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The direct and indirect costs of osteoporosis in the Iranian population: an economic analysis from a social perspective.

作者信息

Ravangard Ramin, Izadi Mohsen, Dabbaghmanesh Mohammad Hossein, Goudarzi Zahra, Rezaee Mehdi, Keshavarz Khosro

机构信息

Health Human Resources Research Centre, Department of Health Services Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Expert Rev Pharmacoecon Outcomes Res. 2025 Sep 16:1-7. doi: 10.1080/14737167.2025.2561022.

DOI:10.1080/14737167.2025.2561022
PMID:40934449
Abstract

BACKGROUND

Osteoporosis is a systemic skeletal disease and has a high prevalence in Iran. This study aimed to calculate the economic burden of osteoporosis in patients referred to the Shahid Motahari Clini in 2023.

RESEARCH DESIGN AND METHODS

This was a cost-of-illness study conducted cross-sectionally from a societal perspective in Shiraz in 2023. Overall, 252 patients were examined through a census approach. Prevalence-based and bottom-up approach were employed. Cost data were obtained using information from patient record, as well as based on the patients' self-reports. The human capital approach was used to calculate the indirect costs.

RESULTS

The annual cost of this disease per patient was $5,223 PPP. The largest share was attributed to direct medical costs (42.75%), with hospitalization costs accounting for the highest proportion of these expenses (53.93%). The shares of direct non-medical costs and indirect costs were 38.51% and 18.74%, respectively. Furthermore, the economic burden of the disease in the country for this year was estimated at $15,749,838,044 PPP.

CONCLUSIONS

According to the results, osteoporosis can impose a significant economic burden on society, the patients, and their families. It is recommended to manage treatment strategies, implement preventive measures, and use better insurance coverage for osteoporosis medications to reduce the costs.

摘要

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