Osteoporosis International

, Volume 18, Issue 1, pp 77–84 | Cite as

Epidemiology, treatment and costs of osteoporosis in Germany—the BoneEVA Study

  • B. Häussler
  • H. Gothe
  • D. Göl
  • G. Glaeske
  • L. Pientka
  • D. Felsenberg
Original Article

Abstract

Introduction

In Germany, accurate data on the prevalence and treatment of osteoporosis, as well as the cost of this illness, are not available. The aim of this study is to give a valid estimation of these items for the year 2003.

Methods

Routine data from a German sickness fund covering 1.5 million beneficiaries and billing data for outpatient visits were used to obtain estimates of prevalence for osteoporosis. Claims data for patients with osteoporosis (M80, M81) or an osteoporosis-related fracture diagnosis (S22, S32, S42, S52, S72, S82) or treatment with anti-osteoporosis drugs were examined. Costs were calculated from the perspective of the German health insurance system and the German nursing care insurance system, respectively. Only direct costs of osteoporosis were considered.

Results

In 2003, 7.8 million Germans (6.5 million women) were affected by osteoporosis. Of them, 4.3% experienced at least one clinical fracture. Only 21.7% were treated with an anti-osteoporosis drug. The total direct costs attributable to osteoporosis amounted to €5.4 billion.

Conclusion

This study confirms that osteoporosis is underdiagnosed, undertreated and imposes a considerable economic burden on the health system in Germany. Effective strategies for the prevention and management of this disease are needed.

Keywords

Bisphosphonates Costs Germany Osteoporosis Prevalence 

Notes

Acknowledgement

This study was supported by an unrestricted grant from Hoffmann-LaRoche and GlaxoSmithKline.

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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2006

Authors and Affiliations

  • B. Häussler
    • 1
  • H. Gothe
    • 1
  • D. Göl
    • 1
  • G. Glaeske
    • 2
  • L. Pientka
    • 3
  • D. Felsenberg
    • 4
  1. 1.IGES Institute for Healthcare and Social Research Ltd.BerlinGermany
  2. 2.Institute of Public Health and Nursing Research, Faculty 11: Human and Health SciencesUniversity of BremenBremenGermany
  3. 3.Department of Geriatrics, School of MedicineUniversity of BochumBochumGermany
  4. 4.Centre of Muscle and Bone Research, Campus Benjamin FranklinCharité—Universitätsmedizin BerlinBerlinGermany

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