J Bone Metab.  2019 May;26(2):83-88. 10.11005/jbm.2019.26.2.83.

Disability Weights for Osteoporosis and Osteoporotic Fractures in South Korea

• Bae G
• Kim E
• Kwon HY
• An J
• Park J
• Yang H

• KMID: 2448955
• DOI: http://doi.org/10.11005/jbm.2019.26.2.83

Abstract

BACKGROUND
Korea is expected to become an ultra-aged society, in which the elderly population will account for more than 20% of the total population, after 2025. Thus, the social costs due to osteoporotic fractures are expected to increase. Therefore, this study aimed to measure disability weights (DWs) of osteoporosis and osteoporotic fractures in Korea.
METHODS
The scenarios were developed to standardize the severity of 6 health statuses: osteoporosis and osteoporotic fractures including wrist, hip, post-hip, vertebral, and post-vertebral fracture. The values for these 6 health statuses were sought via a person trade-off (PTO) approach. We measured the value by PTO and we calculated it to DW of 6 health statuses. Three clinical expertise panels of 33 experts were established, and face-to-face interviews were conducted from July to December 2017.
RESULTS
The distribution of DW varied by panel. DWs ranged from 0.5 (Osteoporosis) to 0.857 (Hip fracture) for Panel 1, 0.091 (Osteoporosis) to 0.5 (Hip fracture) for Panel 2, and 0.091 (Osteoporosis) to 0.726 (Hip fracture) for Panel 3. The final values for the 6 health statuses obtained by pooling all data from 3 panels ranged from 0.286 (Osteoporosis) to 0.750 (Hip fracture). There was no significant difference in rankings for the 6 health statuses among the 3 panels.
CONCLUSIONS
Comparing the DW of osteoporotic fracture in this study with other diseases in previous studies, it is predicted that osteoporotic fractures, especially hip fractures, will have a considerable burden of disease.

Keyword

Disability weights; Korea; Osteoporosis; Osteoporotic fractures; Person-Trade-Off

MeSH Terms

Aged
Hip
Hip Fractures
Humans
Korea*
Osteoporosis*
Osteoporotic Fractures*
Weights and Measures*
Wrist

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