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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Non-hip, non-spine fractures drive healthcare utilization following a fracture: the Global Longitudinal study of Osteoporosis in Women (GLOW)</title><author><name sortKey="Ioannidis, G" sort="Ioannidis, G" uniqKey="Ioannidis G" first="G." last="Ioannidis">G. Ioannidis</name></author><author><name sortKey="Flahive, J" sort="Flahive, J" uniqKey="Flahive J" first="J." last="Flahive">J. Flahive</name></author><author><name sortKey="Pickard, L" sort="Pickard, L" uniqKey="Pickard L" first="L." last="Pickard">L. Pickard</name></author><author><name sortKey="Papaioannou, A" sort="Papaioannou, A" uniqKey="Papaioannou A" first="A." last="Papaioannou">A. Papaioannou</name></author><author><name sortKey="Chapurlat, R D" sort="Chapurlat, R D" uniqKey="Chapurlat R" first="R. D." last="Chapurlat">R. D. Chapurlat</name></author><author><name sortKey="Saag, K G" sort="Saag, K G" uniqKey="Saag K" first="K. G." last="Saag">K. G. Saag</name></author><author><name sortKey="Silverman, S" sort="Silverman, S" uniqKey="Silverman S" first="S." last="Silverman">S. Silverman</name></author><author><name sortKey="Anderson, F A" sort="Anderson, F A" uniqKey="Anderson F" first="F. A." last="Anderson">F. A. Anderson</name></author><author><name sortKey="Gehlbach, S H" sort="Gehlbach, S H" uniqKey="Gehlbach S" first="S. H." last="Gehlbach">S. H. Gehlbach</name></author><author><name sortKey="Hooven, F H" sort="Hooven, F H" uniqKey="Hooven F" first="F. H." last="Hooven">F. H. Hooven</name></author><author><name sortKey="Boonen, S" sort="Boonen, S" uniqKey="Boonen S" first="S." last="Boonen">S. Boonen</name></author><author><name sortKey="Compston, J E" sort="Compston, J E" uniqKey="Compston J" first="J. E." last="Compston">J. E. Compston</name></author><author><name sortKey="Cooper, C" sort="Cooper, C" uniqKey="Cooper C" first="C." last="Cooper">C. Cooper</name></author><author><name sortKey="Diez Perez, A" sort="Diez Perez, A" uniqKey="Diez Perez A" first="A." last="Díez-Perez">A. Díez-Perez</name></author><author><name sortKey="Greenspan, S L" sort="Greenspan, S L" uniqKey="Greenspan S" first="S. L." last="Greenspan">S. L. Greenspan</name></author><author><name sortKey="Lacroix, A Z" sort="Lacroix, A Z" uniqKey="Lacroix A" first="A. Z." last="Lacroix">A. Z. Lacroix</name></author><author><name sortKey="Lindsay, R" sort="Lindsay, R" uniqKey="Lindsay R" first="R." last="Lindsay">R. Lindsay</name></author><author><name sortKey="Netelenbos, J C" sort="Netelenbos, J C" uniqKey="Netelenbos J" first="J. C." last="Netelenbos">J. C. Netelenbos</name></author><author><name sortKey="Pfeilschifter, J" sort="Pfeilschifter, J" uniqKey="Pfeilschifter J" first="J." last="Pfeilschifter">J. Pfeilschifter</name></author><author><name sortKey="Rossini, M" sort="Rossini, M" uniqKey="Rossini M" first="M." last="Rossini">M. Rossini</name></author><author><name sortKey="Roux, C" sort="Roux, C" uniqKey="Roux C" first="C." last="Roux">C. Roux</name></author><author><name sortKey="Sambrook, P N" sort="Sambrook, P N" uniqKey="Sambrook P" first="P. N." last="Sambrook">P. N. Sambrook</name></author><author><name sortKey="Siris, E S" sort="Siris, E S" uniqKey="Siris E" first="E. S." last="Siris">E. S. Siris</name></author><author><name sortKey="Watts, N B" sort="Watts, N B" uniqKey="Watts N" first="N. B." last="Watts">N. B. Watts</name></author><author><name sortKey="Adachi, J D" sort="Adachi, J D" uniqKey="Adachi J" first="J. D." last="Adachi">J. D. Adachi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22525976</idno><idno type="pmc">4878124</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4878124</idno><idno type="RBID">PMC:4878124</idno><idno