Current trends and future projections of hip fracture in South Korea using nationwide claims data

Ha, Yong Chan; Kim, T.-Y.; Lee, A.; Lee, Y.-K.; Kim, H.-Y.; Kim, J.-H.; Park, C.-M.; Jang, Sunmee

doi:10.1007/s00198-016-3576-9

Cited by 86 publications

(78 citation statements)

References 39 publications

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“…Osteoporosis-related fractures were identified using certain ICD-10 codes and site-specific physician claims for procedures. [10111213] Fractures were identified on the basis of selected ICD-10 codes for hip (ICD-10 codes S72.0 [fracture of the femoral neck], S72.1 [pertrochanteric fracture] and seven procedures [open reduction of fractured extremity-femur, closed pinning-femur, external fixation-pelvis/femur, closed reduction of fractured extremity-pelvis/femur, bone traction, skin traction, hemiarthroplasty-hip]); spine (S22.0 [fracture of the thoracic spine], S22.1 [multiple fractures of the thoracic spine], S32.0 [fracture of the lumbar spine], M48.4 [fatigue fracture of vertebra] and M48.5 [collapsed vertebra]); distal radius (S52.5 [fracture of the distal radius] and S52.6 [combined fracture of the distal radius/ulna]); humerus (S42.2 [fracture of the proximal humerus] and S42.3 [fracture of shaft of humerus]); and overall fractures. [9] The date of earliest qualifying fracture code was considered the index date.…”

Section: Methodsmentioning

confidence: 99%

Healthcare Costs of Osteoporotic Fracture in Korea: Information from the National Health Insurance Claims Database, 2008-2011

Kim

et al. 2017

J Bone Metab

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BackgroundThe present study estimated healthcare costs of osteoporotic fractures including spine, hip, distal radius and humerus in Koreans over 50 years of age using national claims data.MethodsKorea National Health Insurance data between 2008 and 2011 was searched for all claims records of outpatient visits or hospital admissions of patients ≥50-year-of-age. Osteoporosis-related fractures were identified using certain the International Classification of Diseases, Tenth Revision codes and site-specific physician claims for procedures in a patient age cut-off value of 50 years. The healthcare costs included acute phase costs accounting for emergency medical care given immediately after fracture, costs due to further hospitalization and surgical procedures, physiotherapy sessions according to the site of the fracture, and outpatient visits in the year after discharge.ResultsThe total estimated healthcare costs of osteoporotic fractures in 2011 was $722 million. From 2008 to 2011, the total number and healthcare costs of osteoporotic fractures increased 28.9% (from 127,070 to 163,823) and 31.6% (from $549 million to $722 million), respectively. The portion of national health care expenditure was ranged from 2.3% in 2008 to 2.2% in 2011. The mean healthcare cost of osteoporotic fractures per person increased 2.1% from $4,321 in 2008 to $4,410 in 2011.The mean healthcare costs were highest for hip fractures followed by spine, humerus, and distal radius fractures.ConclusionsTotal Healthcare costs of osteoporotic fractures in South Koreans ≥50-year-of-age increased between 2008 and 2011. This trend will likely continue, which is an important health problem in the elderly population and economically.

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Section: Methodsmentioning

confidence: 99%

Healthcare Costs of Osteoporotic Fracture in Korea: Information from the National Health Insurance Claims Database, 2008-2011

Kim

et al. 2017

J Bone Metab

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“…[123] Although the mortality rate after osteoporotic fractures is either decreasing or maintaining a steady trend, residual disability after a fracture is still remains a major concern. [234]…”

Section: Introductionmentioning

confidence: 99%

Health-related Quality of Life in Accordance with Fracture History and Comorbidities in Korean Patients with Osteoporosis

Kwon

Yoo

2016

J Bone Metab

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BackgroundThe purpose of this study was to explore health-related quality of life (HRQOL) among Korean patients with osteoporosis and to measure the impact of fractures and comorbidity on their quality of life (QOL) using the Korean National Health and Nutrition Examination Survey (KNHANES) data with a nationwide representativeness.MethodsThis study was based on 4-year-data obtained from the KNHANES 2008 to 2011. Osteoporosis was diagnosed in 2,078 survey participants according to their bone mineral density measurements using dual energy X-ray absorptiometry. According to the World Health Organization study group, T-scores at or above -1.0 are considered normal, those between -1.0 and -2.5 as osteopenia, and those at or below -2.5 as osteoporosis The EuroQol five-dimensional questionnaire (EQ-5D) index score was used to assess the QOL.ResultsOf 2,078 patients diagnosed with osteoporosis, fractures were found to occur at 11.02%. Wrist fracture was the most frequent, affecting 4.52% of the patients, with a significantly different prevalence among men and women (P<0.001). The overall EQ-5D index score was 0.84±0.01 among patients with osteoporosis. With the exception of cancer, the EQ-5D index score were significantly lower for those having osteoarthritis, rheumatoid arthritis, hypertension, diabetes, chronic obstructive pulmonary disease and cardiovascular events compared to those without the related diseases.ConclusionsWe found that low health utility was associated with previous spine fracture and comorbidities in patients with osteoporosis. In particular, the number of fracture experiences greatly deteriorated the HRQOL in patients with osteoporosis. Thus, prevention of secondary fractures and chronic care model for comorbidities should be a priority for osteoporosis management in order to improve HRQOL.

