High Risk of Hip and Spinal Fractures after Distal Radius Fracture: A Longitudinal Follow-Up Study Using a National Sample Cohort

Hyo-Geun Choi, Doo-Sup Kim, Bumseok Lee, Hyun Youk and Jung-Woo Lee
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Hyo-Geun Choi: Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine, Anyang 14068, Korea
Doo-Sup Kim: Department of Orthopaedic Surgery, Wonju College of Medicine, Yonsei University, Wonju 26426, Korea
Bumseok Lee: Department of Orthopaedic Surgery, Wonju College of Medicine, Yonsei University, Wonju 26426, Korea
Hyun Youk: Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju 26426, Korea
Jung-Woo Lee: Department of Orthopaedic Surgery, Wonju College of Medicine, Yonsei University, Wonju 26426, Korea

IJERPH, 2021, vol. 18, issue 14, 1-12

Abstract: The purpose of the present study was to estimate the risk of hip and spinal fracture after distal radius fracture. Data from the Korean National Health Insurance Service—National Sample Cohort were collected between 2002 and 2013. A total of 8013 distal radius fracture participants who were 50 years of age or older were selected. The distal radius fracture participants were matched for age, sex, income, region of residence, and past medical history in a 1:4 ratio with control participants. In the subgroup analysis, participants were stratified according to age group (50–59, 60–69, or ?70 years) and sex (male or female). Distal radius fracture patients had a 1.51-fold and 1.40-fold higher incidence of hip fracture and spinal fracture in the adjusted models, respectively. Among males, patients of all ages had a significantly higher incidence of hip fracture, and those who were 50 to 69 years of age had a significantly higher incidence of spinal fracture. Among females, those older than 70 years had a significantly higher incidence of hip fracture, and patients of all ages had a significantly higher incidence of spinal fracture. Previous distal radius fracture has a significant impact on the risk of subsequent hip and spinal fractures.

Keywords: cohort study; follow-up studies; radius fractures; hip fractures; spinal fractures (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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