Osteoporos Int (2017) 28:2733–2734 DOI 10.1007/s00198-017-4055-7 LETTER Sustainable affordability of Otago exercise in the US healthcare system 1,2 1,2 1,2 X. Liu & A. H. Villamagna & J. W. Yoo Received: 9 March 2017 /Accepted: 12 April 2017 /Published online: 18 May 2017 International Osteoporosis Foundation and National Osteoporosis Foundation 2017 Dear Editor, Otago exercise in the US healthcare system: (1) necessity of Mori et al. analyzed the cost-effectiveness of the Otago exer- re-certification of the plan of care by physician or mid-level cise program in US community-dwelling white elderly wom- practitioner every 90 days; (2) lack of reimbursement for tele- en  and found that at ages 75 and 80, the combination of phone calls from the physical therapist and for the weights patients need to participate; and (3) potential patient co- bisphosphonates and Otago exercise was more cost effective in preventing osteoporotic fracture than either strategy alone. payment burdens. As the Otago exercise was previously stud- In this letter, we identify areas for further consideration. ied in New Zealand and Canada where public insurance is In the supplement, authors assumed 42% of women invited available, these barriers have not been previously considered to the exercise program ultimately
Osteoporosis International – Springer Journals
Published: May 18, 2017
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