본문 바로가기
KERD
논문KCI 등재

Establishment of Fracture Liaison Service in Korea: Where Is It Stand and Where Is It Going?

1

조회

0

다운로드

7

인용

0

참고문헌

키워드

주제분류정형외과학

초록

The elderly population growth rate is extremely high in Korean society, and life expectancy is close to 85 years old for women and 80 for men as of people born in 2015. The future hip fracture prediction model of Korea shows that the elderly hip fracture rate will increase by 1.4 times by 2025, which will impose a serious socioeconomic burden on Korean society and become a key issue of public health management. The fracture liaison service (FLS) is defined adequate treatment and services for patients over 50 years old with fragility fractures, enabling systematic identification and decreasing the risk of subsequent osteoporotic fractures. In Korean society, the introduction of FLS, which is verified not only in the socioeconomic aspects but also in the treatment of patients, is thought to be essential. However, the challenges that need to be addressed in order to implement FLS include the lack of awareness regarding the necessity of this system, the lack of healthcare systems, and inadequate policies. In the future, further studies on the FLS and its clinical and socioeconomic effects for the Korean medical system will be necessary.

Abstract

The elderly population growth rate is extremely high in Korean society, and life expectancy is close to 85 years old for women and 80 for men as of people born in 2015. The future hip fracture prediction model of Korea shows that the elderly hip fracture rate will increase by 1.4 times by 2025, which will impose a serious socioeconomic burden on Korean society and become a key issue of public health management. The fracture liaison service (FLS) is defined adequate treatment and services for patients over 50 years old with fragility fractures, enabling systematic identification and decreasing the risk of subsequent osteoporotic fractures. In Korean society, the introduction of FLS, which is verified not only in the socioeconomic aspects but also in the treatment of patients, is thought to be essential. However, the challenges that need to be addressed in order to implement FLS include the lack of awareness regarding the necessity of this system, the lack of healthcare systems, and inadequate policies. In the future, further studies on the FLS and its clinical and socioeconomic effects for the Korean medical system will be necessary.

참고문헌 (32)

  1. Cha YH, "Relationship of chronic obstructive pulmonary disease severity with early and late mortality in elderly patients with hip fracture", Injury, 50, pp.1529~1533 (2019)
  2. Yonekura H, "Preoperative echocardiography for patients with hip fractures undergoing surgery: A retrospective cohort study using a nationwide database", Anesth Analg, 128, pp.213~220 (2019)
  3. Omari A, "Comorbidity and mortality after hip fracture in nineteen thousand six hundred and eighty two patients aged eighteen to sixty five years in Denmark from 1996 to 2012", Int Orthop, 43, pp.2621~2627 (2019)
  4. Cha YH, "Effect of causes of surgical delay on early and late mortality in patients with proximal hip fracture", Arch Orthop Trauma Surg, 137, pp.625~630 (2017)
  5. Abrahamsen B, "Excess mortality following hip fracture: a systematic epidemiological review", Osteoporos Int, 20, pp.1633~1650 (2009)
  6. Cooper C, "Hip fractures in the elderly: a world-wide projection", Osteoporos Int, 2, pp.285~289 (1992)
  7. Gullberg B, "World-wide projections for hip fracture", Osteoporos Int, 7, pp.407~413 (1997)
  8. Ha YC, "Current trends and future projections of hip fracture in South Korea using nationwide claims data", Osteoporos Int, 27, pp.2603~2609 (2016)
  9. Organisation for Economic Co-operation and Development, "Education at a glance 2017: OECD indicators" (2017), OECD Publishing
  10. "The first comprehensive plan of national health insurance" (2019)[URL]
  11. 유태양, "Utilization of Osteoporosis-Related Health Services: Use of Data from the Korean National Health Insurance Database 2008–2012", Journal of Korean Medical Science, 33(3), pp.47~57 (2018), 대한의학회
  12. Cranney A, "multifaceted intervention to improve treatment of osteoporosis in postmenopausal women with wrist fractures: a cluster randomized trial", Osteoporos Int, 19, pp.1733~1740 (2008)
  13. Yuksel N, "Community pharmacist-initiated screening program for osteoporosis: randomized controlled trial", Osteoporos Int, 21, pp.391~398 (2010)
  14. Bessette L, "The impact of two educational interventions on osteoporosis diagnosis and treatment after fragility fracture: a population-based randomized controlled trial", Osteoporos Int, 22, pp.2963~2972 (2011)
  15. Edwards BJ, "Development of an electronic medical record based intervention to improve medical care of osteoporosis", Osteoporos Int, 23, pp.2489~2498 (2012)
  16. 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
  17. British Geriatrics Society, "The care of patients with fragility fracture" (2007), British Geriatrics Society
  18. 김하영, "Healthcare Costs of Osteoporotic Fracture in Korea: Information from the National Health Insurance Claims Database, 2008-2011", 대한골대사학회지, 24(2), pp.125~133 (2017), 대한골대사학회[DOI]
  19. Neuburger J, "The impact of a national clinician-led audit initiative on care and mortality after hip fracture in England: an external evaluation using time trends in non-audit data", Med Care, 53, pp.686~691 (2015)
  20. Port L, "Osteoporotic fracture: missed opportunity for intervention", Osteoporos Int, 14, pp.780~784 (2003)
  21. Gallagher JC, "Epidemiology of fractures of the proximal femur in Rochester, Minnesota", Clin Orthop Relat Res, pp.163~171 (1980)
  22. Edwards BJ, "Prior fractures are common in patients with subsequent hip fractures", Clin Orthop Relat Res, 461, pp.226~230 (2007)
  23. Majumdar SR, "Persistence, reproducibility, and cost-effectiveness of an intervention to improve the quality of osteoporosis care after a fracture of the wrist: results of a controlled trial", Osteoporos Int, 18, pp.261~270 (2007)
  24. Morrish DW, "Facilitated bone mineral density testing versus hospital-based case management to improve osteoporosis treatment for hip fracture patients: additional results from a randomized trial", Arthritis Rheum, 61, pp.209~215 (2009)
  25. Huntjens KM, "Fracture liaison service: impact on subsequent nonvertebral fracture incidence and mortality", J Bone Joint Surg Am, 96, pp.e29~ (2014)
  26. Collinge C, "Osteoporosis in orthopaedic trauma patients: a diagnosis and treatment protocol", J Orthop Trauma, 22, pp.541~547 (2008)
  27. Chevalley T, "An osteoporosis clinical pathway for the medical management of patients with low-trauma fracture", Osteoporos Int, 13, pp.450~455 (2002)
  28. Ruggiero C, "Fracture prevention service to bridge the osteoporosis care gap", Clin Interv Aging, 10, pp.1035~1042 (2015)
  29. Leal J, "Cost-effectiveness of orthogeriatric and fracture liaison service models of care for hip fracture patients: A population-based study", J Bone Miner Res, 32, pp.203~211 (2017)
  30. Solomon DH, "The potential economic benefits of improved postfracture care: a cost-effectiveness analysis of a fracture liaison service in the US health-care system", J Bone Miner Res, 29, pp.1667~1674 (2014)
  31. Major G, "The costs of confronting osteoporosis: Cost study of an australian fracture liaison service", JBMR Plus, 3, pp.56~63 (2019)
  32. Korean Society for Bone and Mineral Research, "Fracture liaison services guidebook" (2018), Korean Society for Bone and Mineral Research

