TITLE

Incidence and mortality of hip fracture among the elderly population in South Korea: a population-based study using the National Health Insurance claims data

AUTHOR(S)
Hye-Young Kang; Kyu-hyeon Yang; Yoon Nam Kim; Seong-hwan Moon; Won-Jung Choi; Dae Ryong Kang; Seong Eun Park
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10 Issue 1, p230
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The lack of epidemiologic information on osteoporotic hip fractures hampers the development of preventive or curative measures against osteoporosis in South Korea. We conducted a population-based study to estimate the annual incidence of hip fractures. Also, we examined factors associated with post-fracture mortality among Korean elderly to evaluate the impact of osteoporosis on our society and to identify high-risk populations. Methods: The Korean National Health Insurance (NHI) claims database was used to identify the incidence of hip fractures, defined as patients having a claim record with a diagnosis of hip fracture and a hip fracture-related operation during 2003. The 6-month period prior to 2003 was set as a 'window period,' such that patients were defined as incident cases only if their first record of fracture was observed after the window period. Cox's proportional hazards model was used to investigate the relationship between survival time and baseline patient and provider characteristics available from the NHI data. Results: The age-standardized annual incidence rate of hip fractures requiring operation over 50 years of age was 146.38 per 100,000 women and 61.72 per 100,000 men, yielding a female to male ratio of 2.37. The 1-year mortality was 16.55%, which is 2.85 times higher than the mortality rate for the general population (5.8%) in this age group. The risk of post-fracture mortality at one year is significantly higher for males and for persons having lower socioeconomic status, living in places other than the capital city, not taking anti-osteoporosis pharmacologic therapy following fracture, or receiving fracture-associated operations from more advanced hospitals such as general or tertiary hospitals. Conclusion: This national epidemiological study will help raise awareness of osteoporotic hip fractures among the elderly population and hopefully motivate public health policy makers to develop effective national prevention strategies against osteoporosis to prevent hip fractures.
ACCESSION #
51137897

 

Related Articles

  • THEME INTRODUCTION. Konin, Jeff G. // Athletic Therapy Today;Jul2004, Vol. 9 Issue 4, p5 

    Discusses his and pelvic region injuries. Role of muscles surrounding the hip on mobility and stability; Generation of force used for trunk and upper extremity activities; Treatment of pathological injuries.

  • Prediction of Incident Hip Fracture Risk by Femur Geometry Variables Measured by Hip Structural Analysis in the Study of Osteoporotic Fractures. Kaptoge, Stephen; Beck, Thomas J.; Reeve, Jonathan; Stone, Katie L.; Hillier, Teresa A.; Cauley, Jane A.; Cummings, Steven R. // Journal of Bone & Mineral Research;Dec2008, Vol. 23 Issue 12, p1892 

    The article discusses a study concerning risk prediction for osteoporotic fractures that is based on the femur geometry variables and an analysis of hip structure in women. Analysis software calculated the structural variables in the narrow neck, intertrochanter (IT), and shaft regions. The...

  • Surgical site infections and rehospitalizations. Johnson, Holland // Medical Device Daily;6/7/2012, Vol. 16 Issue 108, Special section p2 

    The article reports on an analysis of savings from preventing further complications in patients in the U.S. who develop infections after surgery to replace a knee or hip. The analysis claimed that the prevention of complications could save 65 million U.S. dollars annually. A research team...

  • Pelvic and acetabular fractures. Lehmann, W. // European Journal of Trauma & Emergency Surgery;Oct2012, Vol. 38 Issue 5, p487 

    An introduction is presented in which the author discusses articles within the issue focusing on treatment and management of pelvic and acetabular fractures.

  • Excess mortality attributable to hip fracture in White women aged 70 years and older. Magaziner, Jay; Lydick, Eva; Hawkes, William; Fox, Kathleen M.; Zimmerman, Sheryl Itkin; Epstein, Robert S.; Hebel, J. Richard // American Journal of Public Health;Oct97, Vol. 87 Issue 10, p1630 

    Objective. The purpose of this study was to estimate the excess mortality attributable to hip fracture. Methods. The 6-year survival rate of community-dwelling White female hip fracture patients aged 70 years and older entering one of seven hospitals from 1984 to 1986 (n = 578) was compared with...

  • Survival and Potential Years of Life Lost After Hip Fracture in Men and Age-matched Women. Trombetti, A.; Herrmann, F.; Hoffmeyer, P.; Schurch, M. A.; Bonjour, J. P.; Rizzoli, R. // Osteoporosis International;Sep2002, Vol. 13 Issue 9, p731 

    : Hip fracture is associated with a higher mortality rate in men than in women. However, mean age of men and women with hip fracture differs markedly. Thus, some of the differences in the clinical pattern and outcome between genders could be related to different ages. To avoid the influence of...

  • Excessive polyethylene wear and acetabular bone defects from standard use of a hooded acetabular insert in total hip arthroplasty. Gerhardt, Davey; Sanders, Rick; Visser, Enrico; Susante, Job // International Orthopaedics;Aug2014, Vol. 38 Issue 8, p1585 

    Purpose: In total hip arthroplasty (THA) the use of a polyethylene (PE) insert with a hooded rim can be considered to reduce dislocation risks. This benefit has to be balanced against the potential introduction of impingement of the femoral component on this rim. We present a case series of...

  • Letter to the Editor: In Brief: Crowe's Classification: Arthroplasty in Developmental Dysplasia of the Hip. Wu, Po-Kuei; Lin, Yu-Min // Clinical Orthopaedics & Related Research;Dec2010, Vol. 468 Issue 12, p3426 

    No abstract available.

  • Occult hip and pelvic fractures and accompanying muscle injuries around the hip. Ohishi, Tsuyoshi; Ito, Takanori; Suzuki, Daisuke; Banno, Tomohiro; Honda, Yosuke // Archives of Orthopaedic & Trauma Surgery;Jan2012, Vol. 132 Issue 1, p105 

    Method: We investigated the incidence of occult hip and pelvic fractures and associated muscle injuries around the hip. Patients: A total of 113 patients aged 60-102 years with suspected hip fracture but negative plain radiographs underwent further examination by magnetic resonance imaging (MRI)...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics