Changes in the mean incidence and variance of orthopedic diseases before and during the COVID-19 pandemic in Korea: a retrospective study
Abstract Background During the coronavirus disease (COVID-19) pandemic, the amount of moderate- to high-intensity physical activity significantly decreased. Therefore, the epidemiology of musculoskeletal diseases could possibly have changed. We assessed changes in the incidence of and variance in no...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-07-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-023-06634-0 |
| _version_ | 1797790010758397952 |
|---|---|
| author | Joo-Hee Kim Mi Jung Kwon Hyo Geun Choi Sang Jun Lee Sangwon Hwang Jaemin Lee San-Hui Lee Jung Woo Lee |
| author_facet | Joo-Hee Kim Mi Jung Kwon Hyo Geun Choi Sang Jun Lee Sangwon Hwang Jaemin Lee San-Hui Lee Jung Woo Lee |
| author_sort | Joo-Hee Kim |
| collection | DOAJ |
| description | Abstract Background During the coronavirus disease (COVID-19) pandemic, the amount of moderate- to high-intensity physical activity significantly decreased. Therefore, the epidemiology of musculoskeletal diseases could possibly have changed. We assessed changes in the incidence of and variance in non-traumatic orthopedic diseases before and after the COVID-19 pandemic in Korea. Methods This study included data from the Korea National Health Insurance Service, which covers the entire Korean population (approximately 50 million), from January 2018 to June 2021. Using International Classification of Diseases, Tenth Revision codes, 12 common orthopedic diseases were evaluated, including cervical disc disorders, lumbar disc disorders, forward head posture, myofascial pain syndrome, carpal tunnel syndrome, tennis elbow, frozen shoulder, rheumatoid arthritis, gout, hip fracture, distal radius fracture, and spine fracture diseases. “Pre-COVID-19” was the period until February 2020, and “COVID-19 pandemic period” was the period starting March 2020. Differences in the mean incidence and variance of diseases before and during the COVID-19 pandemic were compared. Results In most cases, the incidence of orthopedic diseases decreased at the beginning of the pandemic and then increased thereafter. Among the 12 diseases, the incidence of three diseases showed a statistically significant change. The incidence of myofascial pain syndrome (P < 0.001) was lower during the COVID-19 pandemic than during the pre-COVID-19 period. The incidences of frozen shoulder (P < 0.001) and gout (P = 0.043) were higher during the COVID-19 pandemic than during the pre-COVID-19 period. However, no statistical difference in disease variations was observed between the two periods. Conclusions The incidence of orthopedic diseases varied during the COVID-19 pandemic among the Korean population. Although the incidence of myofascial pain syndrome was lower, that of frozen shoulder and gout was higher during the COVID-19 pandemic than during the pre-COVID-19 period. No disease variations during the COVID-19 pandemic were found. |
| first_indexed | 2024-03-13T01:58:41Z |
| format | Article |
| id | doaj.art-bd86191c2d584c9c936961539932eb11 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-13T01:58:41Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-bd86191c2d584c9c936961539932eb112023-07-02T11:03:51ZengBMCBMC Musculoskeletal Disorders1471-24742023-07-0124111010.1186/s12891-023-06634-0Changes in the mean incidence and variance of orthopedic diseases before and during the COVID-19 pandemic in Korea: a retrospective studyJoo-Hee Kim0Mi Jung Kwon1Hyo Geun Choi2Sang Jun Lee3Sangwon Hwang4Jaemin Lee5San-Hui Lee6Jung Woo Lee7Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Hallym University College of MedicineDepartment of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of MedicineSuseoseoulent clinicYonsei University Wonju College of MedicineArtificial Intelligence Bigdata Medical Center, Yonsei University Wonju College of MedicineDepartment of Orthopedic Surgery, Yonsei University Wonju College of MedicineDepartment of Obstetrics and Gynecology, Yonsei University Wonju College of MedicineDepartment of Orthopedic Surgery, Yonsei University Wonju College of MedicineAbstract Background During the coronavirus disease (COVID-19) pandemic, the amount of moderate- to high-intensity physical activity significantly decreased. Therefore, the epidemiology of musculoskeletal diseases could possibly have changed. We assessed changes in the incidence of and variance in non-traumatic