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Trends in incidence and costs of injuries to the shoulder, arm and wrist in The Netherlands between 1986 and 2008.

Polinder S, Iordens GI, Panneman MJ, Eygendaal D, Patka P, Den Hartog D, Van Lieshout EM - BMC Public Health (2013)

Bottom Line: An incidence-based cost model was applied in order to estimate associated direct health care costs in 2007.Major cost peaks were observed for fractures in elderly women due to high incidence and costs per patient.Females with upper extremity fractures and especially elderly women with wrist fractures accounted for a substantial share of total costs.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.

ABSTRACT

Background: Upper extremity injuries account for a large proportion of attendances to the Emergency Department. The aim of this study was to assess population-based trends in the incidence of upper extremity injuries in the Dutch population between 1986 and 2008, and to give a detailed overview of the associated health care costs.

Methods: Age-standardized incidence rates of upper extremity injuries were calculated for each year between 1986 and 2008. The average number of people in each of the 5-year age classes for each year of the study was calculated and used as the standard (reference) population. Injury cases were extracted from the National Injury Surveillance System (non-hospitalized patients) and the National Medical Registration (hospitalized patients). An incidence-based cost model was applied in order to estimate associated direct health care costs in 2007.

Results: The overall age-adjusted incidence of upper extremity injuries increased from 970 to 1,098 per 100,000 persons (13%). The highest incidence was seen in young persons and elderly women. Total annual costs for all injuries were 290 million euro, of which 190 million euro were paid for injuries sustained by women. Wrist fractures were the most expensive injuries (83 million euro) due to high incidence, whereas upper arm fractures were the most expensive injuries per case (4,440 euro). Major cost peaks were observed for fractures in elderly women due to high incidence and costs per patient.

Conclusions: The overall incidence of upper extremity injury in the Netherlands increased by 13% in the period 1986-2008. Females with upper extremity fractures and especially elderly women with wrist fractures accounted for a substantial share of total costs.

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Age-adjusted incidence (per 100,000 person-years) of the shoulder (A-B), arm (C-D) and wrist (E-F) by age. Data for 2007 are shown. Data are shown for males (A, C, E) and females (B, D, F) separately.
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Figure 3: Age-adjusted incidence (per 100,000 person-years) of the shoulder (A-B), arm (C-D) and wrist (E-F) by age. Data for 2007 are shown. Data are shown for males (A, C, E) and females (B, D, F) separately.

Mentions: The relatively high incidence of upper extremity injuries among boys (aged 10 – 14 year) was mainly attributable to wrist fractures; 1,157 per 100,000 person-years (Figure 3); dislocations and fractures of the shoulder/clavicle were also abundant. Most upper extremity injuries in older women resulted in a fracture, mainly in the wrist and to a lesser extent also in the upper arm (Figures 2B and 3). Superficial injuries/contusions were the most abundant injury in the arm region (32% in males, 33% in females), followed by fractures of the forearm (21% and 20%). Fracture injuries were mainly observed injury in the wrist and shoulder areas and were seen in 61% and 41% of the injuries to the wrist and shoulder, respectively. Wrist fractures occurred more frequently in females than in males (290 versus 206 per 100,000). During the study period, the incidence of wrist fractures increased by 24% in males and by 10% in females.


Trends in incidence and costs of injuries to the shoulder, arm and wrist in The Netherlands between 1986 and 2008.

Polinder S, Iordens GI, Panneman MJ, Eygendaal D, Patka P, Den Hartog D, Van Lieshout EM - BMC Public Health (2013)

Age-adjusted incidence (per 100,000 person-years) of the shoulder (A-B), arm (C-D) and wrist (E-F) by age. Data for 2007 are shown. Data are shown for males (A, C, E) and females (B, D, F) separately.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750605&req=5

Figure 3: Age-adjusted incidence (per 100,000 person-years) of the shoulder (A-B), arm (C-D) and wrist (E-F) by age. Data for 2007 are shown. Data are shown for males (A, C, E) and females (B, D, F) separately.
Mentions: The relatively high incidence of upper extremity injuries among boys (aged 10 – 14 year) was mainly attributable to wrist fractures; 1,157 per 100,000 person-years (Figure 3); dislocations and fractures of the shoulder/clavicle were also abundant. Most upper extremity injuries in older women resulted in a fracture, mainly in the wrist and to a lesser extent also in the upper arm (Figures 2B and 3). Superficial injuries/contusions were the most abundant injury in the arm region (32% in males, 33% in females), followed by fractures of the forearm (21% and 20%). Fracture injuries were mainly observed injury in the wrist and shoulder areas and were seen in 61% and 41% of the injuries to the wrist and shoulder, respectively. Wrist fractures occurred more frequently in females than in males (290 versus 206 per 100,000). During the study period, the incidence of wrist fractures increased by 24% in males and by 10% in females.

Bottom Line: An incidence-based cost model was applied in order to estimate associated direct health care costs in 2007.Major cost peaks were observed for fractures in elderly women due to high incidence and costs per patient.Females with upper extremity fractures and especially elderly women with wrist fractures accounted for a substantial share of total costs.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.

ABSTRACT

Background: Upper extremity injuries account for a large proportion of attendances to the Emergency Department. The aim of this study was to assess population-based trends in the incidence of upper extremity injuries in the Dutch population between 1986 and 2008, and to give a detailed overview of the associated health care costs.

Methods: Age-standardized incidence rates of upper extremity injuries were calculated for each year between 1986 and 2008. The average number of people in each of the 5-year age classes for each year of the study was calculated and used as the standard (reference) population. Injury cases were extracted from the National Injury Surveillance System (non-hospitalized patients) and the National Medical Registration (hospitalized patients). An incidence-based cost model was applied in order to estimate associated direct health care costs in 2007.

Results: The overall age-adjusted incidence of upper extremity injuries increased from 970 to 1,098 per 100,000 persons (13%). The highest incidence was seen in young persons and elderly women. Total annual costs for all injuries were 290 million euro, of which 190 million euro were paid for injuries sustained by women. Wrist fractures were the most expensive injuries (83 million euro) due to high incidence, whereas upper arm fractures were the most expensive injuries per case (4,440 euro). Major cost peaks were observed for fractures in elderly women due to high incidence and costs per patient.

Conclusions: The overall incidence of upper extremity injury in the Netherlands increased by 13% in the period 1986-2008. Females with upper extremity fractures and especially elderly women with wrist fractures accounted for a substantial share of total costs.

Show MeSH
Related in: MedlinePlus