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Costs and quality of life associated with osteoporosis related fractures - Results from a Swedish survey


  • Zethraeus, Niklas

    () (Dept. of Economics, Stockholm School of Economics)

  • Borgström, Fredrik

    () (Stockholm Health Economics AB)

  • Johnell, Olof

    (Department of Orthopaedics, Malmö General Hospital)

  • Kanis, John

    (Centre for Metabolic Bone Diseases (WHO Collaborating Centre))

  • Önnby, Karin

    (Department of Orthopaedics, Malmö General Hospital)

  • Jönsson, Bengt

    () (Dept. of Economics, Stockholm School of Economics)


There are few studies investigating the consequences of osteoporotic (low bone density) fractures in terms of costs and health outcomes. The purpose of this Swedish pilot study is to assess the costs and quality of life related to fractures of the hip, spine, wrist and shoulder and further to identify important cost items that should be included in future studies in this area. Data were collected using a questionnaire administered by a nurse at Malmö University Hospital. The costs are collected based on a societal perspective and include both direct and indirect costs. Health effects were measured by the EuroQol questionnaire, rating scale method and the SF-36. The total costs varied between SEK 23 000 for a wrist fracture and SEK 63 000 for a hip fracture. Although that the response rate is low the cost and quality of life related to hip fracture are close to the results presented in other studies. The major new finding is that spine fractures are associated with higher costs and lower quality of life than previously assumed. Future studies must include a sufficient number of patients in order to obtain reliable cost and health effect estimates after osteoporotic fractures in general and after spine fractures in particular. Such studies will provide important inputs for health economic evaluations assessing the cost-effectiveness of the treatment and prevention of osteoporosis.

Suggested Citation

  • Zethraeus, Niklas & Borgström, Fredrik & Johnell, Olof & Kanis, John & Önnby, Karin & Jönsson, Bengt, 2002. "Costs and quality of life associated with osteoporosis related fractures - Results from a Swedish survey," SSE/EFI Working Paper Series in Economics and Finance 512, Stockholm School of Economics.
  • Handle: RePEc:hhs:hastef:0512

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    Cited by:

    1. Zethraeus, Niklas & Borgström, Fredrik & Jönsson, Bengt & Kanis, John, 2004. "A reassessment of the cost-effectiveness of hormone replacement therapy in Sweden – results based on the Women’s Health Initiative randomised controlled trial," SSE/EFI Working Paper Series in Economics and Finance 571, Stockholm School of Economics.

    More about this item


    costs; fracture; osteoporosis; quality of life;

    JEL classification:

    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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