Abstract
Summary
This study determined the incidence of hip fractures in Gwangju city and Jeonnam province of Korea in 2011 and compared it with the rates in the same area in 1991 and 2001.
Introduction
This study determined the incidence of hip fracture in Gwangju city and Jeonnam province in Korea in 2011 and compared it with the rates in the same area in 1991 and 2001, with the aim of identifying any changes in 2011.
Methods
Korea Health Insurance Review Agency patient data from Gwangju city and Jeonnam province for the period 2011 January 1 to December 31 was analyzed. All claims and records of patients ≥50 years of age with a diagnosis of fracture of the neck of the femur, pertrochanteric fracture, and hip fracture-related surgeries including open reduction and internal fixation, closed reduction and osteosynthesis, total hip replacement, or bipolar hemiarthroplasty were analyzed. Population figures were obtained from the Korea National Statistical Office. Age- and sex-specific annual incidences were calculated. The 2011 data was compared with published data from 1991 to 2001.
Results
There were 1590 hip fractures in 2011, representing a crude incidence of 14.0/10,000. The incidence was 9.7/10,000 in males and 17.5/10,000 in females. The number of hip fractures and fracture incidence was 247 and 3.3/10,000 in 1991 and 1152 and 13.3/10,000 in 2001, respectively. There was a fourfold increase of fracture incidence between 1991 and 2001. Thereafter, the number of fractures increased only by 5.2 %. However, the number of arthroplasties done increased significantly.
Conclusions
The incidence of fractures increased considerably between 1991 and 2001, with less increase in the ensuing 10 years.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Clark P, Lavielle P, Franco-Marina F, Ramírez E, Salmerón J, Kanis JA, Cummings SR (2005) Incidence rates and life-time risk of hip fractures in Mexicans over 50 years of age: a population-based study. Osteoporos Int 16:2025–2030
Cummings SR, Melton LJ (2002) Epidemiology and outcomes of osteoporotic fractures. Lancet 359:1761–1767
Hagino H, Katagiri H, Okano T, Yamamoto K, Teshima R (2005) Increasing incidence of hip fracture in Tottori Prefecture, Japan: trend from 1986 to 2001. Osteoporos Int 16(12):1963–1968
Maghraoui AE, Koumba BA, Jroundi I, Achemlal L, Bezza A, Tazi MA (2005) Epidemiology of hip fractures in 2002 in Rabat, Morocco. Osteoporos Int 16:597–602
Lau EM, Lee JK, Suriwongpaisal P, Saw SM, De Das S, Khir A, Sambrook P (2001) The incidence of hip fracture in four Asian countries: the Asian Osteoporosis Study (AOS). Osteoporos Int 12:239–243
Ross PD, Huang C (2000) Hip fracture incidence among Caucasians in Hawaii is similar to Japanese. A population-based study. Aging (Milano) 12:356–359
Yan L, Zhou B, Prentice A, Wang X, Golden MHN (1999) Epidemiological study of hip fracture in Shenyang, People's Republic of China. Bone 24:151–155
Gullberg B, Johnell O, Kanis JA (1997) World-wide projections for hip fracture. Osteoporos Int 7:407–413
Cooper C, Campion G, Melton LJ III (1992) Hip fractures in the elderly: a world-wide projection. Osteoporos Int 2:285–289
Kannus P, Niemi S, Parkkari J, Palvanen M, Vuori I, Jarvinen M (1999) Hip fractures in Finland between 1970 and 1997 and predictions for the future. Lancet 353:802–805
Lau EM, Cooper C, Wickham C, Donnan S, Barker DJ (1990) Hip fracture in Hong Kong and Britain. Int J Epidemiol 19:1119–1121
Finsen V, Benum P (1987) Changing incidence of hip fractures in rural and urban areas of central Norway. Clin Orthop Relat Res 218:104–110
Korea National Statistical Office (2003) STAT-Korea, Census. http://www.nso.go.kr/cgi-bin/sws_999.cgi
Lim S, Joung H, Shin CS, Lee HK, Kim KS, Shin EK, Kim HY, Lim MK, Cho SI (2004) Body composition changes with age have gender-specific impacts on bone mineral density. Bone (NY) 35:792–798
Rowe SM, Yoon TR, Ryang DH (1993) An epidemiological study of hip fracture in Honam, Korea. Int Orthop 17:139–143
Rowe SM, Song EK, Kim JS, Lee JY, Park YB, Bae BH, Hur CI (2005) Rising incidence of hip fracture in Gwangju City and Chonnam Province, Korea. J Korean Med Sci 20:655–658
Lim S, Koo BK, Lee EJ, Park JH, Kim MH, Shin KH, Ha YC, Cho NH, Shin CS (2008) Incidence of hip fractures in Korea. J Bone Miner Metab 26(4):400–405
Lee YK, Ha YC, Park C, Yoo JJ, Shin CS, Koo KH (2013) Bisphosphonate use and increased incidence of subtrochanteric fracture in South Korea: results from the National Claim Registry. Osteoporos Int 24(2):707–711
Lee YK, Ha YC, Park C, Koo KH (2013) Trends of surgical treatment in femoral neck fracture: a nationwide study based on claim registry. J Arthroplasty 28(10):1839–1841
Hagino H, Furukawa K, Fujiwara S, Okano T, Katagiri H, Yamamoto K, Teshima R (2009) Recent trends in the incidence and lifetime risk of hip fracture in Tottori, Japan. Osteoporos Int 20(4):543–548
Kim SR, Ha YC, Kim JR, Kim R, Kim SY, Koo KH (2010) Incidence of hip fractures in Jeju Island, South Korea: a prospective study (2002–2006). Clin Orthop Surg 2(2):64–68
Court-Brown CM, Heckman JD, McQueen MM, Ricci WM, Tometta P (2015) Rockwood and green’s fractures in adults, 8th edn. Wolters Kluwer, New York, pp 2075–2130
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
None.
Rights and permissions
About this article
Cite this article
Park, KS., Woo, SH., Park, WJ. et al. Change in incidence of hip fracture in Gwangju City and Jeonnam Province, Korea, over 20 years. Arch Osteoporos 10, 38 (2015). https://doi.org/10.1007/s11657-015-0242-3
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s11657-015-0242-3