In osteoporosis, the bone mass is decreased, thereby increasing the risk of fractures. Common osteoporotic fractures include those at the hip, the spine and the forearm. Fractures are a burden to society; in terms of costs, morbidity and mortality. The main objective of this study was to estimate the burden of osteoporosis in Sweden. The study used a prevalence-based bottom-up approach to estimate the total annual burden of osteoporosis in Sweden. The burden was assessed from a societal perspective including medical care costs, non-medical care costs, informal care and indirect costs. Moreover, the value of quality-adjusted life-years (QALYs) lost because of fractures was included in the total burden estimations.
The total annual fracture cost was estimated at MSEK 5639, which is about 3.2% of the total health care costs in Sweden. Community care was the most important cost category accounting for 66% of the total annual cost followed by medical care costs (31%), informal care (2%) and indirect costs (1%). By combining the annual value of QALYs lost (MSEK 10 354) and the annual fracture costs, the total annual societal burden of osteoporosis in Sweden was estimated at MSEK 15 183. Assuming no changes in the age-differentiated fracture risk, the annual burden of osteoporosis was projected to increase to MSEK 26 301 in the year 2050.
The present study shows the societal burden of osteoporosis in Sweden to be higher than previously perceived. This burden is substantial and must be acknowledged as an important health problem. Osteoporosis-related fractures do not only lead to high medical care costs but also to high community care costs. 相似文献
Cyclical intravenous treatment with pamidronate is widely used to treat osteogenesis imperfecta (OI) types I, III, and IV,
which are due to dominant mutations affecting collagen type I alpha chains. There is no information about the effects of pamidronate
in children with OI type VII, an autosomal-recessive form of OI caused by a mutation in the cartilage-associated protein gene.
In this retrospective single-center study, we compared the effects of pamidronate in four girls with OI type VII (age range
3.9–12.7 years) to those in eight girls with OI types caused by collagen type I mutations who were matched for age and disease
severity. During 3 years of pamidronate therapy, lumbar spine areal bone mineral density increased and lumbar vertebral bodies
improved in shape in patients with OI type VII. Other outcomes such as fracture rates and mobility scores did not show statistically
significant changes in this small study cohort. There were no significant side effects noted during the time of follow-up.
Thus, intravenous treatment with pamidronate seems to be safe and of some benefit in patients with OI type VII. 相似文献