Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany
Beteiligte Einrichtungen
Abstract
OBJECTIVE: The study evaluates the economic benefit of population-wide vitamin D and Ca food fortification in Germany.
DESIGN: Based on a spreadsheet model, we compared the cost of a population-wide vitamin D and Ca food-fortification programme with the potential cost savings from prevented fractures in the German female population aged 65 years and older.
SETTING: The annual burden of disease and the intervention cost were assessed for two scenarios: (i) no food fortification; and (ii) voluntary food fortification with 20 µg (800 IU) of cholecalciferol (vitamin D3) and 200 mg of Ca. The analysis considered six types of fractures: hip, clinical vertebral, humerus, wrist, other femur and pelvis.
SUBJECTS: Subgroups of the German population defined by age and sex.
RESULTS: The implementation of a vitamin D and Ca food-fortification programme in Germany would lead to annual net cost savings of €315 million and prevention of 36 705 fractures in the target population.
CONCLUSIONS: Vitamin D and Ca food fortification is an economically beneficial preventive health strategy that has the potential to reduce the future health burden of osteoporotic fractures in Germany. The implementation of a vitamin D and Ca food-fortification programme should be a high priority for German health policy makers because it offers substantial cost-saving potential for the German health and social care systems.
Bibliografische Daten
Originalsprache | Englisch |
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ISSN | 1368-9800 |
DOIs | |
Status | Veröffentlicht - 07.2017 |
PubMed | 26568196 |
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