Secular trends in incidence of osteoporosis in Taiwan: A nationwide population-based study

Background: The present study aimed to assess the changes in trend of osteoporosis among the Taiwanese population from 2001 to 2011. Methods: The National Health Insurance Research Database (NHIRD) of Taiwan, containing records from approximately 23 million insures from 2001 to 2011, was analyzed. I...

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Main Authors: Fang-Ping Chen, Ting-Shuo Huang, Tsai-Sheng Fu, Chi-Chin Sun, An-Shine Chao, Tien-Ling Tsai
Format: Article
Language:English
Published: Elsevier 2018-10-01
Series:Biomedical Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S2319417016303171
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author Fang-Ping Chen
Ting-Shuo Huang
Tsai-Sheng Fu
Chi-Chin Sun
An-Shine Chao
Tien-Ling Tsai
author_facet Fang-Ping Chen
Ting-Shuo Huang
Tsai-Sheng Fu
Chi-Chin Sun
An-Shine Chao
Tien-Ling Tsai
author_sort Fang-Ping Chen
collection DOAJ
description Background: The present study aimed to assess the changes in trend of osteoporosis among the Taiwanese population from 2001 to 2011. Methods: The National Health Insurance Research Database (NHIRD) of Taiwan, containing records from approximately 23 million insures from 2001 to 2011, was analyzed. Insurees aged≧50 years with osteoporosis were identified either from previously documented osteoporotic diagnosis or osteoporosis-related fractures according to Clinical Modification (ICD-9-CM) diagnostic code. Results: The prevalence of osteoporosis increased from 17.4% in 2001 to 25.0% in 2011. The prevalence trend increased from 2001 to 2005 and plateaued thereafter. During 2001–2005, the incidence rate of hip fracture held steady from 277 to 281 per 100,000 person-years, and decreased thereafter from 262 to 247 per 100,000 person-years. The overall incidence of osteoporosis declined among patients younger than 84 years from 2001 to 2011, especially after 2005. As compared with 2005 and before, the incidence rate of osteoporosis was significantly decreased since 2006. Conclusions: The secular changes of osteoporosis in Taiwan are quite similar to the trend in western countries. It reveals how osteoporosis awareness and policy interventions can affect the prevalence trend of osteoporosis. Keywords: Hip fracture, Incidence, Osteoporosis, Prevalence
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spelling doaj.art-30bbfbecf27744f0954db176719ec1e92022-12-22T04:10:16ZengElsevierBiomedical Journal2319-41702018-10-01415314320Secular trends in incidence of osteoporosis in Taiwan: A nationwide population-based studyFang-Ping Chen0Ting-Shuo Huang1Tsai-Sheng Fu2Chi-Chin Sun3An-Shine Chao4Tien-Ling Tsai5Department of Obstetrics and Gynecology, Osteoporosis Prevention and Treatment Center, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan; Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Corresponding author. Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Keelung, 222, Mai-Chin Rd., Keelung 204, Taiwan.Department of General Surgery, Osteoporosis Prevention and Treatment Center, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan; Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Orthopaedic Surgery, Osteoporosis Prevention and Treatment Center, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan; Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Ophthalmology, Osteoporosis Prevention and Treatment Center, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan; Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Osteoporosis Prevention and Treatment Center, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan; Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Medical Research and Development, Osteoporosis Prevention and Treatment Center, Chang Gung Memorial Hospital at Keelung, Keelung, Taiwan; Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, TaiwanBackground: The present study aimed to assess the changes in trend of osteoporosis among the Taiwanese population from 2001 to 2011. Methods: The National Health Insurance Research Database (NHIRD) of Taiwan, containing records from approximately 23 million insures from 2001 to 2011, was analyzed. Insurees aged≧50 years with osteoporosis were identified either from previously documented osteoporotic diagnosis or osteoporosis-related fractures according to Clinical Modification (ICD-9-CM) diagnostic code. Results: The prevalence of osteoporosis increased from 17.4% in 2001 to 25.0% in 2011. The prevalence trend increased from 2001 to 2005 and plateaued thereafter. During 2001–2005, the incidence rate of hip fracture held steady from 277 to 281 per 100,000 person-years, and decreased thereafter from 262 to 247 per 100,000 person-years. The overall incidence of osteoporosis declined among patients younger than 84 years from 2001 to 2011, especially after 2005. As compared with 2005 and before, the incidence rate of osteoporosis was significantly decreased since 2006. Conclusions: The secular changes of osteoporosis in Taiwan are quite similar to the trend in western countries. It reveals how osteoporosis awareness and policy interventions can affect the prevalence trend of osteoporosis. Keywords: Hip fracture, Incidence, Osteoporosis, Prevalencehttp://www.sciencedirect.com/science/article/pii/S2319417016303171
spellingShingle Fang-Ping Chen
Ting-Shuo Huang
Tsai-Sheng Fu
Chi-Chin Sun
An-Shine Chao
Tien-Ling Tsai
Secular trends in incidence of osteoporosis in Taiwan: A nationwide population-based study
Biomedical Journal
title Secular trends in incidence of osteoporosis in Taiwan: A nationwide population-based study
title_full Secular trends in incidence of osteoporosis in Taiwan: A nationwide population-based study
title_fullStr Secular trends in incidence of osteoporosis in Taiwan: A nationwide population-based study
title_full_unstemmed Secular trends in incidence of osteoporosis in Taiwan: A nationwide population-based study
title_short Secular trends in incidence of osteoporosis in Taiwan: A nationwide population-based study
title_sort secular trends in incidence of osteoporosis in taiwan a nationwide population based study
url http://www.sciencedirect.com/science/article/pii/S2319417016303171
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