J Bone Metab.  2015 Feb;22(1):17-21. 10.11005/jbm.2015.22.1.17.

Incidence and Mortality after Proximal Humerus Fractures Over 50 Years of Age in South Korea: National Claim Data from 2008 to 2012

• Park C
• Jang S
• Lee A
• Kim HY
• Lee YB
• Kim TY
• Ha YC

• KMID: 2170060
• DOI: http://doi.org/10.11005/jbm.2015.22.1.17

Abstract

BACKGROUND
There has been lack of epidemiology of proximal humerus fracture using nationwide database in Asia. The purpose of this study was to investigate the incidence of proximal humerus fracture and its mortality following proximal humerus fracture in Korean over 50 years of age.
METHODS
The Korean National Health Insurance data were evaluated to determine the incidence and mortality of proximal humerus fracture aged 50 years or older from 2008 through 2012.
RESULTS
Proximal humerus fracture increased by 40.5% over 5 year of study. The incidence of fracture increased from 104.7/100,000 in 2008 to 124.7/100,000 in 2012 in women and from 45.3/100,000 in 2008 to 52.0/100,000 in 2012 in men, respectively. One year mortality rate after proximal humerus fracture was 8.0% in 2008 and 7.0% in 2012. One year mortality rate were 10.8% for men and 7.0% for women in 2008 and 8.5% for men and 6.4% for women in 2012.
CONCLUSIONS
Our study showed that the proximal humerus fracture in elderly was recently increasing and associated with high mortality in Korea. Considering proximal humerus fracture was associated with an increased risk of associated fractures and an increased mortality risk, public health strategy to prevent the proximal humerus fracture in elderly will be mandatory.

Keyword

Humeral fractures; Incidence; Mortality; Osteoporotic fractures

MeSH Terms

Aged
Asia
Epidemiology
Female
Humans
Humeral Fractures
Humerus*
Incidence*
Korea
Male
Mortality*
National Health Programs
Osteoporotic Fractures
Public Health

Figure

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  Fig. 1 Gender specific incidence of proximal humerus fractures in patients aged 50 years or older from 2008 through 2012.

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  Fig. 2 Age specific incidence of proximal humerus fractures in patients aged 50 years or older from 2008 through 2012.

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  Fig. 3 Mortality rate after proximal humerus fracture in 2011.

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