Department of Endocrinology and Metabolism, Ajou University School of Medicine, 164 Worldcup-ro, Suwon, 16499, South Korea.
Institute on Aging, Ajou University Medical Center, Suwon, South Korea.
Osteoporos Int. 2021 Sep;32(9):1777-1784. doi: 10.1007/s00198-021-05864-z. Epub 2021 Feb 25.
To compare the diagnosis andtreatment rates of osteoporosis and diabetes in Korea, a nationwide database was used. The results showed that although osteoporosis management is improving, it is still lower compared with that of diabetes; thus, further efforts are needed in this regard.
This study aimed to re-evaluate the diagnosis and treatment of osteoporosis from the KNHANES 2016-2017 and compare the temporal change of the rate with those of diabetes as another prevalent chronic disease in South Korea.
The prevalence of osteoporosis in 2016 was estimated using the previous data classified by age groups (50-59,60-69, and ≥70years) and the 2016 Korean census data. The physician diagnosis and treatment rates of osteoporosis in adults aged ≥50years were estimated using the 2016-2017 KNHANES data. The physician diagnosis and treatment rates of diabetes were evaluated using the KNHANES 2008-2009 and 2016-2017 data.
The estimated physician diagnosisrate of osteoporosis increased from 29.9% in females and 5.8% in males in 2008-2009 to 62.8% in females and 22.8% in males in 2016-2017. The treatment rate for the estimated total number of patients with osteoporosis increased from 14.4% in females and 3.8% in males in 2008-2009 to 32.2% in females and 9.0% in males in 2016-2017. An increasing trend in the estimated treatment rateof physician-diagnosed osteoporosis patients was not observed (48.3% [2008-2009] vs 51.5% [2016-2017] in females; 42.6% [2008-2009] vs 42.2% [2016-2017] in males). The physician diagnosis and treatment rates of diabetes were considerably better and more stable than those of osteoporosis.
Osteoporosis management in South Korea is improving but is insufficient compared with diabetes management. More extensive efforts are needed to improve the diagnosis and treatment rates of osteoporosis.
本研究旨在重新评估 2016-2017 年 KNHANES 中骨质疏松症的诊断和治疗情况，并与韩国另一种常见慢性病糖尿病的发病率变化进行比较。
利用之前按年龄组（50-59、60-69 和≥70 岁）分类的资料和 2016 年韩国人口普查数据，估计 2016 年骨质疏松症的患病率。利用 2016-2017 年 KNHANES 数据，估计≥50 岁成年人中骨质疏松症的医生诊断和治疗率。利用 KNHANES 2008-2009 年和 2016-2017 年的数据评估糖尿病的医生诊断和治疗率。
女性骨质疏松症的医生诊断率从 2008-2009 年的 29.9%和男性的 5.8%上升到 2016-2017 年的 62.8%和 22.8%。女性和男性骨质疏松症估计总人数的治疗率从 2008-2009 年的 14.4%和 3.8%上升到 2016-2017 年的 32.2%和 9.0%。未观察到医生诊断的骨质疏松症患者估计治疗率的上升趋势（女性为 48.3%[2008-2009 年]比 51.5%[2016-2017 年]；男性为 42.6%[2008-2009 年]比 42.2%[2016-2017 年]）。糖尿病的医生诊断和治疗率明显优于骨质疏松症，且更为稳定。需要进一步努力提高骨质疏松症的诊断和治疗率。