type="doi">10.1007/s00198-012-1968-z</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002068</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002068</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Non-hip, non-spine fractures drive healthcare utilization following a fracture: the Global Longitudinal study of Osteoporosis in Women (GLOW)</title><author><name sortKey="Ioannidis, G" sort="Ioannidis, G" uniqKey="Ioannidis G" first="G." last="Ioannidis">G. Ioannidis</name></author><author><name sortKey="Flahive, J" sort="Flahive, J" uniqKey="Flahive J" first="J." last="Flahive">J. Flahive</name></author><author><name sortKey="Pickard, L" sort="Pickard, L" uniqKey="Pickard L" first="L." last="Pickard">L. Pickard</name></author><author><name sortKey="Papaioannou, A" sort="Papaioannou, A" uniqKey="Papaioannou A" first="A." last="Papaioannou">A. Papaioannou</name></author><author><name sortKey="Chapurlat, R D" sort="Chapurlat, R D" uniqKey="Chapurlat R" first="R. D." last="Chapurlat">R. D. Chapurlat</name></author><author><name sortKey="Saag, K G" sort="Saag, K G" uniqKey="Saag K" first="K. G." last="Saag">K. G. Saag</name></author><author><name sortKey="Silverman, S" sort="Silverman, S" uniqKey="Silverman S" first="S." last="Silverman">S. Silverman</name></author><author><name sortKey="Anderson, F A" sort="Anderson, F A" uniqKey="Anderson F" first="F. A." last="Anderson">F. A. Anderson</name></author><author><name sortKey="Gehlbach, S H" sort="Gehlbach, S H" uniqKey="Gehlbach S" first="S. H." last="Gehlbach">S. H. Gehlbach</name></author><author><name sortKey="Hooven, F H" sort="Hooven, F H" uniqKey="Hooven F" first="F. H." last="Hooven">F. H. Hooven</name></author><author><name sortKey="Boonen, S" sort="Boonen, S" uniqKey="Boonen S" first="S." last="Boonen">S. Boonen</name></author><author><name sortKey="Compston, J E" sort="Compston, J E" uniqKey="Compston J" first="J. E." last="Compston">J. E. Compston</name></author><author><name sortKey="Cooper, C" sort="Cooper, C" uniqKey="Cooper C" first="C." last="Cooper">C. Cooper</name></author><author><name sortKey="Diez Perez, A" sort="Diez Perez, A" uniqKey="Diez Perez A" first="A." last="Díez-Perez">A. Díez-Perez</name></author><author><name sortKey="Greenspan, S L" sort="Greenspan, S L" uniqKey="Greenspan S" first="S. L." last="Greenspan">S. L. Greenspan</name></author><author><name sortKey="Lacroix, A Z" sort="Lacroix, A Z" uniqKey="Lacroix A" first="A. Z." last="Lacroix">A. Z. Lacroix</name></author><author><name sortKey="Lindsay, R" sort="Lindsay, R" uniqKey="Lindsay R" first="R." last="Lindsay">R. Lindsay</name></author><author><name sortKey="Netelenbos, J C" sort="Netelenbos, J C" uniqKey="Netelenbos J" first="J. C." last="Netelenbos">J. C. Netelenbos</name></author><author><name sortKey="Pfeilschifter, J" sort="Pfeilschifter, J" uniqKey="Pfeilschifter J" first="J." last="Pfeilschifter">J. Pfeilschifter</name></author><author><name sortKey="Rossini, M" sort="Rossini, M" uniqKey="Rossini M" first="M." last="Rossini">M. Rossini</name></author><author><name sortKey="Roux, C" sort="Roux, C" uniqKey="Roux C" first="C." last="Roux">C. Roux</name></author><author><name sortKey="Sambrook, P N" sort="Sambrook, P N" uniqKey="Sambrook P" first="P. N." last="Sambrook">P. N. Sambrook</name></author><author><name sortKey="Siris, E S" sort="Siris, E S" uniqKey="Siris E" first="E. S." last="Siris">E. S. Siris</name></author><author><name sortKey="Watts, N B" sort="Watts, N B" uniqKey="Watts N" first="N. B." last="Watts">N. B. Watts</name></author><author><name sortKey="Adachi, J D" sort="Adachi, J D" uniqKey="Adachi J" first="J. D." last="Adachi">J. D. Adachi</name></author></analytic><series><title level="j">Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA</title><idno type="ISSN">0937-941X</idno><idno type="eISSN">1433-2965</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Summary</title><p id="P1">We evaluated healthcare utilization associated with treating different fracture types in over 51,000 women aged ≥55 years. Over the course of 1 year, there were five times more non-hip, non-spine fractures than hip or spine fractures, resulting in twice as many days of hospitalization and rehabilitation/nursing home care for non-hip, non-spine fractures.