{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T07:42:20Z","timestamp":1786174940220,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This pilot study aimed to examine the impact of comorbidities on healthcare and long\u2010term care costs following hip fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study utilized electronic medical receipt data from the National Health Insurance and the medical care system for older individuals (aged \u2265\u200975\u2009years) in Sendai City, collected between April 2019 and March 2023. The study included female patients aged \u2265\u200965\u2009years who were newly registered as hip fracture patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091346). The total healthcare and long\u2010term care costs incurred from 12 to 7 months before and 7 to 12 months after fracture were analyzed in groups stratified by comorbidities: dementia, cerebral vascular disease (CVD), and osteoarthrosis (OA).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The total healthcare costs remained largely unchanged between the pre\u2010 and post\u2010fracture periods across all groups, except in the no\u2010comorbidity and dementia\u2009+\u2009CVD\u2009+\u2009OA groups. In the no\u2010comorbidity group, costs significantly increased (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), whereas in the dementia\u2009+\u2009CVD\u2009+\u2009OA group, they significantly decreased (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). In contrast, long\u2010term care costs significantly increased in all groups. Significant differences in long\u2010term care costs were observed among groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Additionally, the presence of dementia was associated with significantly higher long\u2010term care costs 7\u201312\u2009months after hip fracture (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This pilot study involving a small patient group indicated the number and type of comorbidities had a minor effect on healthcare costs. However, the presence of dementia significantly increased long\u2010term care costs following hip fracture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70270","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T11:25:42Z","timestamp":1764329142000},"page":"1878-1883","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Comorbidities on Healthcare and Long\u2010Term Care Costs After Hip Fracture: Analyses of Healthcare and Long\u2010Term Care Insurance Data in Sendai City, Japan"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7928-0014","authenticated-orcid":false,"given":"Shinichi","family":"Nakatoh","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Asahi General Hospital  Toyama Japan"},{"name":"National Database Japan\u2010Osteoporosis Management Study Group, Faculty of Medicine, Department of Public Health Kindai University  Osaka\u2010Sayama City Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Fujimori","sequence":"additional","affiliation":[{"name":"National Database Japan\u2010Osteoporosis Management Study Group, Faculty of Medicine, Department of Public Health Kindai University  Osaka\u2010Sayama City Japan"},{"name":"Department of Health Administration and Policy Tohoku University School of Medicine  Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeyuki","family":"Ishii","sequence":"additional","affiliation":[{"name":"National Database Japan\u2010Osteoporosis Management Study Group, Faculty of Medicine, Department of Public Health Kindai University  Osaka\u2010Sayama City Japan"},{"name":"Department of Regulatory Science, School of Pharmacy Tokyo University of Pharmacy and Life Sciences  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junko","family":"Tamaki","sequence":"additional","affiliation":[{"name":"National Database Japan\u2010Osteoporosis Management Study Group, Faculty of Medicine, Department of Public Health Kindai University  Osaka\u2010Sayama City Japan"},{"name":"Department of Hygiene and Public Health Osaka Medical and Pharmaceutical University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobukazu","family":"Okimoto","sequence":"additional","affiliation":[{"name":"National Database Japan\u2010Osteoporosis Management Study Group, Faculty of Medicine, Department of Public Health Kindai University  Osaka\u2010Sayama City Japan"},{"name":"Okimoto Clinic  Kure City Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumito","family":"Ogawa","sequence":"additional","affiliation":[{"name":"National Database Japan\u2010Osteoporosis Management Study Group, Faculty of Medicine, Department of Public Health Kindai University  Osaka\u2010Sayama City Japan"},{"name":"Department of Geriatric Medicine, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Iki","sequence":"additional","affiliation":[{"name":"National Database Japan\u2010Osteoporosis Management Study Group, Faculty of Medicine, Department of Public Health Kindai University  Osaka\u2010Sayama City Japan"},{"name":"Faculty of Medicine, Department of Public Health Kindai University  Osaka\u2010Sayama City Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"Ministry of Health Labour and Welfare \u201cComprehensive Survey of Living Conditions 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