Journal of Bone Metabolism (대한골대사학회지)

The Korean Society for Bone and Mineral Research (대한골대사학회)
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Incidence and Mortality after Proximal Humerus Fractures Over 50 Years of Age in South Korea: National Claim Data from 2008 to 2012

  • Park, Chanmi (Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency) ;
  • Jang, Sunmee (College of Pharmacy, Gachon University) ;
  • Lee, Areum (College of Pharmacy, Gachon University) ;
  • Kim, Ha Young (Division of Endocrinology and Metabolism, University of Wonkwang College Medicine, Sanbon Medical Center) ;
  • Lee, Yong Beom (Department of Orthopaedic Surgery, School of Medicine, Hallym University) ;
  • Kim, Tae Young (Department of Orthopaedic Surgery, School of Medicine, Hallym University) ;
  • Ha, Yong Chan (Department of Orthopaedic Surgery, Chung-Ang University College of Medicine)
  • Received : 2015.02.06
  • Accepted : 2015.02.27
  • Published : 2015.02.28
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Abstract

Background: There has been lack of epidemiology of proximal humerus fracture using nationwide database in Asia. The purpose of this study was to investigate the incidence of proximal humerus fracture and its mortality following proximal humerus fracture in Korean over 50 years of age. Methods: The Korean National Health Insurance data were evaluated to determine the incidence and mortality of proximal humerus fracture aged 50 years or older from 2008 through 2012. Results: Proximal humerus fracture increased by 40.5% over 5 year of study. The incidence of fracture increased from 104.7/100,000 in 2008 to 124.7/100,000 in 2012 in women and from 45.3/100,000 in 2008 to 52.0/100,000 in 2012 in men, respectively. One year mortality rate after proximal humerus fracture was 8.0% in 2008 and 7.0% in 2012. One year mortality rate were 10.8% for men and 7.0% for women in 2008 and 8.5% for men and 6.4% for women in 2012. Conclusions: Our study showed that the proximal humerus fracture in elderly was recently increasing and associated with high mortality in Korea. Considering proximal humerus fracture was associated with an increased risk of associated fractures and an increased mortality risk, public health strategy to prevent the proximal humerus fracture in elderly will be mandatory.

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Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Korea (grant number : HI13C1522).