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Sunmee Jang  (Jang S) 2 Articles
Clinical Study
Effects of Systemic Glucocorticoid Use on Fracture Risk: A Population-Based Study
Ji Weon Koh, Junkang Kim, Hyemin Cho, Yong-Chan Ha, Tae-Young Kim, Young-Kyun Lee, Ha Young Kim, Sunmee Jang
Endocrinol Metab. 2020;35(3):562-570.   Published online September 22, 2020
DOI: https://doi.org/10.3803/EnM.2020.659
  • 5,783 View
  • 191 Download
  • 8 Web of Science
  • 9 Crossref
AbstractAbstract PDFPubReader   ePub   
Background
Long-term glucocorticoid use increases fracture risk by reducing bone mass. This study evaluated the relationship between hip and vertebral fractures and the total amount of systematic glucocorticoid use.
Methods
We randomly selected 1,896,159 people aged 20 to 100 years who participated in the National Health Checkup program in 2006. The amount of glucocorticoids prescribed was calculated based on the defined daily dose (DDD). The total DDD was obtained by adding oral and parenteral glucocorticoids for 6 months from the index date. Subjects were categorized into four groups according to total glucocorticoid DDDs: non-users (DDDs=0), low users (0< DDDs ≤45), intermediate users (45< DDDs ≤90), and high users (90< DDDs). We followed them for 2 years. A multivariate Cox proportional hazard model was used to evaluate the effects of the total amount of glucocorticoid use on hip and vertebral fractures.
Results
Higher glucocorticoid use was associated with a higher risk of vertebral fracture. Relative to non-users, the vertebral fracture risk was 1.39 times higher in the low-user group, 1.94 times higher in the intermediate-user group, and 2.43 times higher in the highuser group. The risk of hip fracture was 1.72 times higher in intermediate users and 3.28 times higher in high users than in non-users.
Conclusion
As the amount of glucocorticoid use for 6 months increased, the risk of hip and vertebral fractures became higher. In order to prevent fractures, it is necessary for doctors to evaluate the total amount of glucocorticoid prescribed to the patient and to provide appropriate treatment.

Citations

Citations to this article as recorded by  
  • Average daily glucocorticoid dose, number of prescription days, and cumulative dose in the initial 90 days of glucocorticoid therapy are associated with subsequent hip and clinical vertebral fracture risk: a retrospective cohort study using a nationwide h
    Masayuki Iki, Kenji Fujimori, Shinichi Nakatoh, Junko Tamaki, Shigeyuki Ishii, Nobukazu Okimoto, Hironori Imano, Sumito Ogawa
    Osteoporosis International.2024; 35(5): 805.     CrossRef
  • Low-dose glucocorticoid increase the risk of fracture in postmenopausal women with low bone mass: a retrospective cohort study
    So Young Park, Seong Hee Ahn, Gi Hwan Bae, Sunmee Jang, Mi Kyung Kwak, Ha Young Kim, Se Hwa Kim
    Osteoporosis International.2024; 35(10): 1779.     CrossRef
  • Incidence, prevalence and predictors of osteoporotic fracture in adult lung transplant recipients
    Elisabeth Ng, Shanal Kumar, Eldho Paul, Daniel Bennett, Luisa Rosi, Louise Fuller, Lauren Chiu, Shoshana Sztal-Mazer, Steven Ivulich, Greg Snell, Leon A Bach, Kathryn L Hackman
    JHLT Open.2024; : 100182.     CrossRef
  • Chronic airway disease as a major risk factor for fractures in osteopenic women: Nationwide cohort study
    Sung Hye Kong, Ae Jeong Jo, Chan Mi Park, Kyun Ik Park, Ji Eun Yun, Jung Hee Kim
    Frontiers in Endocrinology.2023;[Epub]     CrossRef
  • Bad to the bones: prescribing of drugs for the prevention and treatment of osteoporosis in patients on chronic glucocorticoids
    Sarah J. Billups, Vinh K Thai, Jacob Denkins, Ian C. Dettman, Micol S. Rothman
    Archives of Osteoporosis.2023;[Epub]     CrossRef
  • High Risk of Fractures Within 7 Years of Diagnosis in Asian Patients With Inflammatory Bowel Diseases
    Hyung Jin Ahn, Ye-Jee Kim, Ho-Su Lee, Jin Hwa Park, Sung Wook Hwang, Dong-Hoon Yang, Byong Duk Ye, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang, Beom-Jun Kim, Sang Hyoung Park
    Clinical Gastroenterology and Hepatology.2022; 20(5): e1022.     CrossRef
  • Challenges in the diagnosis and management of glucocorticoid‐induced osteoporosis in younger and older adults
    Madhuni Herath, Bente Langdahl, Peter R. Ebeling, Frances Milat
    Clinical Endocrinology.2022; 96(4): 460.     CrossRef
  • Comparative effectiveness of bisphosphonate treatments for the prevention of re-fracture in glucocorticoid-induced osteoporosis: protocol for a systematic review and meta-analysis
    Hongmin Chu, Bo-Hyoung Jang, GaYoon Kim, Seowoo Bae, Hyeju Lee, Seonghee Nam, Jeonghoon Ahn
    BMJ Open.2022; 12(9): e062537.     CrossRef
  • Why Do We Need Proactive Management for Fracture Prevention in Long-Term Glucocorticoid Users?
