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. 2016 Mar;98(3):235-43.
doi: 10.1007/s00223-015-0089-z. Epub 2016 Jan 9.

Current and Future Incidence and Costs of Osteoporosis-Related Fractures in The Netherlands: Combining Claims Data with BMD Measurements

Freek J B Lötters  1 , Joop P van den Bergh  2   3 , Frank de Vries  3   4   5   6 , Maureen P M H Rutten-van Mölken  7
Affiliations

Current and Future Incidence and Costs of Osteoporosis-Related Fractures in The Netherlands: Combining Claims Data with BMD Measurements

Freek J B Lötters et al. Calcif Tissue Int. 2016 Mar.

Abstract

This study aims to estimate the incidence and costs of osteoporosis-related fractures in The Netherlands in 2010 and project them to 2030. The incidence and costs of five different types of fractures (spine, hip, upper extremity, lower extremity, wrist/distal forearm, other) were derived from claims data of all Dutch healthcare insurers. Given that fracture-codes in claims data do not indicate whether fractures are related to osteoporosis, we used a large dataset with DXA measurements to attribute fractures to osteoporosis. Future projections used four scenarios: (1) demographic, (2) demographic + annual trend in incidence rates, (3) demographic + annual trend in incidence rates + annual trend in costs, and (4) treatment. Of all registered fractures, 32 % was attributed to osteoporosis (36 % in women and 21 % in men). Over time (2010-2030) the increase in incidence of osteoporosis-related fractures was estimated to be 40 % (scenario 1); for the hip 60-79 % (scenario 1-2). In 2010, approximately €200 million was spent on treatment of osteoporosis-related fractures, most on fractures of the hip followed by wrist/distal forearm. In both men and women, the excess costs due to osteoporosis-related fractures were highest for hip fractures (€11,000-€13,000 per person), followed by spine fractures (€6000-€7000).The costs for osteoporosis-related fractures were projected to increase with 50 % from 2010 to 2030 (scenario 1); for the hip 60-148 % (scenario 1-3). Pharmacotherapeutic prevention can lead to cost-savings of €377 million in 2030 (scenario 1 and 4 combined). The projected increase in incidence and costs of osteoporosis-related fractures calls for a wider use of prevention and treatment.

Keywords: Costs; Fractures; Future projections; Incidence; Osteoporosis.

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Figures

Fig. 1
Fig. 1
Projected number of osteoporosis-related fractures over time by type of fracture (in women and men); demographic scenario (d) and demographic trend (d + t) in incidence scenario (only for osteoporosis-related hip fractures)
Fig. 2
Fig. 2
Costs of osteoporosis-related fractures in 2010 per 100,000 person years in each age class
Fig. 3
Fig. 3
Estimated costs of osteoporosis-related hip fractures till 2030 (in men and women); demographic scenario, demographic + incidence trend scenario, and demographic + incidence trend + costs trend scenario
See this image and copyright information in PMC

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