J Korean Med Sci.  2016 Apr;31(4):630-634. 10.3346/jkms.2016.31.4.630.

Incidence and Mortality after Distal Radius Fractures in Adults Aged 50 Years and Older in Korea

Affiliations
  • 1Department of Orthopaedic Surgery, College of Medicine, Chung-Ang University, Seoul, Korea. hayongch@naver.com
  • 2College of Pharmacy, Gachon University, Incheon, Korea.
  • 3Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Korea.
  • 4Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 5Department of Orthopaedic Surgery, School of Medicine, Hallym University, Anyang, Korea.
  • 6Department of Internal Medicine, School of Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea.
  • 7Big Data Steering Department, National Health Insurance Service, Wonju, Korea.

Abstract

The purpose of this study was to assess the incidence and mortality of distal radius fracture among patients 50 years of age and older with diagnosis code (ICD10; S52.5, S52.6) and treatment code using a nationwide claims database from 2008 to 2012. All patients were followed using patient identification code to identify deaths. Standardized mortality ratios (SMRs) of distal radius fracture were calculated based on age and gender-specific rates in the entire Korean population. The number of distal radius fractures increased by 54.2% over the 5-year study (48,145 in 2008 and 74,240 in 2012). The incidence of distal radius fracture increased from 367.4/100,000 in 2008 to 474.1/100,000 in 2012. The cumulative mortality rate over the first 12 months after distal radius fracture was decreased from 2.0% (968/48,145) in 2008 to 1.4% (1,045/74,240) in 2012. The mean year mortality over 5 years in men (2.6%, 1,279/50,128) over the first 12 months was 1.7-times higher than in women (1.5%, 3,952/257,045). The mean of SMR of distal radius fracture at 1 year post-fracture was 1.45 in men and 1.17 in women. This study using a nationwide database demonstrates that the distal radius fractures are increasing with a decreasing mortality in Korea.

Keyword

Distal Radius Fracture; Incidence; Mortality; Osteoporotic Fracture; Korea

MeSH Terms

Aged
Aged, 80 and over
Databases, Factual
Female
Humans
Incidence
Male
Middle Aged
Radius Fractures/*diagnosis/epidemiology/mortality
Republic of Korea/epidemiology
Sex Distribution
Survival Analysis
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