    Han Seok Choi
    Endocrinology and Metabolism.2020; 35(3): 549.     CrossRef
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Medical Service Utilization with Osteoporosis.
Sunmee Jang, Chanmi Park, Suhyun Jang, Hyun Koo Yoon, Chan Soo Shin, Deog Yoon Kim, Yong Chan Ha, Seong Su Lee, Hyung Jin Choi, Young Kyun Lee, Bom Taeck Kim, Ji Yeob Choi
Endocrinol Metab. 2010;25(4):326-339.   Published online December 1, 2010
DOI: https://doi.org/10.3803/EnM.2010.25.4.326
  • 3,420 View
  • 55 Download
  • 43 Crossref
AbstractAbstract PDF
BACKGROUND
Although osteoporosis is increasing in the elderly population, attempts to analyze the patterns of medical service utilization for osteoporosis are currently not sufficient. The medical services and treatment patterns were investigated using Korea's National Health Insurance claims data, which includes all of the Korean population. METHODS: Through the patient identification algorithm developed by using the administrative claims data in 2007, the adult patients (between 50-100 years) with osteoporosis were identified. The age and gender of the patients who used medical service for osteoporosis were described, in relation with six dichotomous variables. The medical service use patterns such as the type of medical institution and conducting bone mineral density measurement were investigated. RESULTS: The number of patients who used medical service were 1,230,580 (females 89.9%). Sixty one point six percent of the patients were prescribed osteoporosis medicine (indicated for osteoporosis only), and 12.9% of the patients had experienced osteoporotic fracture. The primary medical institutions for treatment were clinics (54.3%), while hospitals were mainly used among the patients with a history of fracture and disease or drug use that may induce secondary osteoporosis. The number of visited medical institutions was 6.4 (as an outpatient) and 0.2 (as admissions) during 6 months. The proportion of patients who conducted bone mineral density measurements within one year before and after the diagnosis of osteoporosis was 66.7% and DXA was the most frequently used densitometry (46.3%). The average number of days for the prescriptions for osteoporosis medicine was 70 days. CONCLUSION: In order to prevent further osteoporotic fractures, appropriate management and treatment should be implemented for osteoporosis patients. To do this, we need to understand the current state of medical service utilization and the treatment of osteoporosis using the National Health Insurance claims data.

