Uso de recursos y costos asociados a las fracturas en mujeres españolas

The objective of the study was to determine the use of resources and costs due to bone fractures in Spanish women above 50 years of age in the population scope. An observational and retrospective study was conducted in six primary care centers and two urban hospitals in Spain. Socio-demographic and co-morbidity data, use of resources (primary care consultations, complementary tests, medications, specialized care, hospitalizations, visits, urgencies), costs and productivity losses were registered. Records of 19 022 women were included, 7% showed some type of fracture between 2003 and 2007. Fractures were mostly associated with osteoporosis (OR: 3.2), fibromyalgia (OR: 2.4) and thyroid changes (OR: 2.2). In the corrected model, the total cost for patients who had a fracture was USD 3727 compared to USD 2705.5 (p<0.001) for those who did not have it. Patients with a fracture generate a greater use of resources, sanitation costs and work productivity losses

Art · Economics · Environmental health · Family medicine · Humanities · Observational study · Political science · Population · Primary care · Productivity · Sanitation · Welfare economics · Bone health and osteoporosis research · Demography · Healthcare Systems and Public Health · Hip and Femur Fractures · Hip disorders and treatments · Medicine · Emergency Medicine · Gerontology · Internal Medicine

• A new method of classifying prognostic comorbidity in longitudinal studies

  Open Access•Mary E Charlson, Peter Pompei et al.•Journal of Chronic Diseases•1987

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