Cost-Effectiveness of Osteoporosis Interventions for ‘Incidental’ Vertebral Fractures

Vertebral fractures detected “incidentally” by chest radiograph usually do not trigger osteoporosis treatment in older patients.

Background

Vertebral fractures detected “incidentally” by chest radiograph usually do not trigger osteoporosis treatment in older patients. In a 3-arm controlled trial we reported that both physician-directed and enhanced (physician plus patient activation) interventions increased treatment rates more than 10-fold (15%-20% absolute increases) compared with usual care; the cost-effectiveness of these interventions is unknown.

Sumit R. Majumdar, MD, MPHcorrespondencePress enter key for correspondence informationemailPress enter key to Email the author, Douglas A. Lier, MA, Finlay A. McAlister, MD, MSc, Brian H. Rowe, MD, MSc, Kerry Siminoski, MD, David A. Hanley, MD, Anthony S. Russell, MD, Jeffrey A. Johnson, PhD

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