Direct Healthcare Cost of Fractures in Patients With Type 1 Diabetes: A Population-Based Cohort Study in Denmark
Authors' conclusion
While hip fractures were the most costly site, there were no differences in the 1-year post-fracture direct healthcare costs. However, the costs were significantly higher at all other fracture sites among patients with T1D. Increased uptake of fracture prevention strategies among T1D may help reduce fracture risk and subsequently costs.
Study context
- Population
- Patients with hip, humerus, forearm, foot and ankle fractures, 2011–2019, Danish National Patient Registermatched cohort
- Exposure
- T1D vs matched controls without diabetes
- Outcome
- Direct healthcare costs (hospitalizations, primary care physicians, physiotherapy, medication) after fracture
- Follow-up
- First year after fracture
Methodological detailsmatched 1:4
- Matched 1:4
Main finding
As reported in the abstract
Direct healthcare cost by fracture site · 1 year after fracture
- T1D vs Controls: humerus: €726 vs €562; significantly higher with T1D
- T1D vs Controls: forearm: €441 vs €269; significantly higher with T1D
- T1D vs Controls: foot: €225 vs €123; significantly higher with T1D
- T1D vs Controls: ankle: €551 vs €367; significantly higher with T1D
- T1D vs Controls: hip: €9463 vs €9429; similar
Observational data: associations, not effects.
Further findings
Fractures identified in T1D
- Hip fractures
- 973
- Humerus fractures
- 622
- Forearm fractures
- 1144
- Foot fractures
- 945
- Ankle fractures
- 472
Original publication
Direct Healthcare Cost of Fractures in Patients With Type 1 Diabetes: A Population-Based Cohort Study in Denmark. J Clin Endocrinol Metab. Published 10 April 2025. doi:10.
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