Abstract
Abstract Aims To analyze factors associated with osteoporosis among outpatients of the Brazilian National Health System and to identify their association with hospital and labor economic outcomes. Methods Cross-sectional study carried out in the city of Presidente Prudente / SP. The sample consisted of 542 adults of both sexes and aged ≥ 50 years old. The occurrence of osteoporosis, health-related productivity loss, use of hospital services and level of physical activity were assessed using questionnaires. Statistical analysis was composed of chi-square test, binary logistic regression and Mann-Whitney test. The significance level adopted was p-value <0.05. ResultsThe prevalence of osteoporosis was 14.4% (95% CI: 11.4% - 17.3%) and it was associated with female sex (p = 0.001), lower economic status (p-value = 0.036) and obesity (p-value = 0.003). Participants with osteoporosis showed a higher incidence of surgery in the last 12 months (OR = 2.13 [1.04 to 4.35]), productivity loss (OR = 1.91 [1.13 to 3.42]) and disability retirement (OR = 2.03 [1.20 to 3.43]). Over the past 12 months, the sum of direct and indirect economic loss was R$ 1,382,630.00. Conclusion The female sex, lower economic status and obesity were associated with a higher occurrence of osteoporosis, and consequent higher use of hospital services and significant economic losses.
Highlights
Osteoporosis is defined as a chronic disease, and it is characterized by decreased bone mass and possible associations with fractures[1]
34.7% of the patients were older than 65 years old and 78 participants were diagnosed with osteoporosis, which corresponds to 14.4%
The occurrence of osteoporosis was associated with female sex (p-value = 0.001), lower economic status (p-value = 0.036) and obesity (p-value = 0.003) (Table 1)
Summary
Osteoporosis is defined as a chronic disease, and it is characterized by decreased bone mass and possible associations with fractures[1]. Direct costs represented 94% of total expenses, and the loss was even bigger in the presence of fractures ($ 1,759,572,690 with fractures versus $ 829,645,097 without fracture)[3] Regarding this issue, studies about the economic burden of the disease are important to guide actions in health, mainly preventing fractures[5,6]. Productivity loss has been highlighted in studies analyzing economic assessment and costs of diseases[8,9,10,11]. Regarding this issue, studies involving economic evaluation in chronic diseases, such as osteoporosis, may guide future actions for promotion and management of health. The objectives of the study were (i) to analyze factors associated with osteoporosis among outpatients of the Brazilian National Health System, and (ii) to identify their association with hospital and labor economic outcomes
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