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Recent Epidemiology of Hip Fractures in South Korea

Hip & Pelvis 2020년 32권 3호 p.119 ~ 124
Kim Boo-Seop, 임재영, 하용찬,
소속 상세정보
 ( Kim Boo-Seop ) - Chung-Ang University Hyundae General Hospital Department of Orthopaedic Surgery
임재영 ( Lim Jae-Young ) - Inje University College of Medicine Inje University Haeundae Paik Hospital Department of Orthopedic Surgery
하용찬 ( Ha Yong-Chan ) - Chung-Ang University Hospital Department of Orthopedic Surgery

Abstract


The aging of the Korean population is expected to result in an increase in the prevalence of hip fractures. The aim of this review is to evaluate potential hip-fracture trends in Korea during the last few decades. Data from a hip fracture-related epidemiology study informed by: (1) a cohort study; (2) hospital-based cohort study; and (3) claims database, were reviewed and summarized. The incidence of hip fractures rose from 159.1/100,000 in 2008 to 181.5/100,000 in 2012, and the total number of hip fractures is estimated to increase by 1.4 times over the next 10 years (35,729 in 2016 to 51,259 in 2025). The use of intramedullary nails has greatly surpassed the use of plates for the treatment of intertrochanteric fractures. The 1-year cumulative mortality rates in patients aged ≥50 years after hip fractures based on National Health Insurance Service data were 17.2% (3,575/20,849) in 2008 and 16.0% (4,547/28,426) in 2012; the decrease was mainly observed among women. In addition, the mean 1-year mortality rates were 21% for men and 15% for women, indicating that mortality was 1.4 times higher in men than in women. The number of hip fractures is rapidly increasing, and the incidence of hip fractures demonstrated a slightly increasing trend until 2012. Trends in the use of varying surgical options for treatments for femoral neck and intertrochanteric fractures follow global trends. Although the high mortality rate after hip fractures in Korea remains concerning, a decrease in these rates over the study period was observed.

키워드

Hip fractures; Incidence; Mortality; Republic of Korea; Therapeutics

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