Citations

Citations to this article as recorded by  
  • Nationwide sample data analysis of additional surgery rate after anterior or posterior cervical spinal surgery
    Woon Tak Yuh, Minjung Kim, Yunhee Choi, Junghoon Han, Junhoe Kim, Taeshin Kim, Chun Kee Chung, Chang-Hyun Lee, Sung Bae Park, Kyoung-Tae Kim, John M. Rhee, Moon Soo Park, Chi Heon Kim
    Scientific Reports.2023;[Epub]     CrossRef
  • Evaluating the effect of the COVID-19 pandemic on hypertension and diabetes care in South Korea: an interrupted time series analysis
    Boram Sim, Sunmi Kim, Eun Woo Nam
    BMC Public Health.2023;[Epub]     CrossRef
  • Anti-Müllerian Hormone promotes human osteoblast differentiation and calcification by modulating osteogenic gene expression
    Francesca Liuzzi, Marilena Taggi, Serena De Carlini, Antonio La Marca
    Gynecological Endocrinology.2023;[Epub]     CrossRef
  • Risk factors for reoperation after lumbar spine surgery in a 10-year Korean national health insurance service health examinee cohort
    Sung Hyun Noh, Pyung Goo Cho, Keung Nyun Kim, Boeun Lee, Jae Kwang Lee, Sang Hyun Kim
    Scientific Reports.2022;[Epub]     CrossRef
  • Comparative analysis of cardio-cerebrovascular complications in immigrants and native-born Koreans with diabetes: Risk factors and perspectives
    Hyemin Cho, Sohyun Jeoung, Cinoo Kang, Sunmee Jang, Chaisiri Angkurawaranon
    PLOS ONE.2022; 17(4): e0263046.     CrossRef
  • Cost-Effectiveness of Denosumab for the Treatment of Postmenopausal Osteoporosis in South Korea
    Jung-Yoon Kang, Leejung Choi, Ben Johnson, Hyowon Yang
    Journal of Bone Metabolism.2022; 29(2): 83.     CrossRef
  • Measures of physical performance as a predictor of fracture risk independent of BMD: The Chungju metabolic disease cohort study
    Yejee Lim, Jeonghoon Ha, Kun Ho Yoon, Ki Hyun Baek, Moo-Il Kang
    Bone.2021; 145: 115878.     CrossRef
  • Characteristics of Osteoporosis & Osteoporotic Fractures in Korea Based on Health Insurance Review and Assessment (HIRA) Database: 2009–2017
    Ho-Seok Oh, Sung-Kyu Kim, Hyoung-Yeon Seo
    Healthcare.2021; 9(3): 324.     CrossRef
  • Treatment Patterns of Osteoporosis and Factors Affecting the Prescribing of Bone-forming Agents: From a National Health Insurance Claims Database
    Jihae Jeong, Ju-Young Shin
    Korean Journal of Clinical Pharmacy.2021; 31(1): 27.     CrossRef
  • Estimating the future clinical and economic benefits of improving osteoporosis diagnosis and treatment among women in South Korea: a simulation projection model from 2020 to 2040
    Micah Jackson, Kyu Hyun Yang, Matthew Gitlin, Zachary Wessler
    Archives of Osteoporosis.2021;[Epub]     CrossRef
  • Long-Term Effect of Diabetes on Reoperation After Lumbar Spinal Surgery: A Nationwide Population-Based Sample Cohort Study
    Chang-Hyun Lee, Chi Heon Kim, Chun Kee Chung, Yunhee Choi, Min-Jung Kim, Dahae Yim, Seung Heon Yang, Dong Hwan Kim, Young San Ko, Sung Bae Park
    World Neurosurgery.2020; 139: e439.     CrossRef
  • Incidence and Management Trends of Osteoporotic Vertebral Compression Fractures in South Korea: A Nationwide Population-Based Study
    Sung Hoon Choi, Dong-Yun Kim, Ja Wook Koo, Seung Gun Lee, Soo-Young Jeong, Chang-Nam Kang
    Asian Spine Journal.2020; 14(2): 220.     CrossRef
  • Identification of herpes zoster high‐risk group using Charlson comorbidity index: A nationwide retrospective cohort study
    Soo Ick Cho, Dong Hun Lee, Young Min Park
    The Journal of Dermatology.2020; 47(1): 47.     CrossRef
  • The Impact of Korean Medicine Treatment on the Incidence of Parkinson’s Disease in Patients with Inflammatory Bowel Disease: A Nationwide Population-Based Cohort Study in South Korea