</p></sec><sec id="S2"><title>Purpose</title><p id="P2">To evaluate the medical healthcare utilization associated with treating several types of fractures in women aged 55 years or older from various geographic regions.</p></sec><sec id="S3"><title>Methods</title><p id="P3">Information from the Global Longitudinal study of Osteoporosis in Women (GLOW) was collected via self-administered patient questionnaires at baseline and year 1 (<italic>n</italic>=51,491). Self-reported clinically recognized low-trauma fractures at year 1 were classified as incident spine, hip, wrist/hand, arm/shoulder, pelvis, rib, leg, and other fractures. Healthcare utilization data were self-reported and included whether the fracture was treated at a doctor’s office/clinic or at a hospital. Patients were also asked if they had undergone surgery or been treated at a rehabilitation center or nursing home.</p></sec><sec id="S4"><title>Results</title><p id="P4">Over the 1-year study period, there were 195 spine, 134 hip, and 1,654 non-hip, non-spine fractures. In the GLOW cohort, clinical vertebral fractures resulted in 617 days of hospitalization and 512 days of rehabilitation/nursing home care, while hip fractures accounted for 1,306 days of hospitalization and 1,650 days of rehabilitation/nursing home care. Of particular interest is the result that non-hip, non-spine fractures resulted in 3,805 days in hospital and 5,186 days of rehabilitation/nursing home care.</p></sec><sec id="S5"><title>Conclusions</title><p id="P5">While hip and vertebral fractures are well recognized for their associated increase in health resource utilization, non-hip, non-spine fractures, by virtue of their 5-fold greater number, require significantly more healthcare resources.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9100105</journal-id><journal-id journal-id-type="pubmed-jr-id">2061</journal-id><journal-id journal-id-type="nlm-ta">Osteoporos Int</journal-id><journal-id journal-id-type="iso-abbrev">Osteoporos Int</journal-id><journal-title-group><journal-title>Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA</journal-title></journal-title-group><issn pub-type="ppub">0937-941X</issn><issn pub-type="epub">1433-2965</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22525976</article-id><article-id pub-id-type="pmc">4878124</article-id><article-id pub-id-type="doi">10.1007/s00198-012-1968-z</article-id><article-id pub-id-type="manuscript">NIHMS786628</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Non-hip, non-spine fractures drive healthcare utilization following a fracture: the Global Longitudinal study of Osteoporosis in Women (GLOW)</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ioannidis</surname><given-names>G.</given-names></name><aff id="A1">St. Joseph’s Hospital, McMaster University, 501-25 Charlton Ave E, Hamilton, ON L8N 1Y2, Canada</aff></contrib><contrib contrib-type="author"><name><surname>Flahive</surname><given-names>J.</given-names></name><aff id="A2">Center for Outcomes Research, University of Massachusetts Medical School, Worcester, MA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Pickard</surname><given-names>L.</given-names></name><aff id="A3">St. Joseph’s Hospital, McMaster University, 501-25 Charlton Ave E, Hamilton, ON L8N 1Y2, Canada</aff></contrib><contrib contrib-type="author"><name><surname>Papaioannou</surname><given-names>A.