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Non-hip, non-spine fractures drive healthcare utilization following a fracture: the Global Longitudinal Study of Osteoporosis in Women (GLOW).

  • Author(s): Ioannidis, G;
  • Flahive, J;
  • Pickard, L;
  • Papaioannou, A;
  • Chapurlat, RD;
  • Saag, KG;
  • Silverman, S;
  • Anderson, FA;
  • Gehlbach, SH;
  • Hooven, FH;
  • Boonen, S;
  • Compston, JE;
  • Cooper, C;
  • Díez-Perez, A;
  • Greenspan, SL;
  • Lacroix, AZ;
  • Lindsay, R;
  • Netelenbos, JC;
  • Pfeilschifter, J;
  • Rossini, M;
  • Roux, C;
  • Sambrook, PN;
  • Siris, ES;
  • Watts, NB;
  • Adachi, JD;
  • GLOW Investigators
  • et al.

Published Web Location
No data is associated with this publication.


We evaluated healthcare utilization associated with treating fracture types in >51,000 women aged ≥55 years. Over the course of 1 year, there were five times more non-hip, non-spine fractures than hip or spine fractures, resulting in twice as many days of hospitalization and rehabilitation/nursing home care for non-hip, non-spine fractures.


The purpose of this study is to evaluate medical healthcare utilization associated with treating several types of fractures in women ≥55 years from various geographic regions.


Information from the Global Longitudinal Study of Osteoporosis in Women (GLOW) was collected via self-administered patient questionnaires at baseline and year 1 (n = 51,491). Self-reported clinically recognized low-trauma fractures at year 1 were classified as incident spine, hip, wrist/hand, arm/shoulder, pelvis, rib, leg, and other fractures. Healthcare utilization data were self-reported and included whether the fracture was treated at a doctor's office/clinic or at a hospital. Patients were asked if they had undergone surgery or been treated at a rehabilitation center or nursing home.


During 1-year follow-up, there were 195 spine, 134 hip, and 1,654 non-hip, non-spine fractures. Clinical vertebral fractures resulted in 617 days of hospitalization and 512 days of rehabilitation/nursing home care; hip fractures accounted for 1,306 days of hospitalization and 1,650 days of rehabilitation/nursing home care. Non-hip, non-spine fractures resulted in 3,805 days in hospital and 5,186 days of rehabilitation/nursing home care.


While hip and vertebral fractures are well recognized for their associated increase in health resource utilization, non-hip, non-spine fractures, by virtue of their 5-fold greater number, require significantly more healthcare resources.

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