Kim Ha Young, Ha Yong-Chan, Kim Tae-Young, Cho Hyemin, Lee Young-Kyun, Baek Ji-Yeon, Jang Sunmee
Department of Internal Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea.
Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
J Bone Metab. 2017 May;24(2):125-133. doi: 10.11005/jbm.2017.24.2.125. Epub 2017 May 31.
The 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.
Korea 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.
The 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.
Total 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.
本研究利用国家索赔数据估算了50岁以上韩国人骨质疏松性骨折（包括脊柱、髋部、桡骨远端和肱骨骨折）的医疗费用。
检索2008年至2011年韩国国民健康保险数据，查找年龄≥50岁患者的所有门诊就诊或住院索赔记录。使用特定的国际疾病分类第十版编码和针对50岁年龄界限患者的特定部位医生手术索赔来识别骨质疏松相关骨折。医疗费用包括骨折后立即给予的急诊医疗护理的急性期费用、进一步住院和外科手术的费用、根据骨折部位进行的物理治疗疗程以及出院后一年内的门诊就诊费用。
2011年骨质疏松性骨折的总估算医疗费用为7.22亿美元。2008年至2011年，骨质疏松性骨折的总数和医疗费用分别增长了28.9%（从127,070例增至163,823例）和31.6%（从5.49亿美元增至7.22亿美元）。国家医疗保健支出的比例在2008年为2.3%，在2011年为2.2%。骨质疏松性骨折人均医疗费用从2008年的4321美元增至2011年的4410美元，增长了2.1%。髋部骨折的平均医疗费用最高，其次是脊柱、肱骨和桡骨远端骨折。
2008年至2011年，50岁以上韩国人骨质疏松性骨折的总医疗费用有所增加。这种趋势可能会持续，这在老年人群体中是一个重要的健康问题，在经济方面也是如此。
