دورية أكاديمية
Trends in incidence, health care use and costs for subtrochanteric femur fractures in the Netherlands 2000-2019.
العنوان: | Trends in incidence, health care use and costs for subtrochanteric femur fractures in the Netherlands 2000-2019. |
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المؤلفون: | Zeelenberg ML; Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands., Van Lieshout EMM; Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands. Electronic address: e.vanlieshout@erasmusmc.nl., Polinder S; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands., Panneman MJM; Consumer Safety Institute, Amsterdam, the Netherlands., Verhofstad MHJ; Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands., Den Hartog D; Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands. |
المصدر: | Injury [Injury] 2024 Apr; Vol. 55 (4), pp. 111461. Date of Electronic Publication: 2024 Feb 28. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0226040 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0267 (Electronic) Linking ISSN: 00201383 NLM ISO Abbreviation: Injury Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2002->: Amsterdam : Elsevier Original Publication: Bristol, Wright. |
مواضيع طبية MeSH: | Hip Fractures*/epidemiology, Male ; Humans ; Female ; Incidence ; Netherlands/epidemiology ; Femur ; Health Care Costs |
مستخلص: | Objective: This study aimed to provide population based trends in incidence rate, hospital length of stay (HLOS), trauma mechanism, and costs for healthcare and lost productivity of subtrochanteric femur fractures in the Netherlands. Methods: Data on patients with subtrochanteric femur fractures sustained between January 1, 2000 and December 31, 2019 were extracted from the National Medical Registration of the Dutch Hospital Database. Incidence rates, HLOS, health care and productivity costs were calculated in sex- and age-specific groups. Results: A total of 14,399 patients sustained a subtrochanteric fracture in the 20-year study period. Incidence rates in the entire population dropped by 15.5 % from 4.5 to 3.8 per 100,000 person years (py). This decline was larger in women (6.4 to 5.2 per 100,000 py, -19.8 %) than in men (2.6 to 2.5 per 100,000 py, -4.0 %). HLOS declined by 62.5 % from a mean of 21.6 days in 2000-2004 to 8.1 days in 2015-2019. Subtrochanteric fractures were associated with total annual costs of €15.5 M, of which 91 % (€14.1 M) were health care costs and €1.3 M were costs due to lost productivity. Mean healthcare costs per case were lower in men (€16,394) than in women (€23,154). Conclusion: The incidence rates and HLOS of subtrochanteric fractures in the Netherlands have decreased in the 2000-2019 study period and subtrochanteric fractures are associated with a relatively small total annual cost of €15.5 M. Increasing incidence rates and a bimodal age distribution, described in previous studies from other European countries, were not found in the Dutch population. Competing Interests: Declaration of competing interest Miliaan L. Zeelenberg, Esther M.M. Van Lieshout, Suzanne Polinder, Martien J. M. Panneman, Michael H. J. Verhofstad, and Dennis Den Hartog declare they did not receive support from any organization for the submitted work and have no competing interests to declare that are relevant to the content of this article. (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.) |
فهرسة مساهمة: | Keywords: Health care costs; Hlos; Incidence; Lost productivity; Subtrochanteric fracture |
تواريخ الأحداث: | Date Created: 20240308 Date Completed: 20240319 Latest Revision: 20240319 |
رمز التحديث: | 20240319 |
DOI: | 10.1016/j.injury.2024.111461 |
PMID: | 38457999 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1879-0267 |
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DOI: | 10.1016/j.injury.2024.111461 |