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dc.contributor.authorCuschieri, Sarah
dc.contributor.authorGrech, Stephan
dc.contributor.authorGatt, Ray
dc.date.accessioned2016-04-20T07:32:02Z
dc.date.available2016-04-20T07:32:02Z
dc.date.issued2016
dc.identifier.citationMalta Medical Journal. 2016, Vol. 28(1), p. 4-11en_GB
dc.identifier.urihttps://www.um.edu.mt/library/oar//handle/123456789/9713
dc.description.abstractIntroduction: Osteoporotic hip fractures are common in elderly. There is increased risk of sustaining other fractures that incur financial burden on the health system. Prescription of bisphosphonates after osteoporotic hip fracture surgery has been shown to reduce the overall incidence of re-fractures. Methods: All osteoporotic hip fractures treated surgically in Mater Dei Hospital in the year 2011 were analysed in this observational retrospective study. The inclusion criteria were all primary osteoporotic hip fractures. The initiation, or not, of anti-osteoporotic treatment upon discharge from hospital was reviewed. The mortality and re-fracture rate of this cohort was reviewed for a period of 3 years. The cost of hospitalization for hip fracture and re-fractures was calculated based on local health services costs and compared to the benefits of providing a free bisphosphonate medication to each patient. Results: The osteoporotic hip fracture care pathway did not include initiation of anti-osteoporotic therapy after operations. A re-fracture rate of 11.7% over three years predominantly in female patients was observed. In the first year following hip fracture, an estimated direct medical health expenditure due to re-fractures was of €37,642.55 - €48,835.19. Conclusion: Prescribing a bisphosphonate has been found to reduce both the re-fracture and mortality rates. In our study, a bisphosphonate prescription could have reduced the all cause mortality rate of 25.3% to 15.18% over the first year of hip fracture, as well as reduced the financial and social burden incurred due to a re-fracture.en_GB
dc.language.isoenen_GB
dc.publisherMalta Medical Journalen_GB
dc.rightsinfo:eu-repo/semantics/openAccessen_GB
dc.subjectBones -- Diseasesen_GB
dc.subjectPublic health -- Maltaen_GB
dc.subjectMedical care, Cost of -- Maltaen_GB
dc.subjectDiphosphonates -- Therapeutic useen_GB
dc.titleBisphosphonates : a cost benefit analysis patienten_GB
dc.typearticleen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.description.reviewedpeer-revieweden_GB
Appears in Collections:MMJ, Volume 28, Issue 1
MMJ, Volume 28, Issue 1
Scholarly Works - FacM&SAna

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