    Hyeonseok Noh, Jeongju Jang, Seungwon Kwon, Seung-Yeon Cho, Woo-Sang Jung, Sang-Kwan Moon, Jung-Mi Park, Chang-Nam Ko, Ho Kim, Seong-Uk Park
    Journal of Clinical Medicine.2020; 9(8): 2422.     CrossRef
  • The Long-term Reoperation Rate Following Surgery for Lumbar Stenosis
    Jong-myung Jung, Chun Kee Chung, Chi Heon Kim, Yunhee Choi, Min-Jung Kim, Dahae Yim, Seung Heon Yang, Chang Hyun Lee, Sung Hwan Hwang, Dong Hwan Kim, Joon Ho Yoon, Sung Bae Park
    Spine.2020; 45(18): 1277.     CrossRef
  • Assessing the effects of National Health Insurance reimbursement policy revisions for anti-osteoporotic drugs in Korean women aged 50 or older
    Ja Seo Koo, Seong Hwan Moon, Hankil Lee, Sohee Park, Yun Mi Yu, Hye-Young Kang, Robert Daniel Blank
    PLOS ONE.2020; 15(12): e0244759.     CrossRef
  • Association between Relative Handgrip Strength and Osteoporosis in Older Women: The Korea National Health and Nutrition Examination Survey 2014–2018
    Kwang-Ho Ahn, Yunhwan Lee, Tae-yong Sohn, Dong Yun Kim, Mikyung Ryu, Ho Gym, Sol Lee
    Annals of Geriatric Medicine and Research.2020; 24(4): 243.     CrossRef
  • Depression Risk among Patients with Open-angle Glaucoma: a 10-year Follow-up Nationwide Cohort Study
    Sang Yeop Lee, Tyler Hyungtaek Rim, Hyoung Won Bae, Gong Je Seong, Sung Soo Kim, Chan Yun Kim
    Journal of the Korean Glaucoma Society.2019; 8(2): 44.     CrossRef
  • The impact of differential cost sharing of prescription drugs on the use of primary care clinics among patients with hypertension or diabetes
    Eunja Park, Daeeun Kim, Sookja Choi
    Public Health.2019; 173: 105.     CrossRef
  • Risk of osteoporosis in patients with chronic inflammatory neuropathy- a population-based cohort study
    Seung Woo Kim, Eun Hwa Kim, Jinae Lee, Young-Chul Choi, Seung Min Kim, Ha Young Shin
    Scientific Reports.2019;[Epub]     CrossRef
  • The Long-term Reoperation Rate Following Surgery for Lumbar Herniated Intervertebral Disc Disease
    Chi Heon Kim, Chun Kee Chung, Yunhee Choi, Min-Jung Kim, Dahae Yim, Seung Heon Yang, Chang Hyun Lee, Jong-Myung Jung, Sung Hwan Hwang, Dong Hwan Kim, Joon Ho Yoon, Sung Bae Park
    Spine.2019; 44(19): 1382.     CrossRef
  • Comparison of screening strategies for prevalent vertebral fractures in South Korea: vertebral fracture assessment vs. spine radiography
    Sung-Hee Oh, Dam Kim, Young Eun Lee, Deog-Yoon Kim, Yu Kyung Lee, Joo-Hyun Lee, Sang-Cheol Bae, Yun Young Choi, Junhee Pyo, Jeonghoon Ahn, Yoon-Kyoung Sung
    BMC Musculoskeletal Disorders.2018;[Epub]     CrossRef
  • Utilization of Osteoporosis-Related Health Services: Use of Data from the Korean National Health Insurance Database 2008–2012
    Tae Yang Yu, Hyemin Cho, Tae-Young Kim, Yong-Chan Ha, Sunmee Jang, Ha Young Kim
    Journal of Korean Medical Science.2018;[Epub]     CrossRef
  • Effect of improved medication adherence on health care costs in osteoporosis patients
    Hyemin Cho, Ji-Hye Byun, Inmyung Song, Ha Y. Kim, Yong-Chan Ha, Tae-Young Kim, Young-Kyun Lee, Sunmee Jang
    Medicine.2018; 97(30): e11470.     CrossRef
  • Risk Factors for Bone Loss in Patients Having Clinical Conditions That Restrict Physical Activity
    Myung Kyung Lee
    Rehabilitation Nursing.2018; 43(1): 12.     CrossRef
  • Increased risk of open‐angle glaucoma among patients with diabetes mellitus: a 10‐year follow‐up nationwide cohort study
    Tyler Hyungtaek Rim, Sang Yeop Lee, Hyoung Won Bae, Gong Je Seong, Sung Soo Kim, Chan Yun Kim
    Acta Ophthalmologica.2018;[Epub]     CrossRef
  • Characteristics of Patients Diagnosed with Osteoporosis in South Korea: Results from the National Claim Registry
