and age (the length of stay increased by 0.3 days/year of age). The cost of the stay in a nursing home and of ambulatory care were 20% and 10%, respectively, of the total costs.
CONCLUSION
In the short term, cost control is mainly possible by reducing the length of stay in the hospital. This can be done by providing better methods of discharge to suitable care facilities. The cost-effectiveness of prevention of fractures is at present unclear. Due to the duration of the treatment and the frequency of fractures at high ages, the timing of the intervention is of great importance.