An economic analysis of hormone replacement therapy for the prevention of fracture in young postmenopausal women.

Détails

ID Serval
serval:BIB_26969
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
An economic analysis of hormone replacement therapy for the prevention of fracture in young postmenopausal women.
Périodique
Expert opinion on pharmacotherapy
Auteur(s)
Lamy O., Krieg M.A., Burckhardt P., Wasserfallen J.B.
ISSN
1465-6566
Statut éditorial
Publié
Date de publication
2003
Peer-reviewed
Oui
Volume
4
Numéro
9
Pages
1479-1488
Langue
anglais
Notes
Publication types: Journal Article ; Review - Publication Status: ppublish
Résumé
Osteoporosis is a major public health problem that will become increasingly important as our population ages. It leads to fractures that deeply affect the patients' quality of life. Osteoporosis is recognised as a leading factor in healthcare cost worldwide. For years, experts have recommended hormone replacement therapy (HRT), consisting of oestrogen with or without progestin, as the first-line therapy to prevent bone loss in postmenopausal women. Recently published randomised, controlled trials and well-designed meta-analyses confirm that HRT has both advantages and disadvantages. The advantages include prevention of osteoporotic fractures and colorectal cancer. The disadvantages are the resulting adverse effects such as coronary artery disease, stroke, thromboembolic events, breast cancer and cholecystitis. In the light of these findings, medical associations recommend against the routine use of oestrogen and progestin for the prevention of chronic conditions in postmenopausal women. HRT, administered for the prevention of fractures in all young postmenopausal women, would have an additional cost/year of life gained that is too expensive. However, this strategy seems to be cost-effective when young postmenopausal women at high risk for fractures are selected. Even if this strategy seems attractive, the adverse effects of HRT are not acceptable. This situation implies that other treatments must be found to prevent or treat osteoporosis. Among them, calcium and vitamin D were shown to be cost-saving in osteoporosis and even costs-effective in osteopoenia in young postmenopausal women.
Mots-clé
Age Factors, Cost-Benefit Analysis, Estrogen Replacement Therapy/economics, Estrogens/economics, Estrogens/therapeutic use, Female, Fractures, Bone/drug therapy, Fractures, Bone/etiology, Humans, Osteoporosis, Postmenopausal/complications, Osteoporosis, Postmenopausal/drug therapy, Progestins/economics, Progestins/therapeutic use, Randomized Controlled Trials as Topic
Pubmed
Web of science
Création de la notice
19/11/2007 12:23
Dernière modification de la notice
20/08/2019 13:05
Données d'usage