Cost-effectiveness of Osteoporosis Screening in Women over 40 Years old

Abstract:     Introduction: Osteoporosis is a disease recognized by bone density reduction, and is particularly common among older women which impose them to fractures. The evidence shows that if do not serious conflict with this issue, in the far little future, huge costs will be imposed o...

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Autores principales: Nahid Hatam, fereshte keshavarzi, elham Aflaki, mehrdad askarian
Formato: article
Lenguaje:EN
Publicado: Tehran University of Medical Sciences 2021
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Acceso en línea:https://doaj.org/article/23e2b42f420140bfb18c4ef8b286e5b7
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Sumario:Abstract:     Introduction: Osteoporosis is a disease recognized by bone density reduction, and is particularly common among older women which impose them to fractures. The evidence shows that if do not serious conflict with this issue, in the far little future, huge costs will be imposed on individuals, families and the country. In this study we studied the cost-effectiveness of osteoporosis screening in women over 40 years of age in Shiraz in 2016.   Methods: This cross-sectional study was performed on 240 persons who were screened and 240 non-screened persons in bone mineral density ward of Shiraz Namazi Hospital. The costs were identified and from the perspective of the insurer and the payer, which included only direct health care costs. To measure the effectiveness, use of indicators as quality-adjusted life-years (QALY), the expected cost and effectiveness, and the Incremental cost-effectiveness ratio were calculated. Results: The results showed that non screening is the best strategy. Given that the amount of ICER was obtained at $38484.56 and the threshold. As a result, the non screening method compared to screening is cost-effectiveness. Conclusion: The relevant authorities and proficients should prevent the progression of disease complications and consequently prevent the increase of the disease cost and improving the quality of life of the patients.