Osteoporosis International

, Volume 19, Issue 3, pp 269–276

Direct costs of osteoporosis and hip fracture: an analysis for the Mexican healthcare system

  • P. Clark
  • F. Carlos
  • C. Barrera
  • J. Guzman
  • A. Maetzel
  • P. Lavielle
  • E. Ramirez
  • V. Robinson
  • R. Rodriguez-Cabrera
  • J. Tamayo
  • P. Tugwell
Original Article

DOI: 10.1007/s00198-007-0496-8

Cite this article as:
Clark, P., Carlos, F., Barrera, C. et al. Osteoporos Int (2008) 19: 269. doi:10.1007/s00198-007-0496-8

Abstract

Summary

This study reports the direct costs related to osteoporosis and hip fractures paid for governmental and private institutions in the Mexican health system and estimates the impact of these entities on Mexico. We conclude that the economic burden due to the direct costs of hip fracture justifies wide-scale prevention programs for osteoporosis (OP).

Methods

To estimate the total direct costs of OP and hip fractures in the Mexican Health care system, a sample of governmental and private institutions were studied. Information was gathered through direct questionnaires in 275 OP patients and 218 hip fracture cases. Additionally, a chart review was conducted and experts’ opinions obtained to get accurate protocol scenarios for diagnoses and treatment of OP with no fracture. Microcosting and activity-based costing techniques were used to yield unit costs.

Results

The total direct costs for OP and hip fracture were estimated for 2006 based on the projected annual incidence of hip fractures in Mexico. A total of 22,233 hip fracture cases were estimated for 2006 with a total cost to the healthcare system of US$ 97,058,159 for the acute treatment alone ($4,365.50 per case). We found considerable differences in costs and the way the patients were treated across the different health sectors within the country.

Conclusion

Costs of the acute treatment of hip fractures in Mexico are high and are expected to increase with the predicted increment of life expectancy and the number of elderly in our population.

Keywords

Direct costEconomicsHealth care systemHip fractureOsteoporosis

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2007

Authors and Affiliations

  • P. Clark
    • 1
    • 7
  • F. Carlos
    • 1
  • C. Barrera
    • 1
  • J. Guzman
    • 1
  • A. Maetzel
    • 2
  • P. Lavielle
    • 1
  • E. Ramirez
    • 3
  • V. Robinson
    • 4
  • R. Rodriguez-Cabrera
    • 5
  • J. Tamayo
    • 6
  • P. Tugwell
    • 4
  1. 1.Clinical Epidemiology UnitCMN Siglo XXI IMSS, Faculty of Medicine UNAMMexico CityMexico
  2. 2.Department of Health Policy, Management and EvaluationUniversity of TorontoTorontoCanada
  3. 3.Investigación Depto. Epidemiología SociomédicaInstituto Nacional de Rehabilitación SS MéxicoMexico CityMexico
  4. 4.Centre for Global Health, Institute of Population HealthUniversity of OttawaOttawaCanada
  5. 5.Hospital de Traumatología y Ortopedia “UMAE Magdalena de las Salinas ”, IMSSMexico CityMexico
  6. 6.Mexican Committee for the Prevention of Osteoporosis, COMOPMexico CityMexico
  7. 7.Mexico CityMexico