Change of Bone Mineral Density Measurement among Patients with Osteoporotic Fractures in Korean Population Using National Claim Database
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Background: Prior osteoporotic fractures are strongly associated with subsequent fractures. To prevent this, the diagnosis of osteoporosis following an osteoporotic fracture is important. The measurement of bone mineral density (BMD) is the first step in the diagnosis and management of osteoporosis. Therefore, this study aimed 1) to evaluate the rate of BMD measurement after osteoporotic fracture in the Korean population, and 2) to determine whether the rate of BMD measurement after osteoporotic fracture changed between 2005 and 2010. Methods: Using the database of the Health Insurance Review Assessment Service (HIRA), we identified patients with osteoporotic fractures (hip, spine, humerus, and wrist fractures) in 2005 and 2010. BMD examinations were evaluated by using procedure codes and medicines, exclusively approved for osteoporosis treatment. Results: During the study period, about half of all patients with osteoporotic fractures had BMD measurement. Between 2005 and 2010, the rate of BMD measurement significantly increased from 42.0% (65,556/156,190) to 53.9% (103,785/192,556) (P<0.001). Conclusions: Our results showed that about half of all patients with osteoporotic fractures had BMD measurement, and that screening for osteoporosis in patients with osteoporotic fractures increased between 2005 and 2010.
Abstract
Background: Prior osteoporotic fractures are strongly associated with subsequent fractures. To prevent this, the diagnosis of osteoporosis following an osteoporotic fracture is important. The measurement of bone mineral density (BMD) is the first step in the diagnosis and management of osteoporosis. Therefore, this study aimed 1) to evaluate the rate of BMD measurement after osteoporotic fracture in the Korean population, and 2) to determine whether the rate of BMD measurement after osteoporotic fracture changed between 2005 and 2010. Methods: Using the database of the Health Insurance Review Assessment Service (HIRA), we identified patients with osteoporotic fractures (hip, spine, humerus, and wrist fractures) in 2005 and 2010. BMD examinations were evaluated by using procedure codes and medicines, exclusively approved for osteoporosis treatment. Results: During the study period, about half of all patients with osteoporotic fractures had BMD measurement. Between 2005 and 2010, the rate of BMD measurement significantly increased from 42.0% (65,556/156,190) to 53.9% (103,785/192,556) (P<0.001). Conclusions: Our results showed that about half of all patients with osteoporotic fractures had BMD measurement, and that screening for osteoporosis in patients with osteoporotic fractures increased between 2005 and 2010.
참고문헌 (21)
- "NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy", NIH Consens Statement, 17, pp.1~45 (2000)
- Peck WA, "Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis", Am J Med, 94, pp.646~650 (1993)
- Johnell O, "Epidemiology of osteoporotic fractures", Osteoporos Int, 16(Suppl 2), pp.S3~S7 (2005)
- Kanis JA, "The burden of osteoporotic fractures: a method for setting intervention thresholds", Osteoporos Int, 12, pp.417~427 (2001)
- Kim JW, "Percentage of the population at high risk of osteoporotic fracture in South Korea:analysis of the 2010 Fifth Korean National Health and Nutrition Examination survey data", Osteoporos Int, 25, pp.1313~1319 (2014)
- Center JR, "Risk of subsequent fracture after low-trauma fracture in men and women", JAMA, 297, pp.387~394 (2007)
- Langsetmo L, "Repeat low-trauma fractures occur frequently among men and women who have osteopenic BMD", J Bone Miner Res, 24, pp.1515~1522 (2009)
- Ganda K, "Compliance and persistence to oral bisphosphonate therapy following initiation within a secondary fracture prevention program: a randomised controlled trial of specialist vs. non-specialist management", Osteoporos Int, 25, pp.1345~1355 (2014)
- Nakayama A, "Evidence of effectiveness of a fracture liaison service to reduce the re-fracture rate", Osteoporos Int, 27, pp.873~879 (2016)
- 윤현구, "Characteristics of Patients Diagnosed with Osteoporosis in South Korea: Results from the National Claim Registry", 대한골대사학회지, 24(1), pp.59~63 (2017), 대한골대사학회[DOI]
- 박찬미, "Incidence and Mortality after Proximal Humerus Fractures Over 50 Years of Age in South Korea: National Claim Data from 2008 to 2012", 대한골대사학회지, 22(1), pp.17~21 (2015), 대한골대사학회[DOI]
- 윤현구, "Incidence and Mortality Following Hip Fracture in Korea", Journal of Korean Medical Science, 26(8), pp.1087~1092 (2011), 대한의학회
- Park C, "The incidence and residual lifetime risk of osteoporosis-related fractures in Korea", J Bone Miner Metab, 29, pp.744~751 (2011)
- 우제현, "Osteoporotic Fracture: 2015 Position Statement of the Korean Society for Bone and Mineral Research", 대한골대사학회지, 22(4), pp.175~181 (2015), 대한골대사학회
- Lau E, "Mortality following the diagnosis of a vertebral compression fracture in the Medicare population", J Bone Joint Surg Am, 90, pp.1479~1486 (2008)
- Kang HY, "Incidence and mortality of hip fracture among the elderly population in South Korea: a population-based study using the national health insurance claims data", BMC Public Health, 10, pp.230~ (2010)
- Gong HS, "Patients with wrist fractures are less likely to be evaluated and managed for osteoporosis", J Bone Joint Surg Am, 91, pp.2376~2380 (2009)
- Giangregorio LM, "Time since prior fracture is a risk modifier for 10-year osteoporotic fractures", J Bone Miner Res, 25, pp.1400~1405 (2010)
- Metge CJ, "Postfracture care for older women: gaps between optimal care and actual care", Can Fam Physician, 54, pp.1270~1276 (2008)
- Giangregorio L, "Osteoporosis risk perceptions among patients who have sustained a fragility fracture", Patient Educ Couns, 74, pp.213~220 (2009)
- 김상림, "Orthopedic Surgeon’s Awareness Can Improve Osteoporosis Treatment Following Hip Fracture: A Prospective Cohort Study", Journal of Korean Medical Science, 26(11), pp.1501~1507 (2011), 대한의학회