Chung HoeJeong, Kim Tae-Young, Kim Jaiyong, Ha Yong-Chan, Lee Young-Kyun, Kim Jihye, Jang Hoyeon
Department of Orthopedic Surgery, Yonsei University Wonju College of Medicine, Wonju Severance Christian Hospital, Wonju, South Korea.
Department of Orthopaedic Surgery, Konkuk University Medical Center, School of Medicine, Konkuk University, 120-1 Neungdongro, Gwangjin-gu, Seoul, 05030, South Korea.
Osteoporos Int. 2025 Aug 6. doi: 10.1007/s00198-025-07537-7.
This study analyzed 16-year hip fracture trends in South Korea. Hip fractures increased with an aging population but plateaued after 2010. Mortality declined from 18.9 to 15.4% before rising to 18.2% on 2021. Subsequent fracture rates remained stable, underscoring the need for targeted prevention, especially during COVID-19.
There are no data reporting long-term trends of hip fractures over 15 years based on the national population in South Korea. This study aimed to analyze the long-term trends of hip fractures from 2006 to 2022 using a nationwide claims database.
Data managed by the Korean National Health Insurance Service (NHIS) were used to identify hip fractures in patients aged 50 or older. Long-term trends in the incidence, mortality rate, and subsequent fractures during this period were analyzed.
The incidence rates of hip fractures increased by 138% (from 152 to 173 per 100,000) from 2006 to 2010, then plateaued. The 1-year mortality rate decreased from 18.9% in 2006 to 15.4% in 2018 but increased to 18.2% in 2021. Lower socioeconomic groups had consistently higher incidence and mortality rates throughout the study period. The rates of subsequent fractures remained stable at 1.0-1.2% between 2006 and 2018 but decreased to 0.8-0.9% between 2019 and 2021.
Over the past 16 years, the number of hip fractures in South Korea has continued to rise with the aging population, though the incidence rate has recently plateaued. The mortality rate has decreased over time, and the rates of subsequent fractures have remained stable, albeit with some impact during the COVID-19 period (2019-2021). These findings provide valuable insights into the 16-years epidemiological trends of hip fractures in South Korea.
本研究分析了韩国16年来髋部骨折的趋势。随着人口老龄化，髋部骨折数量增加，但在2010年后趋于平稳。死亡率从18.9%降至15.4%，随后在2021年升至18.2%。后续骨折率保持稳定，这突出了针对性预防的必要性，尤其是在新冠疫情期间。
目前尚无基于韩国全国人口的关于15年以上髋部骨折长期趋势的数据报告。本研究旨在利用全国性索赔数据库分析2006年至2022年髋部骨折的长期趋势。
使用韩国国民健康保险服务（NHIS）管理的数据来确定50岁及以上患者的髋部骨折情况。分析了在此期间发病率、死亡率和后续骨折的长期趋势。
2006年至2010年，髋部骨折发病率上升了138%（从每10万人152例增至173例），随后趋于平稳。1年死亡率从2006年的18.9%降至2018年的15.4%，但在2021年升至18.2%。在整个研究期间，社会经济地位较低的群体发病率和死亡率一直较高。2006年至2018年期间，后续骨折率保持在1.0 - 1.2%的稳定水平，但在2019年至2021年期间降至0.8 - 0.9%。
在过去16年里，韩国髋部骨折数量随着人口老龄化持续上升，尽管发病率最近趋于平稳。死亡率随时间下降，后续骨折率保持稳定，尽管在新冠疫情期间（2019 - 2021年）有一定影响。这些发现为韩国16年的髋部骨折流行病学趋势提供了有价值的见解。