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“…(37) Most data regarding hip fracture secular trends come from Northern and Central Europe, Northern America, and South-East Asia, (3) where rates have experienced an initial rise followed by either a plateau or decline in the last three decades. (4,32,43,44) The trend of decreasing hip fracture rates noted in Lebanon is similar to the established decline seen in Western societies. (4,32,43,44) The trend of decreasing hip fracture rates noted in Lebanon is similar to the established decline seen in Western societies.…”

Section: Secular Trendsmentioning

confidence: 73%

“…(18,19,24) Age and sex ratios In our study, the average women to men IRR was 1.8 (range, 1.5 to 2.1), which is consistent with ratios in other countries. (30) As for Asian countries, women to men hip fracture ratios are 3.4 to 3.7 in Japan, (31) 2.1 to 2.2 in both South Korea (32) and Hong Kong, China, (33) 1.3 in Tangshan, China, (34) and 1.5 in Taiwan. (28) In Saudi Arabia, men experienced a slightly higher incidence of hip fractures in 2001 to 2006, and IRR was 0.83.…”

Section: Location Of Hip Fracturesmentioning

confidence: 99%

Secular Trends of Hip Fractures in Lebanon, 2006 to 2017: Implications for Clinical Practice and Public Health Policy in the Middle East Region

Saad

Harb

Bou-Orm

et al. 2019

Journal of Bone and Mineral Research

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Country‐specific hip fracture incidence rates (IRs) and longevity allow the Fracture Risk Assessment Tool (FRAX) to be adapted to individual countries. Secular trends can affect tool calibration. Data on hip fracture IRs in the Middle East is scarce, and long‐term secular trend studies are nonexistent. Using the Ministry of Public Health hip fracture registry, we calculated age‐ and sex‐specific hip fracture IRs in Lebanon, from 2006 to 2017, among individuals aged ≥50 years. We used Kendall's tau‐b (τb) test to determine the correlation between time and hip fracture IRs, and calculated both the annual % change in IRs and the % change in IR compared to the baseline period (2006 to 2008). The registry recorded 6985 hip fractures, 74% at the femoral neck, 23% intertrochanteric, and 3% subtrochanteric. Men constituted 32% of the population, and were significantly younger than women (76.5 ± 11.0 years versus 77.7 ± 10.3 years; p < 0.001). Annual overall IRs, per 100,000, ranged from 126.6 in 2014 to 213.2 in 2017 in women, and 61.4 in 2015 to 111.7 in 2017 in men. The average women to men IR ratio was 1.8 (range, 1.5 to 2.1). IRs steadily increased with age, and IR ratios increased in parallel in both sexes, with a steeper and earlier rise (by 5 years) in women. Data showed a consistent decline in hip fracture IRs starting in 2006 in women, and in 2009 in men. There was a significant negative correlation between time (2006 to 2014) and hip fracture IRs in women (τb = −0.611, p = 0.022) but not in men (τb = −0.444, p = 0.095). The steady decrease in IRs reversed after 2015 in both sexes. This long‐term data on secular trends in the Middle East is novel and consistent with worldwide changes in hip fracture rates. The impact of such changes on national FRAX‐derived estimates is unclear, should be assessed, and may necessitate an update in the FRAX Lebanon calculator. © 2019 American Society for Bone and Mineral Research.

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Current trends and future projections of hip fracture in South Korea using nationwide claims data

Cited by 86 publications

References 39 publications

Healthcare Costs of Osteoporotic Fracture in Korea: Information from the National Health Insurance Claims Database, 2008-2011

Healthcare Costs of Osteoporotic Fracture in Korea: Information from the National Health Insurance Claims Database, 2008-2011

Health-related Quality of Life in Accordance with Fracture History and Comorbidities in Korean Patients with Osteoporosis

Secular Trends of Hip Fractures in Lebanon, 2006 to 2017: Implications for Clinical Practice and Public Health Policy in the Middle East Region

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