관련 논문AI추천

Fracture Liaison Service in Korea: 2022 Position Statement of the Korean Society for Bone and Mineral Research고상봉, 박명숙, 박성배, 박소영, 윤병호, A Ram Hong, Bo Ryun Kim, Chan Ho Park, Dong Hwan Kim, Jae-Hwi Nho, Jaewon Beom, Jae Young Lim, Jin-Woo Kim, Jun-Il Yoo, Kyunghoon Min, Min Wook Joo, Nam Hoon Moon, Sang Yoon Lee, Seil Sohn, Seongbin Hong, Sung Hye Kong, Tae-Young Kim, Yong-Chan Ha, Yong Han Cha, Yongsoon Park, Young Joo Kwon, Young-Kyun Lee, Young Yul Kim대한골대사학회 · 대한골대사학회지2023 · 제30권 제1호Introduction of the Cost-Effectiveness Studies of Fracture Liaison Service in Other Countries김우석, 차용한, Jae Young Lim, Yong-Chan Ha대한골대사학회 · 대한골대사학회지2020 · 제27권 제2호Osteoporosis and Osteoporotic Fracture Fact Sheet in Korea김태영, 김하영, 노재휘, 박상민, 안승희, 유준일, 이영균, 장선미, Hyoung Seok Jung, Se Hwa Kim, So Young Park, Yong-Chan Ha대한골대사학회 · 대한골대사학회지2020 · 제27권 제4호Change of Bone Mineral Density Measurement among Patients with Osteoporotic Fractures in Korean Population Using National Claim Database박찬호, 이영균, 하용찬대한골대사학회 · 대한골대사학회지2017 · 제24권 제3호고관절 골절환자에서 한국인 FRAX^® 모델의 효용성박민정, 원예연, 지형민대한골다공증학회 · OSTEOPOROSIS2011 · 제9권 제2호A FRAX Experience in Korea: Fracture Risk Probabilities with a Country-specific Versus a Surrogate Model문영완, 민용기, 박윤수, 윤병구, 이동윤, 이영균, 임승재, 최두석대한골대사학회 · 대한골대사학회지2015 · 제22권 제3호

이 간행물의 다른 논문 (7건)