</given-names></name><aff id="A4">St. Joseph’s Hospital, McMaster University, 501-25 Charlton Ave E, Hamilton, ON L8N 1Y2, Canada</aff></contrib><contrib contrib-type="author"><name><surname>Chapurlat</surname><given-names>R. D.</given-names></name><aff id="A5">Division of Rheumatology, INSERM UMR 1033, Université de Lyon, Hospices Civils de Lyon, Hôpital E Herriot, Lyon, France</aff></contrib><contrib contrib-type="author"><name><surname>Saag</surname><given-names>K. G.</given-names></name><aff id="A6">University of Alabama-Birmingham, Birmingham, AL, USA</aff></contrib><contrib contrib-type="author"><name><surname>Silverman</surname><given-names>S.</given-names></name><aff id="A7">Department of Rheumatology, Cedars-Sinai Medical Center, Los Angeles, CA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Anderson</surname><given-names>F. A.</given-names><suffix>Jr</suffix></name><aff id="A8">Center for Outcomes Research, University of Massachusetts Medical School, Worcester, MA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Gehlbach</surname><given-names>S. H.</given-names></name><aff id="A9">Center for Outcomes Research, University of Massachusetts Medical School, Worcester, MA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Hooven</surname><given-names>F. H.</given-names></name><aff id="A10">Center for Outcomes Research, University of Massachusetts Medical School, Worcester, MA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Boonen</surname><given-names>S.</given-names></name><aff id="A11">Leuven University Center for Metabolic Bone Diseases, Division of Geriatric Medicine, Katholieke Universiteit Leuven, Leuven, Belgium</aff></contrib><contrib contrib-type="author"><name><surname>Compston</surname><given-names>J. E.</given-names></name><aff id="A12">University of Cambridge School of Clinical Medicine, Addenbrooke’s Hospital, Cambridge, UK</aff></contrib><contrib contrib-type="author"><name><surname>Cooper</surname><given-names>C.</given-names></name><aff id="A13">MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK</aff></contrib><contrib contrib-type="author"><name><surname>Díez-Perez</surname><given-names>A.</given-names></name><aff id="A14">Hospital del Mar-IMIM-Autonomous University of Barcelona, Barcelona; and RETICEF, ISCIII Madrid; Spain</aff></contrib><contrib contrib-type="author"><name><surname>Greenspan</surname><given-names>S. L.</given-names></name><aff id="A15">University of Pittsburgh, Pittsburgh, PA, USA</aff></contrib><contrib contrib-type="author"><name><surname>LaCroix</surname><given-names>A. Z.</given-names></name><aff id="A16">Fred Hutchinson Cancer Research Center, Seattle, WA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Lindsay</surname><given-names>R.</given-names></name><aff id="A17">Regional Bone Center, Helen Hayes Hospital, West Haverstraw, NY, USA</aff></contrib><contrib contrib-type="author"><name><surname>Netelenbos</surname><given-names>J. C.</given-names></name><aff id="A18">Department of Endocrinology, VU University Medical Center, Amsterdam, The Netherlands</aff></contrib><contrib contrib-type="author"><name><surname>Pfeilschifter</surname><given-names>J.</given-names></name><aff id="A19">Department of Internal Medicine III, Alfried Krupp Krankenhaus, Essen, Germany</aff></contrib><contrib contrib-type="author"><name><surname>Rossini</surname><given-names>M.</given-names></name><aff id="A20">Section of Rheumatology, Department of Medicine, University of Verona, Verona, Italy</aff></contrib><contrib contrib-type="author"><name><surname>Roux</surname><given-names>C.</given-names></name><aff id="A21">Paris Descartes University, Cochin Hospital, Paris, France</aff></contrib><contrib contrib-type="author"><name><surname>Sambrook</surname><given-names>P. N.