Abstract
BackgroundOsteoporotic 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.MethodsWe 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)ResultsThe 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.ConclusionThe 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.
Highlights
Osteoporosis is a major public health problem through associated fragility fractures [1]
The most common fractures caused by osteoporosis include hip, spinal, and forearm fractures [6]
Inpatient costs accounted for the largest share of direct medical costs
Summary
Osteoporosis is a major public health problem through associated fragility fractures [1]. The worldwide prevalence of osteoporosis is estimated to be over 200 million and it contributes to about 9 million fractures each year [2]. 10.3 percent (10.2 million people) in 2010, and over 1.5 million fractures per year are attributed to osteoporosis [3, 4]. Based on a systematic review and meta-analysis study, the prevalence of osteoporosis was estimated at 17% (95% CI [13%, 20%]) in Iran [5]. The incidence of hip fractures in women in Iran is estimated at about 400/per. 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
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