Evidence map›Paper›PMID 40047882›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2025

Epidemiology of osteoporotic ankle fractures in South Korea: a nationwide retrospective cohort study (2006-2022).

Jung-Wee Park, Ha-Young Kim, Kyoung Min Kim, Jaiyong Kim, Hoyeon Jang, Jihye Kim, HoeJeong Chung

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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jung-Wee ParkDepartment of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea.
Ha-Young KimDivision of Endocrinology and Metabolism, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, South Korea.
Kyoung Min KimDivision of Endocrinology, Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, South Korea.
Jaiyong KimDepartment of Big Data Research and Development, National Health Insurance Service, Wonju, South Korea.
Hoyeon JangDepartment of Big Data Research and Development, National Health Insurance Service, Wonju, South Korea.
Jihye Kim *Department of Big Data Research and Development, National Health Insurance Service, Wonju, South Korea. eluzai81@nhis.or.kr.
HoeJeong Chung *Department of Orthopedic Surgery, Wonju College of Medicine, Yonsei University, Wonju Severance Christian Hospital, Ilsanro, Wonju, 26426, South Korea. hjchung29@yonsei.ac.kr.ORCID http://orcid.org/0000-0003-3337-1177

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnkle fractures, ranking as one of the very common osteoporotic fractures, pose a substantial socioeconomic burden. We aimed to investigate the incidence of elderly ankle fractures, refracture risks, and mortality rates in South Korea.

methodsUtilizing the Korean National Health Insurance Service (NHIS) registry from January 2006 to December 2022, individuals over 50 years with ankle fractures were identified. Osteoporotic ankle fractures were defined using admission diagnoses, procedural codes, and cast-related codes. Incidence rates, refracture rates, and one-year mortality rates were analyzed with standardization adjusted for gender and age distribution.

resultsFrom 2006 to 2022, annual ankle fracture incidence rose from 193.90 to 278.83 per 100,000 person-years. Women exhibited 1.93 times higher incidence than men, with a notable increase in women. Most common in ages 60 to 69, ankle fracture rates increased until 2019 and after 2020 but decreased between 2019 and 2020. The one-year ankle refracture rates and osteoporotic refracture rates increased from 3.55% and 4.56% in 2007 to 9.32% and 10.37% in 2021, respectively. The one-year mortality rate after ankle fractures decreased from 2.10% in 2007 to 1.49% in 2021.

conclusionThis study offers insights into the epidemiology of osteoporotic ankle fractures in South Korea, revealing increasing incidence, gender differences, age-related patterns, and trends in refracture and mortality rates over the study period. This study examines the incidence, refracture risk, and mortality of osteoporotic ankle fractures in South Korea using a nationwide dataset (2006-2022). The incidence of ankle fractures increased significantly, especially in women, and refracture rates also rose, highlighting an unmet need for better osteoporosis management.

Indexed as

Ankle FracturesOsteoporotic FracturesAgedAged, 80 and overAge DistributionFemaleHumansIncidenceMaleMiddle AgedRecurrenceRegistriesRepublic of KoreaRetrospective StudiesSex DistributionAnkle fractureEpidemiologyIncidenceMortalityOsteoporotic fractureRefracture

Identifiers

PMID40047882

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.