Kim Dae Geun, Seo Gi-Won, Nam Hye-Won
Department of Orthopedic Surgery, Soonchunhyang University Gumi Hospital, Gumi, Korea.
Data Science Team, Hanmi Pharm. Co., Ltd., Seoul, Korea.
J Bone Metab. 2019 Nov;26(4):247-252. doi: 10.11005/jbm.2019.26.4.247. Epub 2019 Nov 30.
A history of osteoporotic fractures is strongly associated with the subsequent osteoporotic fractures. To prevent subsequent fractures, the diagnosis and treatment of osteoporosis following osteoporotic fractures are very important. A distal radius fracture (DRF) is the second most common type of osteoporotic fracture in South Korea. We analyzed the rate of osteoporosis diagnosis within 6 months post-DRF.
We used data from the Korean Health Insurance Review and Assessment Service nationwide claims database from 2010 to 2016. International Classification of Diseases, 10th revision codes and procedures codes were used to identify patients aged over 50 years with newly diagnosed DRFs; the osteoporosis assessments of these patients were then analyzed. We used Cochran-Armitage trend test to examine trends in osteoporosis diagnosis.
A search of database identified 77,209 DRFs in patient aged above 50 years of age from 2011 to 2016. Among these patients, only 19,305 (25.0%) underwent diagnostic examination for osteoporosis. The number of osteoporosis examinations increased slightly, but not significantly, every year (=0.061).
Clinicians who treat DRFs shoulder also evaluated patients for osteoporosis after DRFs.
骨质疏松性骨折病史与随后发生的骨质疏松性骨折密切相关。为预防后续骨折，骨质疏松性骨折后骨质疏松症的诊断和治疗非常重要。桡骨远端骨折（DRF）是韩国第二常见的骨质疏松性骨折类型。我们分析了DRF后6个月内骨质疏松症的诊断率。
我们使用了韩国健康保险审查和评估服务机构2010年至2016年全国索赔数据库中的数据。使用国际疾病分类第10版代码和程序代码来识别50岁以上新诊断为DRF的患者；然后对这些患者的骨质疏松症评估进行分析。我们使用 Cochr an-Armitage趋势检验来检查骨质疏松症诊断的趋势。
对数据库的搜索在2011年至2016年期间识别出77209例50岁以上患者的DRF。在这些患者中，只有19305例（25.0%）接受了骨质疏松症诊断检查。每年骨质疏松症检查的数量略有增加，但不显著（=0.061）。
治疗DRF的临床医生也应在DRF后对患者进行骨质疏松症评估。
