title: Incidence and Mortality after Distal Radius Fractures in Adults Aged 50 Years and Older in 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.
authors.affiliation: Department of Orthopaedic Surgery, College of Medicine, Chung-Ang University, Seoul, Korea .
authors.forename: Gi-Doo
authors.identifier: 0000-0003-4700-3076
authors.initials: GD
authors.lastname: Kwon
authors.affiliation: College of Pharmacy, Gachon University, Incheon, Korea .
authors.forename: Sunmee
authors.identifier: 0000-0002-8771-8693
authors.initials: S
authors.lastname: Jang
authors.affiliation: College of Pharmacy, Gachon University, Incheon, Korea .
authors.forename: Ahreum
authors.identifier: 0000-0003-0882-6256
authors.initials: A
authors.lastname: Lee
authors.affiliation: Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, Korea .
authors.forename: Chan-Mi
authors.identifier: 0000-0001-6404-4174
authors.initials: CM
authors.lastname: Park
authors.affiliation: Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea .
authors.forename: Young-Kyun
authors.identifier: 0000-0001-6564-4294
authors.initials: YK
authors.lastname: Lee
authors.affiliation: Department of Orthopaedic Surgery, School of Medicine, Hallym University, Anyang, Korea .
authors.forename: Tae-Young
authors.identifier: 0000-0003-2028-0460
authors.initials: TY
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, School of Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea .
authors.forename: Ha-Young
authors.identifier: 0000-0002-0651-2213
authors.initials: HY
authors.lastname: Kim
authors.affiliation: Big Data Steering Department, National Health Insurance Service, Wonju, Korea .
authors.forename: Eun-Ji
authors.identifier: 0000-0001-8071-4625
authors.initials: EJ
authors.lastname: Park
authors.affiliation: Department of Orthopaedic Surgery, College of Medicine, Chung-Ang University, Seoul, Korea .
authors.forename: Yong-Chan
authors.identifier: 0000-0002-6249-0581
authors.initials: YC
authors.lastname: Ha
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016208:Databases, Factual; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000175:diagnosis* / Q000453:epidemiology / Q000401:mortality; D056910:Republic of Korea / Q000453:epidemiology; D017678:Sex Distribution; D016019:Survival Analysis
keywords: Distal Radius Fracture; Incidence; Korea; Mortality; Osteoporotic Fracture