Journal of Bone and Mineral Metabolism

, Volume 29, Issue 6, pp 744–751 | Cite as

The incidence and residual lifetime risk of osteoporosis-related fractures in Korea

  • Chanmi Park
  • Yong-Chan Ha
  • Sunmee Jang
  • Suhyun Jang
  • Hyun-Koo Yoon
  • Young-Kyun LeeEmail author
Original Article


Although the Korean population does not have high risk for osteoporosis, the numbers of osteoporosis-related fractures represent a considerable economic burden to society. The purpose of this study was to determine the incidence and residual lifetime risk of osteoporosis-related fractures in Korea, using data from the Health Insurance Review and Assessment Service (HIRA), which includes nationwide information compiled by the Korean government. All new visits or admissions to Korean clinics or hospitals for fractures were recorded prospectively in a nationwide cohort by the Korean HIRA using the International Classification of Diseases, 10th revision, codes and procedure codes. These data were retrospectively evaluated to determine the incidence and residual lifetime risk of osteoporosis-related fractures (hip, spine, distal radius, and humerus fractures), in men and women aged 50 years or more between 2005 and 2008. The annual incidences of osteoporosis-related fractures were 1,661, 1,646, 1,623, and 1,614 per 100,000 person-years in men and women aged 50 years or more from the year 2005 to 2008. The annual incidence of osteoporosis-related fracture in women was three times that of men. The incidence of osteoporosis-related fractures increased with advancing age. In Korea, at the age of 50 years, the residual lifetime probabilities of osteoporosis-related fractures are 59.5% for women and 23.8% for men. This study presents the baseline data for treatment and research on osteoporosis and provides an estimate of osteoporosis-related fractures in Korea.


Osteoporosis Osteoporotic fracture Lifetime risk National health insurance claims data Korea 



This study was supported by the Korean Health Insurance Review and Assessment Service (HIRA) and conducted using data from the Korean National Health Insurance Claims Database.


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Copyright information

© The Japanese Society for Bone and Mineral Research and Springer 2011

Authors and Affiliations

  • Chanmi Park
    • 1
  • Yong-Chan Ha
    • 2
  • Sunmee Jang
    • 1
  • Suhyun Jang
    • 1
  • Hyun-Koo Yoon
    • 3
  • Young-Kyun Lee
    • 4
    Email author
  1. 1.Health Insurance Review and Assessment ServiceSeoulSouth Korea
  2. 2.Department of Orthopaedic SurgeryChung-Ang University College of MedicineSeoulSouth Korea
  3. 3.Department of Medicine, Cheil General Hospital and Women’s Healthcare CenterKwandong University College of MedicineSeoulSouth Korea
  4. 4.Department of Orthopaedic SurgerySeoul National University Bundang HospitalSeongnamSouth Korea

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