Characteristics of Osteoporosis & Osteoporotic Fractures in Korea Based on Health Insurance Review and Assessment (HIRA) Database: 2009–2017

To investigate the incidence and characteristics of osteoporosis and osteoporotic fractures in Korea, we used the Health Insurance Review and Assessment Service (HIRA) database. Patients over 50 years old, who were diagnosed or treated for osteoporosis and osteoporotic fractures in all hospitals and...

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Main Authors: Ho-Seok Oh, Sung-Kyu Kim, Hyoung-Yeon Seo
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/3/324
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author Ho-Seok Oh
Sung-Kyu Kim
Hyoung-Yeon Seo
author_facet Ho-Seok Oh
Sung-Kyu Kim
Hyoung-Yeon Seo
author_sort Ho-Seok Oh
collection DOAJ
description To investigate the incidence and characteristics of osteoporosis and osteoporotic fractures in Korea, we used the Health Insurance Review and Assessment Service (HIRA) database. Patients over 50 years old, who were diagnosed or treated for osteoporosis and osteoporotic fractures in all hospitals and clinics, were analyzed between 1 January 2009 and 31 December 2017 by using the HIRA database that contains prescription data and diagnostic codes. These data were retrospectively analyzed by decade and age-specific and gender-specific incidents in each year. We also evaluated other characteristics of patients including medication state of osteoporosis, primary used medical institution, regional-specific incidence of osteoporosis, and incidence of site-specific osteoporotic fractures. The number of osteoporosis patients over 50 years old, as diagnosed by a doctor, steadily increased from 2009 to 2017. The number of osteoporosis patients was notably greatest in the 60′s and 70′s age groups in every study period. Patients undergoing treatment for osteoporosis increased significantly (96%) from 2009 to 2017. Among the patients diagnosed with osteoporosis, the proportion who experienced osteoporotic fracture increased gradually (60%) from 2009 to 2017. The number of patients with osteoporotic fractures of the spine and hip was highest in the 70 to 90 age range, and the number of patients with osteoporotic fractures in the upper and lower extremities was highest in the 50 to 70 age range. Understanding the trends of osteoporosis in Korea will contribute to manage the increased number of patients with osteoporosis and osteoporotic fractures.
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spelling doaj.art-c8b8c58649f14fbbbf424424cbaad13b2023-11-21T10:25:48ZengMDPI AGHealthcare2227-90322021-03-019332410.3390/healthcare9030324Characteristics of Osteoporosis & Osteoporotic Fractures in Korea Based on Health Insurance Review and Assessment (HIRA) Database: 2009–2017Ho-Seok Oh0Sung-Kyu Kim1Hyoung-Yeon Seo2Department of Orthopaedic Surgery, Chonnam National University Medical School and Hospital, Gwangju 61469, KoreaDepartment of Orthopaedic Surgery, Chonnam National University Medical School and Hospital, Gwangju 61469, KoreaDepartment of Orthopaedic Surgery, Chonnam National University Medical School and Hospital, Gwangju 61469, KoreaTo investigate the incidence and characteristics of osteoporosis and osteoporotic fractures in Korea, we used the Health Insurance Review and Assessment Service (HIRA) database. Patients over 50 years old, who were diagnosed or treated for osteoporosis and osteoporotic fractures in all hospitals and clinics, were analyzed between 1 January 2009 and 31 December 2017 by using the HIRA database that contains prescription data and diagnostic codes. These data were retrospectively analyzed by decade and age-specific and gender-specific incidents in each year. We also evaluated other characteristics of patients including medication state of osteoporosis, primary used medical institution, regional-specific incidence of osteoporosis, and incidence of site-specific osteoporotic fractures. The number of osteoporosis patients over 50 years old, as diagnosed by a doctor, steadily increased from 2009 to 2017. The number of osteoporosis patients was notably greatest in the 60′s and 70′s age groups in every study period. Patients undergoing treatment for osteoporosis increased significantly (96%) from 2009 to 2017. Among the patients diagnosed with osteoporosis, the proportion who experienced osteoporotic fracture increased gradually (60%) from 2009 to 2017. The number of patients with osteoporotic fractures of the spine and hip was highest in the 70 to 90 age range, and the number of patients with osteoporotic fractures in the upper and lower extremities was highest in the 50 to 70 age range. Understanding the trends of osteoporosis in Korea will contribute to manage the increased number of patients with osteoporosis and osteoporotic fractures.https://www.mdpi.com/2227-9032/9/3/324osteoporosisosteoporotic fracturesKoreainsurancebig dataepidemiology
spellingShingle Ho-Seok Oh
Sung-Kyu Kim
Hyoung-Yeon Seo
Characteristics of Osteoporosis & Osteoporotic Fractures in Korea Based on Health Insurance Review and Assessment (HIRA) Database: 2009–2017
Healthcare
osteoporosis
osteoporotic fractures
Korea
insurance
big data
epidemiology
title Characteristics of Osteoporosis & Osteoporotic Fractures in Korea Based on Health Insurance Review and Assessment (HIRA) Database: 2009–2017
title_full Characteristics of Osteoporosis & Osteoporotic Fractures in Korea Based on Health Insurance Review and Assessment (HIRA) Database: 2009–2017
title_fullStr Characteristics of Osteoporosis & Osteoporotic Fractures in Korea Based on Health Insurance Review and Assessment (HIRA) Database: 2009–2017
title_full_unstemmed Characteristics of Osteoporosis & Osteoporotic Fractures in Korea Based on Health Insurance Review and Assessment (HIRA) Database: 2009–2017
title_short Characteristics of Osteoporosis & Osteoporotic Fractures in Korea Based on Health Insurance Review and Assessment (HIRA) Database: 2009–2017
title_sort characteristics of osteoporosis osteoporotic fractures in korea based on health insurance review and assessment hira database 2009 2017
topic osteoporosis
osteoporotic fractures
Korea
insurance
big data
epidemiology
url https://www.mdpi.com/2227-9032/9/3/324
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