orthopedic diseases before and after the COVID-19 pandemic in Korea. Methods This study included data from the Korea National Health Insurance Service, which covers the entire Korean population (approximately 50 million), from January 2018 to June 2021. Using International Classification of Diseases, Tenth Revision codes, 12 common orthopedic diseases were evaluated, including cervical disc disorders, lumbar disc disorders, forward head posture, myofascial pain syndrome, carpal tunnel syndrome, tennis elbow, frozen shoulder, rheumatoid arthritis, gout, hip fracture, distal radius fracture, and spine fracture diseases. “Pre-COVID-19” was the period until February 2020, and “COVID-19 pandemic period” was the period starting March 2020. Differences in the mean incidence and variance of diseases before and during the COVID-19 pandemic were compared. Results In most cases, the incidence of orthopedic diseases decreased at the beginning of the pandemic and then increased thereafter. Among the 12 diseases, the incidence of three diseases showed a statistically significant change. The incidence of myofascial pain syndrome (P < 0.001) was lower during the COVID-19 pandemic than during the pre-COVID-19 period. The incidences of frozen shoulder (P < 0.001) and gout (P = 0.043) were higher during the COVID-19 pandemic than during the pre-COVID-19 period. However, no statistical difference in disease variations was observed between the two periods. Conclusions The incidence of orthopedic diseases varied during the COVID-19 pandemic among the Korean population. Although the incidence of myofascial pain syndrome was lower, that of frozen shoulder and gout was higher during the COVID-19 pandemic than during the pre-COVID-19 period. No disease variations during the COVID-19 pandemic were found.https://doi.org/10.1186/s12891-023-06634-0Musculoskeletal diseasesOrthopedic diseasesCOVID-19GoutMyofascial pain syndromesFrozen shoulder |
| spellingShingle | Joo-Hee Kim Mi Jung Kwon Hyo Geun Choi Sang Jun Lee Sangwon Hwang Jaemin Lee San-Hui Lee Jung Woo Lee Changes in the mean incidence and variance of orthopedic diseases before and during the COVID-19 pandemic in Korea: a retrospective study BMC Musculoskeletal Disorders Musculoskeletal diseases Orthopedic diseases COVID-19 Gout Myofascial pain syndromes Frozen shoulder |
| title | Changes in the mean incidence and variance of orthopedic diseases before and during the COVID-19 pandemic in Korea: a retrospective study |
| title_full | Changes in the mean incidence and variance of orthopedic diseases before and during the COVID-19 pandemic in Korea: a retrospective study |
| title_fullStr | Changes in the mean incidence and variance of orthopedic diseases before and during the COVID-19 pandemic in Korea: a retrospective study |
| title_full_unstemmed | Changes in the mean incidence and variance of orthopedic diseases before and during the COVID-19 pandemic in Korea: a retrospective study |
| title_short | Changes in the mean incidence and variance of orthopedic diseases before and during the COVID-19 pandemic in Korea: a retrospective study |
| title_sort | changes in the mean incidence and variance of orthopedic diseases before and during the covid 19 pandemic in korea a retrospective study |
| topic | Musculoskeletal diseases Orthopedic diseases COVID-19 Gout Myofascial pain syndromes Frozen shoulder |
| url | https://doi.org/10.1186/s12891-023-06634-0 |
| work_keys_str_mv | AT jooheekim changesinthemeanincidenceandvarianceoforthopedicdiseasesbeforeandduringthecovid19pandemicinkoreaaretrospectivestudy AT mijungkwon changesinthemeanincidenceandvarianceoforthopedicdiseasesbeforeandduringthecovid19pandemicinkoreaaretrospectivestudy AT hyogeunchoi changesinthemeanincidenceandvarianceoforthopedicdiseasesbeforeandduringthecovid19pandemicinkoreaaretrospectivestudy AT sangjunlee changesinthemeanincidenceandvarianceoforthopedicdiseasesbeforeandduringthecovid19pandemicinkoreaaretrospectivestudy AT sangwonhwang changesinthemeanincidenceandvarianceoforthopedicdiseasesbeforeandduringthecovid19pandemicinkoreaaretrospectivestudy AT jaeminlee changesinthemeanincidenceandvarianceoforthopedicdiseasesbeforeandduringthecovid19pandemicinkoreaaretrospectivestudy AT sanhuilee changesinthemeanincidenceandvarianceoforthopedicdiseasesbeforeandduringthecovid19pandemicinkoreaaretrospectivestudy AT jungwoolee changesinthemeanincidenceandvarianceoforthopedicdiseasesbeforeandduringthecovid19pandemicinkoreaaretrospectivestudy |