Osteoporosis & bone health

Long-term trends of osteoporotic hip fractures in South Korea: analysis of National Health Insurance Data from 2006 to 2022

Osteoporos IntPublished Retrospective cohort study

Authors' conclusion

Over the past 16 years, the number of hip fractures in South Korea has continued to rise with the aging population, though the incidence rate has recently plateaued. The mortality rate has decreased over time, and the rates of subsequent fractures have remained stable, albeit with some impact during the COVID-19 period (2019-2021).

Study context

Population
Patients aged 50 or older with hip fractures, Korean National Health Insurance Service (NHIS) data, South Korea, 2006–2022
Outcome
Long-term trends in incidence, mortality rate and subsequent fractures of hip fractures
Methodological detailsnationwide claims database
  • Nationwide claims database

Main finding

As reported in the abstract

Hip fracture incidence, 1-year mortality and subsequent fractures, trends
Incidence rate increase, 2006 to 2010 (from 152 to 173 per 100,000), then plateaued
138%
1-year mortality, 2006
18.9%
1-year mortality, 2018
15.4%
1-year mortality, 2021
18.2%
Subsequent fractures, 2006–2018 (stable)
1.0-1.2%
Subsequent fractures, 2019–2021 (decreased)
0.8-0.9%

Observational data: associations, not effects.

Original publication

Long-term trends of osteoporotic hip fractures in South Korea: analysis of National Health Insurance Data from 2006 to 2022. Osteoporos Int. Published 6 August 2025. doi:10.1007/s00198-025-07537-7

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