</given-names></name><aff id="A22">University of Sydney-Royal North Shore Hospital, St Leonards, Sydney, NSW, Australia</aff></contrib><contrib contrib-type="author"><name><surname>Siris</surname><given-names>E. S.</given-names></name><aff id="A23">Columbia University Medical Center, New York, NY, USA</aff></contrib><contrib contrib-type="author"><name><surname>Watts</surname><given-names>N. B.</given-names></name><aff id="A24">Bone Health and Osteoporosis Center, University of Cincinnati, Cincinnati, OH, USA</aff></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Adachi</surname><given-names>J. D.</given-names></name><email>jd.adachi@sympatico.ca</email><aff id="A25">St. Joseph’s Hospital, McMaster University, 501-25 Charlton Ave E, Hamilton, ON L8N 1Y2, Canada, Tel: (905) 529-1317, Fax: (905) 521-1297</aff></contrib><on-behalf-of>for the GLOW Investigators</on-behalf-of></contrib-group><pub-date pub-type="nihms-submitted"><day>17</day><month>5</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>12</day><month>4</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>1</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>24</day><month>5</month><year>2016</year></pub-date><volume>24</volume><issue>1</issue><fpage>59</fpage><lpage>67</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s00198-012-1968-z</pmc-comment>
<abstract><sec id="S1"><title>Summary</title><p id="P1">We evaluated healthcare utilization associated with treating different fracture types in over 51,000 women aged ≥55 years. Over the course of 1 year, there were five times more non-hip, non-spine fractures than hip or spine fractures, resulting in twice as many days of hospitalization and rehabilitation/nursing home care for non-hip, non-spine fractures.</p></sec><sec id="S2"><title>Purpose</title><p id="P2">To evaluate the medical healthcare utilization associated with treating several types of fractures in women aged 55 years or older from various geographic regions.</p></sec><sec id="S3"><title>Methods</title><p id="P3">Information from the Global Longitudinal study of Osteoporosis in Women (GLOW) was collected via self-administered patient questionnaires at baseline and year 1 (<italic>n</italic>=51,491). Self-reported clinically recognized low-trauma fractures at year 1 were classified as incident spine, hip, wrist/hand, arm/shoulder, pelvis, rib, leg, and other fractures. Healthcare utilization data were self-reported and included whether the fracture was treated at a doctor’s office/clinic or at a hospital. Patients were also asked if they had undergone surgery or been treated at a rehabilitation center or nursing home.</p></sec><sec id="S4"><title>Results</title><p id="P4">Over the 1-year study period, there were 195 spine, 134 hip, and 1,654 non-hip, non-spine fractures. In the GLOW cohort, clinical vertebral fractures resulted in 617 days of hospitalization and 512 days of rehabilitation/nursing home care, while hip fractures accounted for 1,306 days of hospitalization and 1,650 days of rehabilitation/nursing home care. Of particular interest is the result that non-hip, non-spine fractures resulted in 3,805 days in hospital and 5,186 days of rehabilitation/nursing home care.</p></sec><sec id="S5"><title>Conclusions</title><p id="P5">While hip and vertebral fractures are well recognized for their associated increase in health resource utilization, non-hip, non-spine fractures, by virtue of their 5-fold greater number, require significantly more healthcare resources.</p></sec></abstract><kwd-group><kwd>Osteoporosis</kwd><kwd>Healthcare utilization</kwd><kwd>Geographic region</kwd><kwd>Healthcare services</kwd><kwd>Fracture</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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