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Mortality after vertebral fracture in Korea

Analysis of the National Claim Registry

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Abstract

Summary

The present study evaluates the incidence and mortality of vertebral fractures in Korea, using data from the Health Insurance Review Assessment Service, which includes nationwide information entrusted by Korean government.

Introduction

A vertebral compression fracture is a serious complication associated with osteoporosis of the spine. We evaluated the incidence of vertebral fracture and subsequent mortality in South Korea, using nationwide data from the Health Insurance Review and Assessment Service (HIRA).

Methods

All new visits or admissions to clinics or hospitals for fractures were recorded in nationwide cohort by the Korean HIRA using International Classification of Disease, tenth Revision (ICD-10) code. The incidence of vertebral fracture and excess mortality associated with vertebral fracture were evaluated, in men and women aged 50 years or more between 2005 and 2008. Standardized mortality ratio (SMR) was calculated to determine excess mortality associated with vertebral fracture.

Results

The crude overall incidence of vertebral fractures was 984 per 100,000 person years from 2005 to 2008. The overall mortality rate at 3 months, 6 months, 1 year, and 2 years after vertebral fracture in men (5.56%, 9.41%, 14.6%, and 20.61%, respectively) were higher than that in women (2.41%, 4.36%, 7.16%, and 10.48%, respectively). In both genders, the age-specific mortality rates were more than those of the general population. The SMR was highest during the first 3 months and gradually declined to 2.53 in men and 1.86 in women at the 2-year period.

Conclusions

The incidence of vertebral fracture in South Korea was comparable with other countries such as Switzerland, and the mortality after vertebral fracture is higher than that of normal populations. The incidence of osteoporotic vertebral fracture and following high mortality are likely to become serious socioeconomic problems.

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Acknowledgements

This study was supported by the Korean Health Insurance Review and Assessment Service (HIRA) and conducted using data from the Korean National Health Insurance Claims Database.

Conflicts of interest

This study was supported by the Korean Health Insurance Review and Assessment Service (HIRA) and conducted using data from the Korean National Health Insurance Claims Database.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Yeongeon-dong, Jongno-gu, Seoul, 110-744, South Korea

    Y.-K. Lee

  2. Health Insurance Review and Assessment Service, 168 Hyoryeong-ro, Seocho-gu, Seoul, 137-706, South Korea

    H. J. Lee & C. Park

  3. Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, 224-1 Heukseok-dong, Dongjak-gu, Seoul, 156-755, South Korea

    Y.-C. Ha

  4. Department of Nuclear Medicine, Kyung Hee University Hospital, Hoeki-dong, Dongdaemun-gu, Seoul, 130-702, South Korea

    D.-Y. Kim

  5. Inje University College of Pharmacy, 607 Eobang-dong, Gimhae-si, Gyeongsangnam-do, South Korea

    S. Jang

  6. Graduate School of Public Health, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, South Korea

    S. Jang

Authors
  1. Y.-K. Lee
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  2. S. Jang
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  3. S. Jang
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  4. H. J. Lee
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  5. C. Park
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  7. D.-Y. Kim
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Corresponding author

Correspondence to D.-Y. Kim.

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Lee, YK., Jang, S., Jang, S. et al. Mortality after vertebral fracture in Korea. Osteoporos Int 23, 1859–1865 (2012). https://doi.org/10.1007/s00198-011-1833-5

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  • DOI: https://doi.org/10.1007/s00198-011-1833-5

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