J Bone Metab.  2017 Aug;24(3):183-186. 10.11005/jbm.2017.24.3.183.

Change of Bone Mineral Density Measurement among Patients with Osteoporotic Fractures in Korean Population Using National Claim Database

• Park CH
• Lee YK
• Ha YC

• KMID: 2415956
• DOI: http://doi.org/10.11005/jbm.2017.24.3.183

Abstract

BACKGROUND
Prior osteoporotic fractures are strongly associated with subsequent fractures. To prevent this, the diagnosis of osteoporosis following an osteoporotic fracture is important. The measurement of bone mineral density (BMD) is the first step in the diagnosis and management of osteoporosis. Therefore, this study aimed 1) to evaluate the rate of BMD measurement after osteoporotic fracture in the Korean population, and 2) to determine whether the rate of BMD measurement after osteoporotic fracture changed between 2005 and 2010.
METHODS
Using the database of the Health Insurance Review Assessment Service (HIRA), we identified patients with osteoporotic fractures (hip, spine, humerus, and wrist fractures) in 2005 and 2010. BMD examinations were evaluated by using procedure codes and medicines, exclusively approved for osteoporosis treatment.
RESULTS
During the study period, about half of all patients with osteoporotic fractures had BMD measurement. Between 2005 and 2010, the rate of BMD measurement significantly increased from 42.0% (65,556/156,190) to 53.9% (103,785/192,556) (P<0.001).
CONCLUSIONS
Our results showed that about half of all patients with osteoporotic fractures had BMD measurement, and that screening for osteoporosis in patients with osteoporotic fractures increased between 2005 and 2010.

Keyword

Osteoporotic fractures; Bone density; Absorptiometry; Photon

MeSH Terms

Bone Density*
Diagnosis
Humans
Humerus
Insurance, Health
Mass Screening
Osteoporosis
Osteoporotic Fractures*
Spine
Wrist

Figure

• 

  Fig. 1 Change of proportion of bone mineral density (BMD) measurement according to gender.

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