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Parkinson’s Disease as Risk Factor in Osteoporosis and Osteoporotic Vertebral Fracture : Prevalence Study Using National Inpatient Sample Database in Korea

Journal of Korean Neurosurgical Society 2019년 62권 1호 p.71 ~ 82
이진용 ( Lee Jin-Yong ) - Seoul National University Boramae Medical Center Public Health Medical Service

임남구 ( Lim Nam-Gu ) - Daejeon Health Institute of Technology Department of Medical Administration and Information
정천기 ( Chung Chun-Kee ) - Seoul National University College of Medicine Department of Neurosurgery
이지영 ( Lee Jee-Young ) - Seoul National University College of Medicine Boramae Medical Center Department of Neurology
김현주 ( Kim Hyun-Joo ) - Shinsung University Department of Nursing Science
박성베 ( Park Sung-Bae ) - Seoul National University Boramae Medical Center Department of Neurosurgery

Abstract


Objective: To determine the prevalence of osteoporosis (OP) and osteoporotic vertebral fracture (OVF) in people with Parkinson’s disease (PD) in Korea and its association with socioeconomic status.

Methods: Using Health Insurance Review and Assessment Service-National Inpatient Sample (HIRA-NIS) data from 2009 to 2013, we estimated the annual prevalence of PD, OP, and OVF and investigated its association with socioeconomic status using data from National Health Insurance (NHI) beneficiaries and Medical Aid (MA) recipients. This study was supported by research funding from Korean Society for Bone and Mineral Research 2015. There were no study-specific biases related to conflicts of interest.

Results: The number of PD patients in the HIRA-NIS increased each year from 2009 to 2013. Among patients with PD, the standardized prevalence rates of OP and OVF increased from 2009 to 2013; from 23.2 to 27.8 and from 2.8 to 4.2, respectively. Among patients with PD with OP, the prevalence of OVF were 12.2% and 15.1% in 2009 and 2013, respectively. The standardized prevalence rates of PD with OP and PD with OVF were significantly higher in MA recipients than in NHI beneficiaries.

Conclusion: The prevalence of PD both with OP and with OVF increased and the prevalence was higher in MA recipients than in NHI beneficiaries. These findings may suggest that age over 65 years, female and low income may be a significant factor related to PD occurring with OP and OVF.

키워드

Parkinson disease; Osteoporosis; Fractures; Bone
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