Understanding the long-term impact of incident osteoporotic fractures on healthcare utilization and costs in Korean postmenopausal women
Authors' conclusion
OF imposes a substantial and sustained economic burden on women, resulting in an approximately twofold increase in the cumulative cost over 5 years compared to women without fracture
Study context
- Population
- Korean postmenopausal women aged ≥ 50 years, National Health Insurance Service databases 2011–2018after propensity score matching (PSM)
- Participants
- 47,238 vs 134,813
- Exposure
- Women with incident osteoporotic fractures vs matched women without fractures
- Osteoporotic fractures (OF)n = 47,238
- non-OFn = 134,813reference
- Outcome
- HCRU (inpatient, outpatient, ER visits) and costs of care
- Follow-up
- 5 years
Methodological detailspropensity-score matched, National Health Insurance Service databases 2011-2018
- Propensity-score matched
- National Health Insurance Service databases 2011-2018
Main finding
As reported in the abstract
Cumulative total costs
- Cumulative total costs 73% higher in OF than non-OF, mostly driven by inpatient costs
- Healthcare resource utilization (HCRU) rates and costs highest in first year after OF, decreased substantially but remained higher in OF during entire follow-up
Observational data: associations, not effects.
Further findings
Cumulative HCRU rates, inpatient admissions with ER visits · 5 years
- 138% higher in OF vs non-OF (highest increase)
Women with subsequent fractures within first 2 years (subgroup)
- Trends similar, but generally higher HCRU and costs than total OF group
Original publication
Understanding the long-term impact of incident osteoporotic fractures on healthcare utilization and costs in Korean postmenopausal women. Osteoporos Int. Published 25 October 2023. doi:10.
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