Oh Ho-Seok, Kim Sung-Kyu, Seo Hyoung-Yeon
Department of Orthopaedic Surgery, Chonnam National University Medical School and Hospital, Gwangju 61469, Korea.
Healthcare (Basel). 2021 Mar 14;9(3):324. doi: 10.3390/healthcare9030324.
To investigate the incidence and characteristics of osteoporosis and osteoporotic fractures in Korea, we used the Health Insurance Review and Assessment Service (HIRA) database. Patients over 50 years old, who were diagnosed or treated for osteoporosis and osteoporotic fractures in all hospitals and clinics, were analyzed between 1 January 2009 and 31 December 2017 by using the HIRA database that contains prescription data and diagnostic codes. These data were retrospectively analyzed by decade and age-specific and gender-specific incidents in each year. We also evaluated other characteristics of patients including medication state of osteoporosis, primary used medical institution, regional-specific incidence of osteoporosis, and incidence of site-specific osteoporotic fractures. The number of osteoporosis patients over 50 years old, as diagnosed by a doctor, steadily increased from 2009 to 2017. The number of osteoporosis patients was notably greatest in the 60's and 70's age groups in every study period. Patients undergoing treatment for osteoporosis increased significantly (96%) from 2009 to 2017. Among the patients diagnosed with osteoporosis, the proportion who experienced osteoporotic fracture increased gradually (60%) from 2009 to 2017. The number of patients with osteoporotic fractures of the spine and hip was highest in the 70 to 90 age range, and the number of patients with osteoporotic fractures in the upper and lower extremities was highest in the 50 to 70 age range. Understanding the trends of osteoporosis in Korea will contribute to manage the increased number of patients with osteoporosis and osteoporotic fractures.
为了调查韩国骨质疏松症和骨质疏松性骨折的发病率及特征，我们使用了健康保险审查与评估服务（HIRA）数据库。2009年1月1日至2017年12月31日期间，对所有医院和诊所中被诊断或治疗骨质疏松症及骨质疏松性骨折的50岁以上患者进行了分析，使用的HIRA数据库包含处方数据和诊断代码。这些数据按十年、每年的年龄组和性别组进行回顾性分析。我们还评估了患者的其他特征，包括骨质疏松症的用药情况、主要就诊医疗机构、骨质疏松症的地区特异性发病率以及特定部位骨质疏松性骨折的发病率。经医生诊断的50岁以上骨质疏松症患者数量从2009年到2017年稳步增加。在每个研究期间，60多岁和70多岁年龄组的骨质疏松症患者数量显著最多。2009年至2017年，接受骨质疏松症治疗的患者显著增加（96%）。在被诊断为骨质疏松症的患者中，经历骨质疏松性骨折的比例从2009年到2017年逐渐增加（60%）。脊柱和髋部骨质疏松性骨折患者数量在70至90岁年龄范围内最高，上肢和下肢骨质疏松性骨折患者数量在50至70岁年龄范围内最高。了解韩国骨质疏松症的趋势将有助于管理骨质疏松症和骨质疏松性骨折患者数量的增加。