    Hyun Koo Yoon, Young-Kyun Lee, Yong-Chan Ha
    Journal of Bone Metabolism.2017; 24(1): 59.     CrossRef
  • Comorbidity Adjustment in Health Insurance Claim Database
    Kyoung Hoon Kim
    Health Policy and Management.2016; 26(1): 71.     CrossRef
  • Gender- and age-group-specific associations between physical performance and bone mineral density, falls, and osteoporotic fractures in Koreans: the Chungju Metabolic Disease Cohort study
    Yejee Lim, Kyunghee Kim, Sun-Hee Ko, Kwanhoon Cho, Eun-Hee Jang, Seung-Hwan Lee, Dong Jun Lim, Ki Hyun Baek, Hee-Sung Ha, Mi Sun Park, Hyeon-Woo Yim, Won-Chul Lee, Kun-Ho Yoon, Ho Young Son, Ki Won Oh, Moo-Il Kang
    Journal of Bone and Mineral Metabolism.2016; 34(3): 336.     CrossRef
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    PLOS ONE.2016; 11(3): e0150531.     CrossRef
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    Osteoporosis and Sarcopenia.2015; 1(1): 59.     CrossRef
  • A Large National Cohort Study of the Association between Bisphosphonates and Osteonecrosis of the Jaw in Patients with Osteoporosis
    J.-W. Kwon, E.-J. Park, S.-Y. Jung, H.S. Sohn, H. Ryu, H.S. Suh
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    Women & Health.2014; 54(1): 48.     CrossRef
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    Young-Kyun Lee, Byung-Ho Yoon, Kyung-Hoi Koo
    Endocrinology and Metabolism.2013; 28(2): 90.     CrossRef
  • Bisphosphonates-related osteonecrosis of the jaw in Korea: a preliminary report
    Jeong Keun Lee, Kyung-Wook Kim, Jin-Young Choi, Seong-Yong Moon, Su-Gwan Kim, Chul-Hwan Kim, Hyeon-Min Kim, Yong-Dae Kwon, Yong-Deok Kim, Dong-Keun Lee, Seung-Ki Min, In-Sook Park, Young-Wook Park, Min-Suk Kook, Hong-Ju Park, Jin-A Baek, Jun-Woo Park, Tae
    Journal of the Korean Association of Oral and Maxillofacial Surgeons.2013; 39(1): 9.     CrossRef
  • Age-Related Changes in the Prevalence of Osteoporosis according to Gender and Skeletal Site: The Korea National Health and Nutrition Examination Survey 2008-2010
    Jongseok Lee, Sungwha Lee, Sungok Jang, Ohk Hyun Ryu
    Endocrinology and Metabolism.2013; 28(3): 180.     CrossRef
  • National Utilization of Calcium Supplements in Patients with Osteoporotic Hip Fracture in Korea
    Sang-Hwan Kim, Young-Bong Ko, Young-Kyun Lee, Seok-Woo Hong, Hyung-Jin Choi, Yong-Chan Ha, Chan-Soo Shin
    Journal of Bone Metabolism.2013; 20(2): 99.     CrossRef
  • Routine Application of the Korean FRAX Model in Women: a Single-center Study
    Tae-Hee Kim, Hae-Hyeog Lee, Soo-Ho Chung, WooSeok Lee, Junsik Park, Sujin Lee
    Korean Journal of Bone Metabolism.2012; 19(1): 29.     CrossRef
  • The prevalence of osteoporosis in Korean adults aged 50 years or older and the higher diagnosis rates in women who were beneficiaries of a national screening program: The Korea National Health and Nutrition Examination Survey 2008–2009
    Yong Jun Choi, Han Jin Oh, Dae Jung Kim, Yunhwan Lee, Yoon-Sok Chung
    Journal of Bone and Mineral Research.2012; 27(9): 1879.     CrossRef
  • Dietary factors affecting bone mineral density in Korean rural postmenopausal women
    Jeong Sook Choe, Eun Mi Ahn, Sung Ok Kwon, Young Hee Park, Jinyoung Lee
    Korean Journal of Nutrition.2012; 45(5): 470.     CrossRef
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    Yong-Chan Ha
    Journal of the Korean Fracture Society.2011; 24(1): 114.     CrossRef
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    Jung Chan Lee, Kye Hyun Kim, Han Nah Kim, Yoon Hyung Park
    Journal of the Korean Medical Association.2011; 54(9): 961.     CrossRef
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