我们报告了日本骨折联络服务(FLS)的疗效,骨质疏松症联络服务(OLS),尽管预期寿命期间的药物费用较高,但通过预防继发性骨折来抑制公共保险中与骨质疏松症相关的费用。OLS可以降低所有年龄组骨质疏松症的医疗费用。
骨质疏松症联络服务(OLS),基于骨折联络服务(FLS),在日本用于预防老年人的原发性和继发性骨折。我们旨在阐明OLS对医疗费用的影响。
我们比较了在SaitamaJikei医院实施OLS前后住院的脆性骨折患者。这些被标记为非OLS组和OLS组,它们进一步按年龄(<75,75-84和≥85岁)进行组织。根据发生情况计算一生中与骨质疏松相关的预期医疗费用,骨折部位,药物,和预期寿命,并按年龄组比较非OLS和OLS组。
非OLS组包括400人(100名男性和300名女性,平均年龄81.7±9.7岁),包括154例椎骨骨折和246例髋部骨折。OLS组包括406名患者(101名男性和305名女性,平均年龄82.4±9.3岁),其中161例椎体骨折,245例髋部骨折。先前报道了OLS的抑制继发性骨折效果。在所有年龄组中,OLS组骨质疏松症治疗的预期费用均高于非OLS组。相比之下,非OLS组治疗继发性骨折的预期费用增加更多.然而,OLS组各年龄组的总费用较低.
尽管提供药物治疗和定期检查所需的费用增加,但OLS的实施可以降低整体医疗保健成本。
We report the efficacy of a Japanese fracture liaison service (FLS), the osteoporosis liaison service (OLS), in suppressing osteoporosis-related expenses from the public insurance by preventing secondary fracture in spite of higher medication costs during expected life spans. OLS could reduce medical expenses for osteoporosis in all age groups.
Osteoporosis liaison services (OLS), which are based on fracture liaison services (FLS), are used in Japan to prevent both primary and secondary fractures in older people. We aimed to clarify the effects of OLS on the medical expenses.
We compared patients with fragile fractures hospitalized to Saitama Jikei Hospital before and after implementing OLS. These were labeled a non-OLS group and an OLS group, and they were further organized by age (< 75, 75-84, and ≥ 85 years). The expected osteoporosis-related medical expenses during life were calculated by the occurrence, fracture site, medication, and life expectancy and compared between the non-OLS and OLS groups by the age group.
The non-OLS group included 400 people (100 males and 300 females, mean age 81.7 ± 9.7 years), comprising 154 with vertebral fractures and 246 with hip fractures. The OLS group included 406 patients (101 males and 305 females, mean age 82.4 ± 9.3 years), of whom 161 had vertebral fractures and 245 had hip fractures. The suppressive secondary fracture effects of OLS were previously reported. The expected expense of osteoporosis treatment in the OLS group was found to be greater than that in the non-OLS group for all age groups. In contrast, expected expenses for treating secondary fractures were shown to increase more in the non-OLS group. However, total expenses were lower in the OLS group across all age groups.
The implementation of OLS can reduce overall healthcare costs despite the increased expenses required to provide medical therapy and periodic examinations.