Health service use and quality of life recovery 12‐months following major osteoporotic fracture: latent class analyses of the International Costs and Utilities Related to Osteoporotic Fractures Study (ICUROS)

Talevski, Jason, Sanders, Kerrie M., Busija, Ljoudmila, Beauchamp, Alison, Duque, Gustavo, Borgström, Fredrik, Kanis, John A., Svedbom, Axel, Connaughton, Catherine, Stuart, Amanda L. and Brennan‐Olsen, Sharon L. 2021, Health service use and quality of life recovery 12‐months following major osteoporotic fracture: latent class analyses of the International Costs and Utilities Related to Osteoporotic Fractures Study (ICUROS), Journal of Bone and Mineral Research, vol. 36, no. 2, February 2021, pp. 252-261, doi: 10.1002/jbmr.4181.

Attached Files
Name Description MIMEType Size Downloads

Title Health service use and quality of life recovery 12‐months following major osteoporotic fracture: latent class analyses of the International Costs and Utilities Related to Osteoporotic Fractures Study (ICUROS)
Author(s) Talevski, Jason
Sanders, Kerrie M.
Busija, Ljoudmila
Beauchamp, AlisonORCID iD for Beauchamp, Alison orcid.org/0000-0001-6555-6200
Duque, Gustavo
Borgström, Fredrik
Kanis, John A.
Svedbom, Axel
Connaughton, Catherine
Stuart, Amanda L.ORCID iD for Stuart, Amanda L. orcid.org/0000-0001-8770-9511
Brennan‐Olsen, Sharon L.
Journal name Journal of Bone and Mineral Research
Volume number 36
Issue number 2
Season February 2021
Start page 252
End page 261
Total pages 10
Publisher Wiley-Blackwell Publishing
Place of publication Hoboken, N.J.
Publication date 2021-02
ISSN 0884-0431
1523-4681
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Endocrinology & Metabolism
AGING
FRACTURES
HEALTH SERVICES RESEARCH
OSTEOPOROSIS
QUALITY OF LIFE
FRAGILITY FRACTURES
HIP
PREVENTION
MORTALITY
RISK
AGING, FRACTURES
Summary Major osteoporotic fractures (MOFs) are associated with a rapid decline in health‐related quality of life (HRQoL); however, there is limited knowledge about which healthcare services positively affect HRQoL postfracture. This study aimed to identify specific combinations of health service use associated with recovery of HRQoL 12 months post‐MOF. The analyses included 4126 adults aged ≥50 years with an MOF (1657 hip, 1354 distal forearm, 681 vertebrae, 434 humerus) participating in the International Costs and Utilities Related to Osteoporotic fractures Study (ICUROS), a multinational observational study (Australia, Austria, Estonia, France, Italy, Lithuania, Mexico, Russia, Spain, United Kingdom, and United States). HRQoL at prefracture and 12 months postfracture was measured using the EuroQoL questionnaire (EQ‐5D‐3L). Health service use data were collected via participant interviews and medical record reviews including in‐hospital care; outpatient care; community services; and medication use. Data analyses involved two stages: (i) latent class analyses to identify different combinations of health service use (“classes”); and (ii) logistic regression to assess effects of classes on HRQoL recovery. Analyses were repeated excluding hip fractures (non‐hip MOFs). Overall, 2057 MOF participants (49.9%) recovered to their prefracture HRQoL at 12‐month follow‐up; this proportion was higher for non‐hip MOFs (n = 1439; 58.3%). Several distinct classes were identified across countries (range, 2–5 classes). Classes that were associated with increased odds of HRQoL recovery were characterized by a combination of hospital presentations without admission; outpatient department visits; allied health visits; vitamin D/calcium supplementation; and/or non‐opioid analgesic use. Similar classes were observed for non‐hip MOFs. Understanding country‐specific healthcare service pathways that influence greater recovery of HRQoL, particularly services that are uncommon in some countries and routine in others, could improve postfracture care on a global scale.
Language eng
DOI 10.1002/jbmr.4181
Indigenous content off
Field of Research 06 Biological Sciences
09 Engineering
11 Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, American Society for Bone and Mineral Research (ASBMR)
Persistent URL http://hdl.handle.net/10536/DRO/DU:30143792

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 2 times in TR Web of Science
Scopus Citation Count Cited 2 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 25 Abstract Views, 1 File Downloads  -  Detailed Statistics
Created: Mon, 19 Oct 2020, 08:28:05 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.