title: The burden of illness of osteoporosis in Canadian men.
abstract: There is a dearth of information about the burden of osteoporosis in Canadian men. To fill this gap, we conducted a burden of illness study aimed at estimating the economic burden attributable to osteoporosis in Canadian men aged 50 years and older. Five national data sources were used to estimate health care resource utilization and costs (in 2010 Canadian dollars) associated with osteoporosis in men. Any information gap was supplemented by using data from provincial and community sources. Direct medical costs included costs associated with hospitalizations, same day surgeries, emergency room visits, rehabilitation, chronic care, long-term care, home care, physician visits, and prescribed medications. The value of lost productivity from patients and informal caregivers was also determined to provide a societal perspective. Sensitivity analyses were conducted to evaluate the impact of key assumptions on the results. In fiscal year 2007/2008, the total economic burden of treating and rehabilitating male osteoporotic fractures was estimated at $570 million per year, where direct medical costs accounted for 86%. Acute care utilization was responsible for 70% of all direct costs. About 51% of all hospitalizations were for hip fractures and hip fractures alone accounted for 54% of the acute care spending. If a proportion of Canadian men were assumed to live in long-term care facilities due to osteoporosis, the overall annual cost of osteoporosis would increase from $570 million to $910 million. Male osteoporosis has a substantial economic burden on the Canadian society.
authors.affiliation: Programs for Assessment of Technology in Health (PATH) Research Institute, St Joseph's Healthcare, Hamilton, Ontario, Canada. tarride@mcmaster.ca
authors.forename: Jean-Eric
authors.initials: JE
authors.lastname: Tarride
authors.forename: Na
authors.initials: N
authors.lastname: Guo
authors.forename: Robert
authors.initials: R
authors.lastname: Hopkins
authors.forename: William D
authors.initials: WD
authors.lastname: Leslie
authors.forename: Suzanne
authors.initials: S
authors.lastname: Morin
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Adachi
authors.forename: Alexandra
authors.initials: A
authors.lastname: Papaioannou
authors.forename: Louis
authors.initials: L
authors.lastname: Bessette
authors.forename: Jacques P
authors.initials: JP
authors.lastname: Brown
authors.forename: Ron
authors.initials: R
authors.lastname: Goeree
mesh_terms: D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada / Q000453:epidemiology; D017281:Cost of Illness; D050723:Fractures, Bone / Q000150:complications / Q000175:diagnosis / Q000191:economics; D005102:Health Expenditures; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008297:Male; D008571:Men; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications / Q000191:economics* / Q000453:epidemiology*