Impact on healthcare budgets

Impact on healthcare budgets

Fragility fractures impose a tremendous burden on healthcare budgets. The findings of the most recent health economic studies on fragility fractures are summarised by region:

Europe

A comprehensive report on the epidemiology, burden and treatment of osteoporosis in the EU27 countries was published in 2013. This report estimated the economic burden of new and prior fragility fractures to be Euro 37 billion in 2010. If Quality Adjusted Life Years (QALYs) lost were included, the total cost increased to Euro 98 billion. A compendium of country-specific reports provided estimates of the economic burden for the individual countries. See:

Osteoporosis in the European Union: medical management, epidemiology and economic burden. Arch Osteoporos. 2013;8(1-2):136. PubMed ID 24113837

Osteoporosis in the European Union: a compendium of country-specific reports. Arch Osteoporos. 2013;8(1-2):137. PubMed ID 24113838

Asia-Pacific

Health economic studies on fragility fractures in this region are limited. Estimates of the cost burden have been made for the following countries:

Australia
Osteoporosis Australia’s new burden of disease analysis estimated the total direct and indirect costs of osteoporosis to be over AU$2.7 billion in 2012. See Osteoporosis costing all Australians 2013.

China
In 2006, China spent US$1.5 billion treating hip fractures, a figure which is set to rise to US$12.5 billion by 2020, and US$265 billion by 2050. See International Osteoporosis Foundation Asian Audit 2009.

Japan
In 2012, Japan spent US$4.9 billion on hospital costs for hip fractures. See International Osteoporosis Foundation Asia-Pacific Regional Audit 2013.

New Zealand
In 2007, New Zealand spent over NZ$300 million treating fractures caused by osteoporosis. See The Burden of Osteoporosis in New Zealand: 2007-2020.

Middle East

Health economic studies on fragility fractures in this region are limited. Estimates of the cost burden have been made for the following countries:

Iran
The direct costs of hip fracture in 2010 were US$28 million, a figure which is set to rise to US$51 million by 2020, and US$250 million by 2050.

Lebanon
The total costs of hip fracture in 2011 were estimated to be US$7.7 million.

Saudi Arabia
The total cost of hip fracture in 2004 was estimated to be US$1.14 billion.

See:

The Middle East & Africa Regional Audit: Epidemiology, costs & burden of osteoporosis in 2011. El-Hajj Fuleihan G, Adib G, Nauroy L. International Osteoporosis Foundation. 2011. Link.

Africa

Health economic studies on fragility fractures are not currently available in this region.

North America

Health economic studies on fragility fractures are available for Canada and the United States:

Canada
Acute care costs for fractures resulting in hospitalisation in 2007-8 were CN$1.2 billion. Osteoporosis Canada has estimated the costs for each Canadian province from 2007 to 2035. See Appendix B: Fracture incidence and costs by province of Osteoporosis Canada’s Make the FIRST break the LAST with Fracture Liaison Services initiative. Link.

United States
The cost of fragility fractures in 2005 was US$17 billion, a figure which is set to rise to more than $25 billion by 2025.

See:

The burden of illness of osteoporosis in Canada. Osteoporos Int. 2012 Nov;23(11):2591-2600. PubMed ID 22398854

Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res. 2007 Mar;22(3):465-475. PubMed ID 17144789

Latin America

Health economic studies on fragility fractures in this region are limited. Estimates of the cost burden have been made for Argentina and Mexico:

Argentina
In 2001, the total annual hospitalisation cost for hip fractures was estimated to be US$129.2 million and for vertebral fractures was US$62.3 million.

Mexico
The total costs of fragility fractures in 2010 was estimated to be US$256 million, a figure set to rise to US$490 million and $583 million by 2015 and 2020, respectively.

See:

The Latin America Regional Audit: Epidemiology, costs & burden of osteoporosis in 2012. Zanchetta J et al. International Osteoporosis Foundation. 2012. Link.

Health care costs of osteopenia, osteoporosis, and fragility fractures in Mexico. Arch Osteoporos. 2013;8(1-2):125. PubMed ID 23526030