Osteoporosis diagnosis rate has increased, but treatment rate is low

[이데일리 이순용 기자] Compared to diabetes, Koreans showed less interest in osteoporosis treatment.

Based on the results of the National Health and Nutrition Examination Survey, Professor Yong-Jun Choi’s team at the Department of Endocrinology and Metabolism at Ajou University Hospital confirmed the change in the diagnosis and treatment rate of osteoporosis during two periods from 2016 to 2017 and 2008 to 2009. The subjects of the survey were divided into 50-59 years old, 60-69 years old, and 70 years old and older for comparative analysis.

As a result, the diagnosis rate of osteoporosis was 29.9% for women and 5.8% for men from 2008 to 2009, and 62.8% for women and 22.8% for men from 2016 to 2017, showing a big difference between the two periods. The research team explained that the most bone density testing equipment was introduced to Korea during this period in the Asia-Pacific region, and as the number of bone density tests increased significantly due to the revitalization of national health checkups and the introduction of health checkups during the transition period, the diagnosis rate also seems to have risen, the research team explained.

On the other hand, when looking at the treatment rates of patients diagnosed with osteoporosis, from 14.4% of women and 3.8% of men in 2008-2009 to 32.2% of women and 9.0% of men in 2016-2017, more than half of the diagnosed women were men. showed that more than 90% were not receiving treatment.

Conversely, diabetes, which is another chronic disease, showed a high diagnosis rate of about 80% during the same period, and 90% of diagnosed patients were receiving treatment, contrasting with osteoporosis.

The research team said that the treatment rate is estimated to be low for osteoporosis because there are fewer noticeable complications in the short term compared to diabetes, it is difficult to confirm the short-term effect of drugs for preventing fractures and increasing bone density, and excessive concerns about the potential side effects of bisphosphonates, the treatment for osteoporosis. .

Professor Choi Yong-jun said, “The most dangerous thing in osteoporosis is a fracture. In the case of severe osteoporosis, vertebral compression fractures can occur even when coughing or sneezing. In the case of a femur fracture, the mortality rate reaches 20%, and even if recovered, the quality of life rapidly decreases, leaving serious side effects such as gait disturbance. Institutional efforts are needed to improve the diagnosis and treatment rates of patients.”

He added, “Adults over 50 or over 65 with osteoporosis risk factors should have regular bone density tests, and it is important to continue drug treatment after diagnosis.”

This study was published in the September issue of Osteoporos International, ‘Temporal change in the diagnosis and treatment rates of osteoporosis: results from the Korea National Health and Nutrition Examination Survey. Long-term change rate survey).


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