Health economics: direct cost of osteoporotic hip fracture in Egypt—an analysis for the Egyptian healthcare system by the Egyptian Academy of Bone Health

Egyptian Rheumatology and Rehabilitation - Tập 50 - Trang 1-8 - 2023
Yasser El Miedany1, Maha El Gaafary2, Naglaa Gadallah3, Safaa Mahran4, Nihal Fathi4, Mohammed Hassan Abu-Zaid5, Samar abd Alhamed Tabra5, Radwa H. Shalaby5, Belal Abdelrafea6, Waleed Hassan7, Osama Farouk8, Mahmoud Nafady9, Ahmed Mohamed Farghaly10, Shereef Ibrahim Mohamed Ibrahim10, Mohamed Abdelfattah Ali11, Karim Mohamed Elmaradny12, Sally Eskandar Saber Eskandar13, Walaa Elwakil14
1Canterbury Christ Church University, England, UK
2Community and Public Health, Ain Shams University, Cairo, Egypt
3Rheumatology and Rehabilitation, Ain Shams University, Cairo, Egypt
4Rheumatology and Rehabilitation, Assiut University, Assiut, Egypt
5Rheumatology and Rehabilitation, Tanta University, Tanta, Egypt
6Orthopaedics—Elmogamma Elteby Hospital, Tanta, Egypt
7Rheumatology and Rehabilitation, Benha University, Benha, Egypt
8Orthopedic Surgery and Traumatology, Assiut University, Assiut, Egypt
9Orthopedic Surgery and Traumatology, Alexandria University, Alexandria, Egypt
10Faculty of Pharmacy, Ain Shams University, Cairo, Egypt
11Faculty of Pharmacy, Cairo University, Giza, Egypt
12Faculty of Pharmacy, Alexandria University, Alexandria, Egypt
13Faculty of Pharmacy, Misr University for Science and Technology, 6Th of October City, Egypt
14Rheumatology and Rehabilitation, Alexandria University, Alexandria, Egypt

Tóm tắt

This work studies the direct cost of hip fractures in Egypt. The direct cost was calculated based on the incidence of hip fracture in Egypt retrieved from the national database. The result of this work raises red flags to the policy makers in Egypt that such fragility fractures are preventable, should appropriate approaches be implemented. This study provides an analysis for the healthcare system in Egypt. It was carried out to assess the direct annual cost incurred to the Egyptian healthcare system in 2023 as a result of fragility hip fractures in older adult Egyptians. The direct costs of hip fractures incurred during the first year after the injury were estimated at 1,969,385,000 Egyptian pounds (US $63,734,142.4). Time from fracture to surgery was 2.2 + 0.5 days. The average hospital stay after hip fracture surgery was 5.2 + 2.6 days. 4.5% of patients died after surgery, on average 2.3 + 0.4 months. After being discharged from the hospital, all patients needed home care. Hip fractures have a significant clinical and financial impact on patients and the healthcare system. This study raises red flags for the healthcare policy makers in Egypt, as the financial burden due to the direct costs of hip fractures justifies extensive prevention programs for osteoporosis and fragility fractures. There is an urgent need to implement diagnostic approaches and validated management protocols for bone health disorders and its associated fractures in Egypt.

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Egyptian Rheumatology and Rehabilitation

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