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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background: Prior osteoporotic fractures are strongly associated with the subsequent fractures. To prevent this, the diagnosis of osteoporosis following an osteoporotic fracture is important. The measurement of bone mineral density (BMD) is the first step for the diagnosis and management of osteoporosis. Therefore, the purposes of this study are 1) to evaluate the rate of BMD measurement after osteoporotic fracture in Korean population; and 2) determine the associated factors with BMD measurement after fractures among Korean patients. Methods: From database of Health Insurance Review & Assessment Service, we identified patients with osteoporotic fractures happened in 2010. The BMD examinations were evaluated by using procedure codes. We evaluated the rate of BMD measurement within 6 months after fracture according to gender, age group (10-year incremental), type of insurance, residency area (rural vs. urban), type of medical institute, department, history of depression, rheumatoid arthritis, medical history suggestive of secondary osteoporosis, osteoporosis-induced drug, and number of family members. Results: During study period, about a half (53.9%) of patients with osteoporotic fractures had BMD measurement. Men, younger age, urban residency, and depression history were associated with low rate of BMD measurement. However, increasing age, use of glucocorticoid use, osteoporosis-inducing comorbid disease including rheumatologic disease, and osteoporosis-induced drug user were associated with higher likelihood of BMD measurement. Conclusions: Our results showed that about a half of patients with osteoporotic fractures had BMD measurement in South Korea, and provided the basic information to encourage management after fracture by educating not only patient but also physician about post-fracture management.
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참고문헌 (23)
참고문헌 신청
Choi WS / 2015 / Does osteoporosis have a negative effect on the functional outcome of an osteoporotic distal radial fracture treated with a volar locking plate? / Bone Joint
Cooper C / 1992 / Hip fractures in the elderly: a world-wide projection / Osteoporos Int 2 : 285 ~ 289
Court-Brown CM / 2014 / The spectrum of fractures in the elderly / Bone Joint J 96B : 366 ~ 372
Elliot-Gibson V / 2004 / Practice patterns in the diagnosis and treatment of osteoporosis after a fragility fracture: a systematic review / Osteoporos Int 15 : 767 ~ 778
Hodsman AB / 2008 / 10-year probability of recurrent fractures following wrist and other osteoporotic fractures in a large clinical cohort: an analysis from the Manitoba Bone
Cooper C / 1992 / Hip fractures in the elderly: a world-wide projection / Osteoporos Int 2 : 285 ~ 289
Court-Brown CM / 2014 / The spectrum of fractures in the elderly / Bone Joint J 96B : 366 ~ 372
Elliot-Gibson V / 2004 / Practice patterns in the diagnosis and treatment of osteoporosis after a fragility fracture: a systematic review / Osteoporos Int 15 : 767 ~ 778
Hodsman AB / 2008 / 10-year probability of recurrent fractures following wrist and other osteoporotic fractures in a large clinical cohort: an analysis from the Manitoba Bone
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