Approximately 10 million Americans are affected by osteoporosis.2
1 in 2 women and 1 in 4 men in U.S. over the age of 50 will have an osteoporosis-related fracture in their lifetime3,4
Direct medical costs for privately insured patients (ages 18-64) experiencing an osteoporosis-related non-vertebral fracture were Read more
Direct medical costs for privately insured patients (ages 18-64) experiencing an osteoporosis-related non-vertebral fracture were up to $13,801 higher compared to those who did not experience a fracture.5 Read less
Osteoporosis is a bone disease that occurs when the body loses too much bone, makes too little bone, or both. As a result, bones become weak and may break from a fall or, in serious cases, from sneezing or minor bumps.6
Select risk factors for fracture include:7-10
Parental history of hip fracture
Prior fracture as an adult
Low body weight
Low body weight
Chronic steroid use
Low calcium intake
Vitamin D insufficiency
Low calcium intake
Vitamin D insufficiency
Osteoporosis-related fractures can result in substantial clinical, psychological, and social burdens for patients.10-12
Examples of possible physical postfracture complications:
After an osteoporosis-related fracture, some patients may experience:
Over 1,000 hospital admissions per 100,000 person-years from 2000- 2011 occurred due to osteoporosis, and the total cost associated with osteoporosis-related hospitalization exceeded that of myocardial infarction, stroke, or breast cancer.13
Among these hospitalized patients could be employees in your plan.
In a 2010 study comparing privately insured patients that did or did not have an osteoporotic fracture*, fracture patients incurred:5
Despite high direct and indirect costs, treatment rates and adherence to treatment are low, which maintain employer economic exposure to fracture.
Subsequent fractures can cost up to three times more than initial fracture.16
*Data Source: Thomson Reuters MarketScan Commercial Databases 2002-2008.
Make bone health a priority in a full-spectrum approach to women's health.
Assess your organizational exposure to osteoporosis and fracture risk. Evaluate your current efforts, costs, and results to determine if change is needed.
Take a comprehensive approach to management that includes promotion of a healthy lifestyle, access to appropriate treatment, and advanced use of incentives and accountability.
Participate in healthcare coalition meetings to share data and make more informed decisions.
Provide access to your employees for appropriate screening and treatments by aligning your benefit plans to treatment guidelines. Use of appropriate screening techniques and treatment could lead to Read more
Provide access to your employees for appropriate screening and treatments by aligning your benefit plans to treatment guidelines. Use of appropriate screening techniques and treatment could lead to reductions in the economic burden of osteoporosis. Read less
Osteoporosis programs fit well into most existing wellness programs, overlapping with healthy eating, exercising, and smoking/drinking cessation programs.
Osteoporosis education can help your employees better understand risks and make better decisions to protect their bone health.
Implement evidence- based behavior-changing programs designed to improve calcium intake and increase physical activity in employees of all ages, especially women in sedentary occupations.
Better screening/ identification of employees at risk and appropriate treatment could lead to reductions in the economic burden of osteoporosis.
Employer Alert: Osteoporosis in Women
Implications of osteoporosis in the workforce and suggested action steps to help employers manage costs and improve bone health outcomes
Bone Population Health Resources
Visit Amgen's Population Health website for useful resources and examples of improving employee bone health
Link to National Osteoporosis Foundation
Information and resources from the leading organization dedicated to bone health
References: 1. International Osteoporosis Foundation. Invest in your bones Osteoporosis in the Workplace. www.iofbonehealth.org/sites/default/files/PDFs/WOD%20Reports/workplace_report_2002_english.pdf. Accessed May 13, 2020.2. National Osteoporosis Foundation. Osteoporosis Fast Facts. cdn.nof.org/wp-content/uploads/2015/12/Osteoporosis-Fast-Facts.pdf. Accessed May 13, 2020. 3. US Department of Health and Human Services. Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville, MD; 2004.4. National Osteoporosis Foundation. Just for Men. https://www.nof.org/preventing-fractures/general-facts/ just-for-men/. Accessed May 13, 2020. 5. Pike C, Birnbaum HG, Schiller M, Sharma H, Burge R, Edgell ET. Direct and indirect costs of non-vertebral fracture patients with osteoporosis in the US. Pharmacoeconomics. 2010;28:395-409. 6. National Osteoporosis Foundation. What is Osteoporosis and What Causes It? www.nof.org/patients/what-is-osteoporosis/. Accessed May 13, 2020. 7. Comacho PM, Petak SM, Binkley N, et al. American Association of Clinical Endocrinologists and American College of Endocrinology clinical practice guidelines for the diagnosis and treatment of postmenopausal osteoporosis — 2016—executive summary. Endocr Pract. 2016;22(9):1111-1118. 8. Kanis JA. Diagnosis of osteoporosis and assessment of fracture risk. Lancet. 2002;359:1929-1936. 9. Kanis JA, Borgstrom F, De Laet C, et al. Assessment of fracture risk. Osteoporosis Int. 2005;16(6):581-589. 10. Colón-Emeric CS, Saag KG. Osteoporotic fractures in older adults. Best Pract Res Clin Rheumatol. 2006;20(4):695-706. 11. Dempster DW. Osteoporosis and the burden of osteoporosis-related fractures. Am J Manag Care. 2011;17:S164-S169. 12. National Osteoporosis Foundation. Clinician’s Guide to Prevention and Treatment of Osteoporosis. Washington, DC; National Osteoporosis Foundation; 2014. 13. Singer A, Exuzides A, Spangler L, et al. Burden of Illness for Osteoporotic Fractures Compared With Other Serious Diseases Among Postmenopausal Women in the United States. Mayo Clin Proc. 2015;90(1):53-62. 14. Boytsov NN, Crawford AG, Hazel-Fernandez LA, et al. Patient and provider characteristics associated with optimal post-fracture osteoporosis management. Am J Med Qual. 2017;32:644-654. 15. National Institute of Arthritis and Musculoskeletal and Skin Diseases. Once Is Enough: A Guide to Preventing Future Fractures. www.bones.nih.gov/health-info/bone/osteoporosis/fracture#b. Accessed May 13, 2020. 16. Song X, Shi N, Badamgarav E, et al. Cost burden of second fracture in the US Health System. Bone. 2011;48:828-836.