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Table 3 Comparison of fracture characteristics and healthcare resource utilization between groups (follow-up period; raloxifene subgroup)

From: Fracture risk and healthcare resource utilization and costs among osteoporosis patients with type 2 diabetes mellitus and without diabetes mellitus in Japan: retrospective analysis of a hospital claims database

 

Unadjusted

Matched

Characteristic

All (N = 1367)

T2DM (N = 668)

Non-DM (N = 699)

P value

All (N = 478)

T2DM (N = 239)

Non-DM (N = 239)

P value

Fractures

 Patients with clinical fracturesa, n (%)

189 (13.8)

96 (14.4)

93 (13.3)

0.568

61 (12.8)

29 (12.1)

32 (13.4)

0.681

 Number of days to first fracture, mean (SD)

440.8 (258.9)

398.2 (250.9)

484.8 (261)

0.499b

423.7 (248.7)

381.9 (244)

461.6 (250.6)

0.717b

 Patients with non-vertebral fractures, n (%)

148 (10.8)

79 (11.8)

69 (9.9)

0.245

51 (10.7)

24 (10.0)

27 (11.3)

0.657

Resource utilization

 BMD test, n (%)

634 (46.4)

239 (35.8)

395 (56.5)

<0.001

232 (48.5)

96 (40.2)

136 (56.9)

<0.001

 Bone formation test, n (%)

86 (6.3)

35 (5.2)

51 (7.3)

0.117

29 (6.1)

14 (5.9)

15 (6.3)

0.848

 Bone resorption test, n (%)

157 (11.5)

60 (9.0)

97 (13.9)

0.005

54 (11.3)

26 (10.9)

28 (11.7)

0.773

 Osteoporosis-related testsc (post-baseline), n (%)

1029 (75.3)

488 (73.1)

541 (77.4)

0.063

364 (76.2)

178 (74.5)

186 (77.8)

0.391

 Osteoporosis-related testsc (post-baseline), mean per patient (SD)

2.863 (3.031)

2.867 (3.157)

2.86 (2.909)

0.966

2.747 (2.698)

2.816 (2.745)

2.678 (2.654)

0.576

 Hospital admissions, n (%)

383 (28.0)

243 (36.4)

140 (20.0)

<0.001

129 (27.0)

79 (33.1)

50 (20.9)

0.003

 Hospital admissions, mean per patient (SD)

0.49 (1.053)

0.668 (1.246)

0.32 (0.791)

<0.001

0.416 (0.849)

0.49 (0.839)

0.343 (0.855)

0.059

 Days in hospital, mean (SD)

9.306 (29.13)

12.69 (35.26)

6.076 (21.23)

<0.001

8.073 (30.44)

9.586 (34.95)

6.561 (25.13)

0.278

 Outpatient visits, n (%)

1367 (100.0)

668 (100.0)

699 (100.0)

-

478 (100.0)

239 (100.0)

239 (100.0)

-

 Outpatient visits, mean per patient (SD)

32.72 (38.37)

38.61 (39.44)

27.09 (36.47)

<0.001

30.59 (34.09)

31.84 (23.96)

29.34 (41.85)

0.424

 Laboratory tests, n (%)

268 (19.6)

162 (24.3)

106 (15.2)

<0.001

88 (18.4)

55 (23.0)

33 (13.8)

0.009

 Laboratory tests, mean per patient (SD)

37.93 (127.3)

50.91 (151.9)

25.53 (96.77)

<0.001

27.54 (79.15)

36.03 (91.74)

19.05 (63.21)

0.019

 Total cost in JPY, mean (SD)

750,000 (1,560,000)

1,010,000 (1,800,000)

500,000 (1,230,000)

<0.001

589,000 (1,170,000)

665,000 (980,000)

513,000 (1,340,000)

0.158

 Total cost in JPY, median

240,000

396,000

144,000

 

215,000

314,000

150,000

<0.001d

  1. Abbreviations: BMD bone mineral density, DM diabetes mellitus, JPY Japanese Yen, SD standard deviation, T2DM type 2 diabetes mellitus
  2. aClinical fractures include vertebral and non-vertebral fractures
  3. bP value from Log Rank test
  4. cOsteoporosis-related tests include bone formation tests, bone resorption tests, imaging tests, and bone mineral density measurements
  5. dP value from Wilcoxon Rank Sum test