Healthcare Costs of Osteoporotic Fracture in Korea: Information from the National Health Insurance Claims Database, 2008-2011

다국어 초록 (Multilingual Abstract)

Background: The present study estimated healthcare costs of osteoporotic fractures including spine, hip, distal radius and humerus in Koreans over 50 years of age using national claims data. Methods: Korea National Health Insurance data between 2008 and 2011 was searched for all claims records of outpatient visits or hospital admissions of patients ≥50-years-of-age. Osteoporosis-related fractures were identified using certain the International Classification of Diseases, Tenth Revision codes and site-specific physician claims for procedures in a patient age cut-off value of 50 years. The healthcare costs included acute phase costs accounting for emergency medical care given immediately after fracture, costs due to further hospitalization and surgical procedures, physiotherapy sessions according to the site of the fracture, and outpatient visits in the year after discharge. Results: The total estimated healthcare costs of osteoporotic fractures in 2011 was $722 million. From 2008 to 2011, the total number and healthcare costs of osteoporotic fractures increased 28.9% (from 127,070 to 163,823) and 31.6% (from $549 million to $722 million), respectively. The portion of national health care expenditure was ranged from 2.3% in 2008 to 2.2% in 2011. The mean healthcare cost of osteoporotic fractures per person increased 2.1% from $4,321 in 2008 to $4,410 in 2011.The mean healthcare costs were highest for hip fractures followed by spine, humerus, and distal radius fractures. Conclusions: Total Healthcare costs of osteoporotic fractures in South Koreans ≥50-years-of-age increased between 2008 and 2011. This trend will likely continue, which is an important health problem in the elderly population and economically.

참고문헌 (Reference)

1 김태영, "Trends of Incidence, Mortality, and Future Projection of Spinal Fractures in Korea Using Nationwide Claims Data" 대한의학회 31 (31): 801-805, 2016

2 Park C, "The incidence and residual lifetime risk of osteoporosis-related fractures in Korea" 29 : 744-751, 2011

3 Qu B, "The economic burden of fracture patients with osteoporosis in western China" 25 : 1853-1860, 2014

4 Seo H, "Recent trends in economic burden of acute myocardial infarction in South Korea" 10 : e0117446-, 2015

5 Budhia S, "Osteoporotic fractures: a systematic review of U.S. healthcare costs and resource utilization" 30 : 147-170, 2012

6 Lix LM, "Osteoporosis-related fracture case definitions for population-based administrative data" 12 : 301-, 2012

7 Boonen S, "Osteoporosis management: impact of fracture type on cost and quality of life in patients at risk for fracture I" 24 : 1781-1788, 2008

8 Vestergaard P, "Osteoporosis is markedly underdiagnosed: a nationwide study from Denmark" 16 : 134-141, 2005

9 이성락, "Morbidity and Mortality in Jeju Residents over 50-Years of Age with Hip Fracture with Mean 6-Year Follow-Up: A Prospective Cohort Study" 대한의학회 28 (28): 1089-1094, 2013

10 Johansson H, "Increasing age- and sex-specific rates of hip fracture in Mexico: a survey of the Mexican Institute of Social Security" 22 : 2359-2364, 2011

11 Sakuma M, "Incidence of osteoporotic fractures in Sado, Japan in 2010" 32 : 200-205, 2014

12 Burge R, "Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025" 22 : 465-475, 2007

13 Tamulaitiene M, "Incidence and direct hospitalisation costs of hip fractures in Vilnius, capital of Lithuania, in 2010" 12 : 495-, 2012

14 박찬미, "Incidence and Mortality after Proximal Humerus Fractures Over 50 Years of Age in South Korea: National Claim Data from 2008 to 2012" 대한골대사학회 22 (22): 17-21, 2015

15 권기두, "Incidence and Mortality after Distal Radius Fractures in Adults Aged 50 Years and Older in Korea" 대한의학회 31 (31): 630-634, 2016

16 윤현구, "Incidence and Mortality Following Hip Fracture in Korea" 대한의학회 26 (26): 1087-1092, 2011

17 Ohsfeldt RL, "Fragility fracture-related direct medical costs in the first year following a nonvertebral fracture in a managed care setting" 17 : 252-258, 2006

18 Bouee S, "Estimation of direct unit costs associated with non-vertebral osteoporotic fractures in five European countries" 26 : 1063-1072, 2006

19 Johnell O, "Epidemiology of osteoporotic fractures" 16 (16): S3-S7, 2005

20 Siggeirsdottir K, "Epidemiology of fractures in Iceland and secular trends in major osteoporotic fractures 1989-2008" 25 : 211-219, 2014

21 Leslie WD, "Direct healthcare costs for 5 years post-fracture in Canada: a long-term population-based assessment" 24 : 1697-1705, 2013

22 Clark P, "Direct costs of osteoporosis and hip fracture: an analysis for the Mexican healthcare system" 19 : 269-276, 2008

23 Ha YC, "Current trends and future projections of hip fracture in South Korea using nationwide claims data" 27 : 2603-2609, 2016

24 Borgström F, "Costs and quality of life associated with osteoporosis-related fractures in Sweden" 17 : 637-650, 2006

25 Hansen L, "A health economic analysis of osteoporotic fractures: who carries the burden?" 8 : 126-, 2013

26 Cassell E, "A decreasing trend in fall-related hip fracture incidence in Victoria, Australia" 24 : 99-109, 2013