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Osteoporosis and Osteoporotic Fracture Fact Sheet in Korea

Journal of Bone Metabolism 2020년 27권 4호 p.281 ~ 290
안성희, 박상민, 박소영, 유준일, 정형석, 노재휘, 김세화, 이영균, 하용찬, 장선미, 김태영, 김하영,
소속 상세정보
안성희 ( Ahn Seong-Hee ) - Inha University School of Medicine Inha University Hospital Division of Endocrinology and Metabolism
박상민 ( Park Sang-Min ) - Seoul National University College of Medicine Seoul National University Bundang Hospital Department of Orthopaedic Surgery
박소영 ( Park So-Young ) - Kyung Hee University Hospital Department of Internal Medicine
유준일 ( Yoo Jun-Il ) - Gyeongsang National University Hospital Department of Orthopaedic Surgery
정형석 ( Jung Hyoung-Seok ) - Chung-Ang University College of Medicine Chung-Ang University Hospital Department of Orthopaedic Surgery
노재휘 ( Nho Jae-Hwi ) - Soonchunhyang University Hospital Cheonan Department of Orthopaedic Surgery
김세화 ( Kim Se-Hwa ) - Catholic Kwandong University College of Medicine International St. Mary’s Hospital Department of Internal Medicine
이영균 ( Lee Young-Kyun ) - Seoul National University Bundang Hospital Department of Orthopaedic Surgery
하용찬 ( Ha Yong-Chan ) - Chung-Ang University College of Medicine Chung-Ang University Hospital Department of Orthopaedic Surgery
장선미 ( Jang Sun-Mee ) - Gachon University College of Pharmacy
김태영 ( Kim Tae-Young ) - Konkuk University School of Medicine Konkuk University Medical Center Department of Orthopaedic Surgery
김하영 ( Kim Ha-Young ) - University of Ulsan College of Medicine Gangneung Asan Hospital Department of Internal Medicine

Abstract


Background: The socioeconomic burdens of osteoporosis and related fractures have increased in parallel with population aging. The Korea Society of Bone and Mineral Research published fact sheets on these topics in 2017, 2018, and 2019. This study provides complied epidemiological data based on these fact sheets for understanding current status of osteoporosis in Korea.

Methods: Data from the Korea National Health and Nutrition Examination Survey (2008-2011) performed by the Korea Centers for Disease Control and Prevention and from National Health Information database (2008-2016) by National Health Insurance Service of Korea was used for analyzing the prevalence and incidence of osteoporosis and related fractures, respectively, fatality rates after fractures, and prescription status of anti-osteoporotic medications (AOMs).

Results: Among Korean adults aged ≥50 years, 22.4% and 47.9% had osteopenia or osteoporosis, respectively. Incidences of osteoporotic hip, vertebral, humerus, and distal radius fractures plateaued in 2013. The cumulative incidence of subsequent fractures gradually increased over 4 years of follow-up once an osteoporotic fracture occurred. Crude fatality rates in the first 12 months after hip fracture were 14.0% for women and 21.0% for men. Only 33.5% of patients with osteoporosis took AOMs, and even after an osteoporotic fracture, only 41.9% of patients took AOMs within the following 12 months. Despite a steady increase in AOM prescriptions of ~6% per annum, only 33.2% of patients were medication compliant (medication possession ratio ≥80%) at 12 months after treatment initiation.

Conclusions: Continuous efforts are required to diagnose patients at high risk of fracture and ensure proper management in Korea.

키워드

Fact sheet; Osteoporosis; Osteoporotic fracture

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