Title of article :
Cost-Effectiveness of Osteoporosis Screening in Women Over 40-Year-Old
Author/Authors :
Keshavarzi, Fereshte Department of Health Administration, School of Management and Information Sciences - Shiraz University of Medical Sciences, Shiraz , Aflaki, Elham Department of Internal Medicine - School of Medicine - Shiraz University of Medical Sciences, Shiraz , Askarian, Mehrdad Department of Community Medicine - School of Medicine - Shiraz University of Medical Sciences, Shiraz , Hatam, Nahid Department of Health Administration, School of Management and Information Sciences - Shiraz University of Medical Sciences, Shiraz
Abstract :
- Osteoporosis is a disease recognized by bone density reduction and is particularly common among
older women, which imposes them to fractures. The evidence shows that if do no serious conflict with this
issue, in the far little future, huge costs will be imposed on individuals, families, and the country. In this study,
we studied the cost-effectiveness of osteoporosis screening in women over 40 years of age in Shiraz in 2016.
This cross-sectional study was performed on 240 persons who were screened and 240 non-screened persons in
the bone mineral density ward of Shiraz Namazi Hospital. The costs were identified and from the perspective
of the insurer and the payer, which included only direct health care costs. To measure the effectiveness, the use
of indicators as quality-adjusted life-years (QALY), the expected cost and effectiveness, and the Incremental
cost-effectiveness ratio were calculated. The results showed that non-screening is the best strategy, given that
the amount of ICER was obtained at $38484.56 and the threshold. As a result, the non-screening method
compared to screening is cost-effective. The relevant authorities and proficients should prevent the progression
of disease complications and consequently prevent the increase of the disease cost and improve the quality of
life of the patients.
Keywords :
Osteoporosis , Cost-effectiveness , Screening
Journal title :
Acta Medica Iranica