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Please use this identifier to cite or link to this item:
http://ir.nhri.org.tw/handle/3990099045/15025
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| Title: | Epidemiology and clinical impact of osteoporosis in Taiwan: A 12-year trend of a nationwide population-based study |
| Authors: | Lee, MT;Fu, SH;Hsu, CC;Chen, HM;Lin, JW;Tsai, KS;Hwang, JS;Lin, SC;Wu, CH;Wang, CY |
| Contributors: | National Center for Geriatrics and Welfare Research |
| Abstract: | Background: Osteoporosis increases the fracture and mortality risk of patients and has a higher disease burden than some cancers. Therefore, global concerns regarding the prevention and treatment of osteoporosis have been raised. However, fast-aging Taiwan lacks national epidemiological data on osteoporosis in recent years. We aimed to establish and update epidemiological data on osteoporosis by analyzing national data from 2008 to 2019. Methods: We estimated the prevalence and incidence of osteoporosis in patients aged ≥50 years based on claims data from Taiwan's National Health Insurance database from 2008 to 2019. We also analyzed the key parameters of fracture care (anti-osteoporosis medication use, bone mineral density examination rate, and length of hospital stay) to understand the secular trend of management and related clinical outcomes (imminent refracture rate and mortality). Results: The number of prevalent osteoporosis increased from 2008 to 2015 and remained constant until 2019; however, the age-standardized prevalence and incidence rates declined from 2008 to 2019 (3.77%–2.91% and 2.08%–1.02%, respectively). The overall incidence rates of hip and spine fractures decreased significantly by 34% and 27%, respectively. For patients with hip and spine fractures, the immanent refracture rates were 8.5% and 12.9% and the 1-year mortality rate remained stable at approximately 15% and 6%, respectively. Conclusion: The age-standardized prevalence and incidence rates decreased remarkably from 2008 to 2019, while the number of prevalent osteoporosis remained steady. Patients with hip fractures encountered a high 1-year mortality rate, while the risk of imminent refracture was notable for patients with spine fractures. |
| Date: | 2023-05-17 |
| Relation: | Journal of the Formosan Medical Association. 2023 May 17;122 (Suppl 1):S21-S35. |
| Link to: | http://dx.doi.org/10.1016/j.jfma.2023.05.001 |
| JIF/Ranking 2023: | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0929-6646&DestApp=IC2JCR |
| Cited Times(WOS): | https://www.webofscience.com/wos/woscc/full-record/WOS:001087071000004 |
| Cited Times(Scopus): | https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85159288832 |
| Appears in Collections: | [王貞予] 期刊論文
[許志成] 期刊論文
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| SCP85159288832.pdf | | 666Kb | Adobe PDF | 158 | View/Open |
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