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Osteoporosis Screening Tables |
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Osteoporosis Screening
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| Burden of Disease |
Prevalence of Osteoporosis
29% of American women 65 years and older have osteoporosis.1 |
Incidence of Fractures
2,000,000 osteoporotic fractures occur each year among women ages 65 and older. Of these, 325,000 are hip fractures.2 |
| Effectiveness |
2% of osteoporotic fractures could be prevented by screening, given the effectiveness of therapy and expected rates of long-term compliance with therapy.3 |
| Improvability |
National delivery rates for this service are not available at this time. |
| Cost4 |
Annual Per Person Medical Cost of Service: $70 |
| Annual Per Person Medical Cost of Savings: $14 |
| Annual Net Costs: $56 |
| % of Service Cost Recovered in Long Run: 20% |
Sources and Footnotes:
1. Osteoporosis among estrogen-deficient women--United States, 1988-1994. MMWR Morb Mortal Wkly Rep 1998 Nov 20;47(45):969-73.
2. Estimated by applying US population estimate by age group to fracture rates reported in Kanis JA, Johnell O, Oden A, et al. The risk and burden of vertebral fractures in Sweden. Osteoporos Int 2004 Jan;15(1):20-6.
3. Refer to the technical report on screening for osteoporosis for a fuller discussion of these data and references.
4. Five notes on costs and savings: 1) Costs and savings are expressed in year 2005 dollars. 2) Costs and savings are expressed as the per person cost per year over the recommended age range to facilitate use in estimating long-term budget impact. 3) Costs and savings are not discounted to facilitate use in estimating long-term budget impact. As a result, they are not comparable to estimates that would be used in formal cost-effectiveness analysis. Services that are cost-saving from a budgetary perspective may not be cost-saving in an economic analysis that discounts future events to their present value. 4) Costs and savings reflect non-adherence and the recommended frequency of delivery. Therefore, services with less frequent intervals or with lower adherence would have a lower cost than an otherwise identical service. 5) Costs reflect both initial preventive service costs (such as screening and counseling) and necessary follow-up costs such as diagnostic testing, pharmacotherapy, and intensive interventions for weight loss.
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Prevalence of Osteoporosis among
Estrogen-deficient Women*
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| Population |
% |
| Total |
17.1 |
| Age Group |
|
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<65
|
5.7 |
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>65
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29.3 |
| Race/Ethnicity |
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Non-HispanicWhite
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18.7 |
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Other
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11.6 |
| Education |
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Less than high school
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19.6 |
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High school or more
|
15.0 |
| Poverty Level |
|
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At or below
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19.8 |
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Above
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15.8 |
Source: Osteoporosis among estrogen-deficient women--United States, 1988-1994. MMWR Morb Mortal Wkly Rep 1998 Nov 20;47(45):969-73.
*Included women with natural or surgically induced menopause and who had never used exogenous hormones. This definition encompasses a population slightly different than the USPSTF target population.
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