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Fracture treatment 2000 dollars less expensive if also use Vitamin D and Calcium – Feb 2023


Economic Burden of Osteoporotic Patients with Fracture: Effect of Treatment With or Without Calcium/Vitamin D Supplements

Nutrition and Dietary Supplements Pages 21-30 https://doi.org/10.2147/NDS.S234911
Luca Degli Esposti,Stefania Saragoni,Valentina Perrone,Stefania Sella,Margherita Andretta,Maurizio Rossini…

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Background:
Fractures represent the most important complication of osteoporosis, in terms of loss of independency, chronic pain, increased risk of mortality, but also high healthcare costs.

Objective:
To assess healthcare costs in an Italian cohort of osteoporotic patients with a fracture with and without specific osteoporosis treatment and supplementation with calcium/vitamin D.

Methods:
This retrospective observational study used data from administrative databases of five Local Health Units in Italy. Patients ≥50 years of age and hospitalized for vertebral or hip fracture occurring from 01/01/2011 to 31/12/2015 were included. Patients were then classified as “untreated” and “treated” if they had been treated or not with drugs for fracture prevention after the index fracture. We also identified subjects that were only treated with drugs for fracture prevention, “osteoporosis drug only” group, compared to the “osteoporosis drug plus calcium/vitamin D” group, in which calcium and/or vitamin D were also in combination. Healthcare cost analysis included drug expenditure, hospitalization costs (excluding costs related to the hospitalization for the index fracture) and outpatient service costs.

Results:
Three thousand four hundred and seventy-five patients were included in the present study, most of whom (58.5%) had received specific osteoporosis treatment after index fracture. Among treated patients, the vast majority (83.6%) received supplementation with calcium/vitamin D. Mean annual healthcare cost per patient was €9,289.85 in the untreated group and €4,428.26 for treated subjects (p < 0.001); mean annual healthcare cost for the osteoporosis drug-only group was higher compared to the osteoporosis drug plus calcium/vitamin D group (€5,976.88 vs €4,124.74, respectively, p < 0.001). Hospitalization costs accounted for the majority of total costs in all groups of patients.

(€5,976.88 - €4,124.74) *1.09 = $2,000
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VitaminDWiki – Falls and Fractures category contains

Falls

Fracture


Vitamin D also prevents fractures

Fewer bone and stress fractures with vitamin D - many studies


Vitamin D reduces the risk of death after hip fracture by 4X

1 in 3 died after hip fracture but only 1 in 14 if add Vitamin D and exercise – RCT April 2017


Attached files

ID Name Comment Uploaded Size Downloads
19449 Fracture flowchart.jpg admin 09 Apr, 2023 56.16 Kb 89
19448 Cost of Fracture_CompressPdf.pdf admin 09 Apr, 2023 207.67 Kb 81