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Incidence rates were calculated using data from Statistics Netherlands. The associated direct health care costs, costs for lost productivity, and years lived with disability (YLD) were calculated using data from a questionnaire.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In the 4-year study period, a total of 32,124 patients were registered of which 19,885 (61.9%) required hospitalization with a mean duration of 7.7\u00a0days. The incidence rate for the total cohort was 47.1 per 100,000 person years and increased with age. The mean associated direct health care costs were \u20ac6785 per patient and showed a sharp increase after the age of 75\u00a0years. The mean duration of work absence was 44.2\u00a0days with associated mean indirect costs for lost productivity of \u20ac22,886 per patient. The mean YLD was 0.35\u00a0years and decreased with age.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Rib fractures are common and associated with lengthy HLOS and work absenteeism as well as high direct and indirect costs which appear to be similar between patients with one or multiple rib fractures and mostly affected by admitted patients and age.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00068-021-01662-8","type":"journal-article","created":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T18:02:53Z","timestamp":1618250573000},"page":"3601-3612","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Trends in incidence rate, health care use, and costs due to rib fractures in the Netherlands"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5782-9520","authenticated-orcid":false,"given":"Jonne T. 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