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The Burden of OSTEOPOROSIS in West Virginia

Contents
Exec. Sum.
Overview
Detection
Risk Factors
Prevention and Treatment
WV Prevalence
NOF Prevalence
Fractures Model
Hospitalizations
WV and US
Costs
Appendix A
Appendix B
Appendix C
Appendix D
References

OSTEOPOROSIS-RELATED HOSPITALIZATIONS

Comparison of Osteoporosis-Related Hospitalizations, WV and US

The report by Ray et al cited previously entitled "Medical Expenditures for the Treatment of Osteoporotic Fractures in the United States in 1995" examined the economic consequences of osteoporosis on the national level (3). The same NOF methodology was used in that report to determine osteoporosis attribution probabilities as was applied in the present study (detailed in Appendix D), allowing a comparison between selected West Virginia and United States osteoporosis-related hospitalization data. Osteoporosis-attributable hip fractures accounted for a higher percentage of total osteoporotic fractures and related hospitalization charges in West Virginia than in the U.S. as a whole, reflecting the state's older population. For the same reason, women represented a slightly higher proportion of patients with osteoporotic fractures in the state than in the nation. The average length of stay nationally was somewhat longer than that estimated for the state (9.6 days versus 8.9 days). The greatest difference in osteoporosis-related hospitalizations between West Virginia and the United States was the estimated average in-patient charge per hospitalization: $19,873 in the U.S. as a whole, compared to $10,801 in West Virginia. These data are presented on the following page.

SELECTED DATA ON OSTEOPOROSIS-RELATED HOSPITALIZATIONS* West Virginia (1996) vs. United States (1995)
  West Virginia United States
Total Number (Est.) 3,944 432,448
% Fractures by Site
% Hip 60.5% 57.0%
% Vertebral 6.5% 6.8%
% Forearm 2.2% 3.1%
% All Other Sites 30.8% 33.0%
Gender
Female 80.5% 78.9%
Male19.5% 21.1%
Average Length of Stay 8.9 days 9.6 days
Total In-Patient Charges $42,600,000 $8,594,000,000
% In-Patient Charges by Site
% Hip 66.3% 64.9%
% Vertebral 4.3% 6.7%
% Forearm 1.4% 2.1%
% All Other Sites 28.1% 26.3%
*Estimates derived using National Osteoporosis Foundation methodology.

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Health Statistics Center (HSC)
Office of Epidemiology and Health Promotion (OEHP)
Bureau for Public Health (BPH)
Department of Health and Human Resources (DHHR)
State of West Virginia (WV)

This page was last updated 03/28/02.
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