Improved use of databases may save billions of euro in well being care prices

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Improved use of databases could save billions of euro in health care costs

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According to researchers at Lero, the SFI Research Center for Software, the years of suffering and billions of dollars in global healthcare costs caused by bone fractures associated with osteoporosis could be eliminated with the help of big data to reach vulnerable patients.

A study of 36,590 patients who had bone mineral density scans performed in the west of Ireland between January 2000 and November 2018 found that many fractures are potentially preventable by identifying those at greatest risk before they break and a proven, safe and inexpensive effectiveness is initiated interventions.

The multidisciplinary study, led by Leros Prof. John J. Carey, Consultant Medical and Rheumatology, Galway University Hospital, Mary Dempsey, Mechanical Engineering, and Dr. Attracta Brennan, Computer Science, National University of Ireland, Galway, has just been published in the British Medical Journal.

The Irish HIP (Health Informatics Prediction) project on bone mineral density (Dual Energy Energy X-Ray Absorptiometry) is now planning to evaluate the current diagnostic classification and risk prediction algorithms for osteoporosis and fractures, according to Prof. Carey.

"This will identify which predictors are most important to Irish people at risk of osteoporosis and develop new, accurate, and personalized risk forecasting tools that use the large, multicenter, longitudinal follow-up cohort.

"In addition, the dataset can be used to evaluate and potentially aid the assessment and management of other chronic conditions such as cardiovascular disease, cancer and other diseases due to the large number of variables collected in this project," he added .

Prof. Carey points out that while Ireland has one of the highest rates of osteoporosis in the world, there is currently no national public or government policy to meet the health needs of osteoporotic fractures, and costs are rising rapidly.

"In Ireland, days in public hospital beds have increased by almost 50% over the past decade as osteoporotic fractures and heart attacks, cancer, diabetes and many other diseases that are receiving much more attention are more numerous," he added.

"Preliminary estimates suggest that the number of fragility fractures and post-fracture deaths in Irish adults aged 50 and over in 2020 was similar to or higher than the numbers with COVID infection. However, there is no daily report on the number of those tested, hospitalized or after subsequent deaths Use of this and other data could help fill these gaps, "he added.

Prof. Carey Says There Is A Global Osteoporosis Health Crisis, With Predictions Of American Medical Costs Associated With Osteoporotic Fractures, Including Loss Of Productivity And Spending On Care, To $ 94 Billion Annually By 2040 should exceed.

For example, according to Prof. Carey, previous studies in 2010 showed that around 43,000 deaths in Europe were caused by fractures, while spending on osteoporosis exceeded EUR 37 billion. "A modest 5% reduction in these costs would result in annual savings of EUR 1.85 billion at 2010 prices," he added.

"We now have large sets of data around the world, similar to the ones used in our study. Inexpensive, innovative forms of data retrieval such as artificial intelligence (AI) enable the timely identification and treatment of patients who are prone to osteoporotic fractures. There will be many opportunities to achieve better patient outcomes and save billions of dollars, "he added.

Prof. Carey believes this collaboration between clinicians, big data scientists, engineers and computer scientists in Ireland, the UK and China will help leverage innovation, critical thinking and international partnerships to accelerate their program and opportunities.

Lero's director, Professor Brian Fitzgerald, said the use of AI planned by Professor Carey and his team shows how software development initiatives can directly affect people's lives on a fundamental level. Lero is a world leader in research into connected health and human performance.

"If Lero's work can help alleviate suffering, improve patient outcomes, and free up resources, then we're doing the work we were founded to do, and it's very rewarding for everyone involved," he added.

Medicare spends more than $ 6 billion on secondary fractures

More information:
Erjiang E et al. The Irish Dual Energy X-ray Absorptiometry (DXA) Health Informatics Prediction (HIP) for Osteoporosis Project, BMJ Open (2020). DOI: 10.1136 / bmjopen-2020-040488

Provided by
Science Foundation Ireland

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