Trends in the Diagnosis of Osteoporosis in Patients with Distal Radius Fractures Based on a National Claims Database
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초록
Background: A history of osteoporotic fractures is strongly associated with the subsequent osteoporotic fractures. To prevent subsequent fractures, the diagnosis and treatment of osteoporosis following osteoporotic fractures are very important. A distal radius fracture (DRF) is the second most common type of osteoporotic fracture in South Korea. We analyzed the rate of osteoporosis diagnosis within 6 months post-DRF. Methods: We used data from the Korean Health Insurance Review and Assessment Service nationwide claims database from 2010 to 2016. International Classification of Diseases, 10th revision codes and procedures codes were used to identify patients aged over 50 years with newly diagnosed DRFs; the osteoporosis assessments of these patients were then analyzed. We used Cochran-Armitage trend test to examine trends in osteoporosis diagnosis. Results: A search of database identified 77,209 DRFs in patient aged above 50 years of age from 2011 to 2016. Among these patients, only 19,305 (25.0%) underwent diagnostic examination for osteoporosis. The number of osteoporosis examinations increased slightly, but not significantly, every year (P=0.061). Conclusions: Clinicians who treat DRFs shoulder also evaluated patients for osteoporosis after DRFs.
Abstract
Background: A history of osteoporotic fractures is strongly associated with the subsequent osteoporotic fractures. To prevent subsequent fractures, the diagnosis and treatment of osteoporosis following osteoporotic fractures are very important. A distal radius fracture (DRF) is the second most common type of osteoporotic fracture in South Korea. We analyzed the rate of osteoporosis diagnosis within 6 months post-DRF. Methods: We used data from the Korean Health Insurance Review and Assessment Service nationwide claims database from 2010 to 2016. International Classification of Diseases, 10th revision codes and procedures codes were used to identify patients aged over 50 years with newly diagnosed DRFs; the osteoporosis assessments of these patients were then analyzed. We used Cochran-Armitage trend test to examine trends in osteoporosis diagnosis. Results: A search of database identified 77,209 DRFs in patient aged above 50 years of age from 2011 to 2016. Among these patients, only 19,305 (25.0%) underwent diagnostic examination for osteoporosis. The number of osteoporosis examinations increased slightly, but not significantly, every year (P=0.061). Conclusions: Clinicians who treat DRFs shoulder also evaluated patients for osteoporosis after DRFs.
참고문헌 (27)
- 권기두, "Incidence and Mortality after Distal Radius Fractures in Adults Aged 50 Years and Older in Korea", Journal of Korean Medical Science, 31(4), pp.630~634 (2016), 대한의학회
- Johnell O, "Epidemiology of osteoporotic fractures", Osteoporos Int, 16(Suppl 2), pp.S3~S7 (2005)
- 박찬호, "Change of Bone Mineral Density Measurement among Patients with Osteoporotic Fractures in Korean Population Using National Claim Database", 대한골대사학회지, 24(3), pp.183~186 (2017), 대한골대사학회[DOI]
- Choi HJ, "Burden of osteoporosis in adults in Korea: a national health insurance database study", J Bone Miner Metab, 30, pp.54~58 (2012)
- 권혜영, "Health-related Quality of Life in Accordance with Fracture History and Comorbidities in Korean Patients with Osteoporosis", 대한골대사학회지, 23(4), pp.199~206 (2016), 대한골대사학회[DOI]
- Cuddihy MT, "Osteoporosis intervention following distal forearm fractures: a missed opportunity", Arch Intern Med, 162, pp.421~426 (2002)
- Mao SS, "Application of quantitative computed tomography for assessment of trabecular bone mineral density, microarchitecture and mechanical property", Clin Imaging, 40, pp.330~338 (2016)
- Cosman F, "Clinician’s guide to prevention and treatment of osteoporosis", Osteoporos Int, 25, pp.2359~2381 (2014)
- 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)
- Freedman BA, "Missed opportunities in patients with osteoporosis and distal radius fractures", Clin Orthop Relat Res, 454, pp.202~206 (2007)
- 윤현구, "Incidence and Mortality Following Hip Fracture in Korea", Journal of Korean Medical Science, 26(8), pp.1087~1092 (2011), 대한의학회
- Park SB, "Prevalence and incidence of osteoporosis and osteoporotic vertebral fracture in Korea: Nationwide epidemiological study focusing on differences in socioeconomic status", Spine (Phila Pa 1976), 41, pp.328~336 (2016)
- Korean Society for Bone and Mineral Research, "Physician’s guide for osteoporosis" (2018), Korean Society for Bone and Mineral Research; 2018
- Jung Y, "Gender differences in anti-osteoporosis drug treatment after osteoporotic fractures", J Bone Miner Metab, 37, pp.134~141 (2019)
- Rozental TD, "Improving evaluation and treatment for osteoporosis following distal radial fractures. A prospective randomized intervention", J Bone Joint Surg Am, 90, pp.953~961 (2008)
- Mallmin H, "Distal radius fracture is an early sign of general osteoporosis: bone mass measurements in a population-based study", Osteoporos Int, 4, pp.357~361 (1994)
- 유제현, "Osteoporotic Fracture: 2015 Position Statement of the Korean Society for Bone and Mineral Research", 대한골대사학회지, 22(4), pp.175~181 (2015), 대한골대사학회
- 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]
- 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)
- Burghardt AJ, "High-resolution computed tomography for clinical imaging of bone microarchitecture", Clin Orthop Relat Res, 469, pp.2179~2193 (2011)
- 김진우, "Factors Affecting Bone Mineral Density Measurement after Fracture in South Korea", 대한골대사학회지, 24(4), pp.217~222 (2017), 대한골대사학회[DOI]
- Roerholt C, "Initiation of anti-osteoporotic therapy in patients with recent fractures: a nationwide analysis of prescription rates and persistence", Osteoporos Int, 20, pp.299~307 (2009)
- Cadarette SM, "Trends in drug prescribing for osteoporosis after hip fracture, 1995-2004", J Rheumatol, 35, pp.319~326 (2008)
- 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
- Farmer RP, "Osteoporosis and the orthopaedic surgeon: basic concepts for successful co-management of patients' bone health", Int Orthop, 38, pp.1731~1738 (2014)
- Tae In Kim, "The Adequacy of Diagnosis and Treatment for Osteoporosis in Patients with Proximal Humeral Fractures", Clinics in Orthopedic Surgery, 8(3), pp.274~279 (2016), 대한정형외과학회