우리나라 노인여성의 골다공증성 척추골절로 인한 경제적 부담 추계

강혜영; 강대룡; 장영화; 박성은; 최원정; 문성환; 양규현

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자료유형: 학술저널

저자정보: 강혜영 강대룡 장영화 박성은 최원정 문성환 양규현

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제41권 제5호

발행연도: 2008.1

수록면: 287 - 294 (8page)

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Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women W 50 years old with a diagnosis of VF. The first 6-months was defined as a Xclearance period,Ysuch that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with W one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

#Cost of disease #Insurance claim #Osteoporosis #Vertebral fracture

참고문헌 (24)

참고문헌 신청

Ben Sedrine W / 2001 / On conducting burden-of-osteoporosis studies: A review of the core concepts and practical issues. A study carried out under the auspices of a WHO Colla

Black DM / 1999 / Prevalent vertebral deformities predict hip fractures and new vertebral deformities but not wrist fractures / J Bone Miner Res 14 (5) : 821 ~ 828

Bouee S / 2006 / Estimation of direct unit costs associated with non-vertebral osteoporotic fractures in five European countries / Rheumatol Int 26 (12) : 1063 ~ 1072

Burge R / 2002 / Inpatient hospital and post-acute care for vertebral fractures in women / Value Health 5 (4) : 301 ~ 311

Burge R / 2007 / Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025 / J Bone Miner Res 22 (3) : 465 ~ 475

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