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VALUE IN HEALTH 2ND SPECIAL ISSUE
PHARMACOECONOMICS AND OUTCOMES RESEARCH IN ASIA

Hye-Young Kang, Sung-Eun Park, Dae Ryoung Kang, Ji Yoon Kim, Young Hwa Jang, Won-Jung Choi, Seong-Hwan Moon, Kyu-Hyun Yang, Jin-Young Park, and Soon-Yong Kwon

ESTIMATING MEDICAL EXPENDITURE ASSOCIATED WITH OSTEOPOROTIC HIP FRACTURE IN ELDERLY KOREAN WOMEN BASED ON THE NATIONAL HEALTH INSURANCE CLAIMS DATABASE 20022004
Value in Health Supplemental Information


Table 1. Disease codes of hip fractures


ICD-10 disease code

Type of fracture

S325

Fracture of pubis

S3250

Fracture of pubis (closed)

S72

Fracture of femur

S720

Fracture of neck of femur

S7200

Closed fracture of neck of femur

S721

Pertrochanteric fracture

S7210

Closed pertrochanteric fracture

M8005

Postmenopausal osteoporosis with pathological fracture

M8055

Idiopathic osteoporosis with pathological fracture

M8085

Other osteoporosis with pathological fracture

M8095

Unspecified osteoporosis with pathological fracture

ICD: International Classification of Diseases

 


Table 2. Per-capita health care utilization associated with treatment of osteoporotic hip fracture
(Observation period: July 2002 to December 2004)


Age group

 

No. incidence per year

First year after fracture occurrence

 

Second year after
fracture occurrence

No. popl in 2003*

n

No. hosp.

Days of hosp.

No. outpat. visits

 

n

No. hosp.

Days of hosp.

No. outpat. visits

50–54

1,274,375

110

275

0.78

19.79

4.18

 

264

0.04

0.59

0.54

55–59

1,061,917

310

774

0.86

19.37

3.68

 

723

0.03

0.51

0.39

60–64

1,023,028

627

1,568

0.84

19.9

3.99

 

1,509

0.02

0.37

0.32

65–69

882,721

1,237

3,093

0.92

22.03

3.65

 

2,872

0.02

0.42

0.41

70–74

665,698

1,714

4,285

1.02

24.8

3.39

 

3,758

0.02

0.57

0.45

75–79

441,732

1,949

4,872

1.08

26.67

2.84

 

3,989

0.02

0.49

0.24

80–84

259,291

1,703

4,257

1.12

27.03

2.48

 

3,247

0.03

0.71

0.24

≥85

159,330

1,249

3,123

1.18

27.15

2.02

 

1,949

0.03

0.79

0.17

Total

5,768,092

8,899

22,247

0.97

23.34

3.28

 

18,311

0.02

0.56

0.35

*Source: Korean Statistical Information Service (www.kosis.kr)

Table 3. National total insurance-covered medical expenditure on treatment of osteoporotic hip fracture
(Observation period: July 2002 to December 2004)


Age group

 

First year after fracture occurrence

 

Second year after fracture occurrence

 

First and second years after fracture occurrence

n

Inpatient*

Out patient*

Total*

 

n

Inpatient*

Out patient*

Total*

 

n

Inpatient*

Out patient*

Total*

50–54

 

275

598

36

634

 

264

25

6

31

 

539

623

43

666

55–59

 

774

1,715

102

1,816

 

723

39

13

52

 

1,497

1,753

115

1,868

60–64

 

1,568

3,973

222

4,196

 

1,509

85

27

112

 

3,077

4,059

249

4,308

65–69

 

3,093

8,982

379

9,360

 

2,872

127

62

189

 

5,965

9,109

440

9,549

70–74

 

4,285

13,756

567

14,323

 

3,758

243

65

308

 

8,043

13,999

632

14,631

75–79

 

4,872

16,929

565

17,494

 

3,989

213

56

269

 

8,861

17,142

622

17,763

80–84

 

4,257

15,137

431

15,568

 

3,247

199

41

240

 

7,504

15,336

472

15,808

≥85

 

3,123

11,105

258

11,363

 

1,949

125

19

144

 

5,072

11,230

277

11,507

Total

 

22,247

72,195

2,560

74,755

 

18,311

1,055

289

1,344

 

40,558

73,250

2,850

76,100

*Values in million Korean Won


Table 4. Average per-capita insurance-covered medical expenditure on treatment of osteoporotic hip fracture
(Observation period: July 2002 to December 2004)


Age group

 

First year after fracture occurrence

 

Second year after fracture occurrence

 

First and second years after fracture occurrence

n

Inpatient*

Out patient*

Total*

 

n

Inpatient*

Out patient*

Total*

 

n

Inpatient*

Out patient*

Total*

50–54

 

275

2,184,671

134,339

2,319,010

 

264

94,054

24,566

118,620

 

539

2,278,725

158,905

2,437,630

55–59

 

774

2,218,868

133,329

2,352,197

 

723

54,447

18,093

72,540

 

1,497

2,273,315

151,422

2,424,737

60–64

 

1,568

2,536,793

143,069

2,679,862

 

1,509

57,015

17,811

74,826

 

3,077

2,593,808

160,880

2,754,688

65–69

 

3,093

2,908,962

123,778

3,032,740

 

2,872

45,301

22,076

67,377

 

5,965

2,954,263

145,854

3,100,117

70–74

 

4,285

3,219,787

136,566

3,356,352

 

3,758

66,367

17,641

84,008

 

8,043

3,286,154

154,207

3,440,360

75–79

 

4,872

3,495,555

121,966

3,617,521

 

3,989

55,663

14,740

70,402

 

8,861

3,551,218

136,706

3,687,923

80–84

 

4,257

3,583,461

108,184

3,691,645

 

3,247

65,106

13,360

78,466

 

7,504

3,648,567

121,544

3,770,111

≥85

 

3,123

3,612,773

93,411

3,706,184

 

1,949

71,251

10,733

81,984

 

5,072

3,684,024

104,144

3,788,168

Total

 

22,247

2,970,109

124,330

3,094,439

 

18,311

63,650

17,377

81,028

 

40,558

3,033,759

141,707

3,175,467

*Values in Korean Won


Text Box: Step1   N= 330,155  Figure 1. Process of selection of patients with osteoporotic hip fracture (incident cases) for cost estimation

N = number of patients


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