Loading...
Osteoporosis in Europe : A compendium of country-specific reports
Willers, Carl Norton, Nicholas Harvey, Nicholas C. Jacobson, Trolle Johansson, Helena Lorentzon, Mattias McCloskey, Eugene V. Borgström, Fredrik Kanis, John A. the SCOPE review panel of the IOF
Willers, Carl
Norton, Nicholas
Harvey, Nicholas C.
Jacobson, Trolle
Johansson, Helena
Lorentzon, Mattias
McCloskey, Eugene V.
Borgström, Fredrik
Kanis, John A.
the SCOPE review panel of the IOF
Abstract
Summary
This report describes epidemiology, burden, and treatment of osteoporosis in each of the 27 countries of the European Union plus Switzerland and the UK (EU 27+2).
Introduction
The aim of this report was to characterize the burden of osteoporosis in each of the countries of the European Union plus Switzerland and the UK in 2019 and beyond.
Methods
The data on fracture incidence and costs of fractures in the EU27+2 was taken from a concurrent publication in this journal (SCOPE 2021: a new scorecard for osteoporosis in Europe) and country-specific information extracted. The information extracted covered four domains: burden of osteoporosis and fractures; policy framework; service provision; and service uptake.
Results
The clinical and economic burden of osteoporotic fractures in 2019 is given for each of the 27 countries of the EU plus Switzerland and the UK. Each domain was ranked and the country performance set against the scorecard for all nations studied. Data were also compared with the first SCOPE undertaken in 2010. Fifteen of the 16 score card metrics on healthcare provision were used in the two surveys. Scores had improved or markedly improved in 15 countries, remained constant in 8 countries and worsened in 3 countries. The average treatment gap increased from 55% in 2010 to 71% in 2019. Overall, 10.6 million women who were eligible for treatment were untreated in 2010. In 2019, this number had risen to 14.0 million.
Conclusions
In spite of the high cost of osteoporosis, a substantial treatment gap and projected increase of the economic burden driven by aging populations, the use of pharmacological prevention of osteoporosis has decreased in recent years, suggesting that a change in healthcare policy concerning the disease is warranted.
Keywords
epidemiology, fracture, economic burden, European Union, treatment, health technology assessment
Date
2022
Type
Journal article
Journal
Archives of Osteoporosis
Book
Volume
17
Issue
1
Page Range
1-129
Article Number
Article 23
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open