Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany
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Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany. / Sandmann, Arne; Amling, Michael; Barvencik, Florian; König, Hans-Helmut; Bleibler, Florian.
in: PUBLIC HEALTH NUTR, Jahrgang 20, Nr. 10, 07.2017, S. 1874-1883.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany
AU - Sandmann, Arne
AU - Amling, Michael
AU - Barvencik, Florian
AU - König, Hans-Helmut
AU - Bleibler, Florian
PY - 2017/7
Y1 - 2017/7
N2 - 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.
AB - 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.
U2 - 10.1017/S1368980015003171
DO - 10.1017/S1368980015003171
M3 - SCORING: Journal article
C2 - 26568196
VL - 20
SP - 1874
EP - 1883
JO - PUBLIC HEALTH NUTR
JF - PUBLIC HEALTH NUTR
SN - 1368-9800
IS - 10
ER -