Estimated prevalence of osteoporosis from a Nationwide Health Insurance database in Taiwan

Nan Ping Yang; Chung Yeh Deng; Yiing Jenq Chou; Po Quang Chen; Ching Heng Lin; Pesus Chou; Hong Jen Chang

doi:10.1016/j.healthpol.2005.04.009

Estimated prevalence of osteoporosis from a Nationwide Health Insurance database in Taiwan

Nan Ping Yang, Chung Yeh Deng, Yiing Jenq Chou, Po Quang Chen, Ching Heng Lin, Pesus Chou, Hong Jen Chang^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

78 Scopus citations

Abstract

Approximately 9.24% of the Taiwanese population is aged 65 years or older. Among them, osteoporosis is a major problem, along with it associated age-related fractures. We investigated the prevalence of osteoporosis in 1996-2001 by sampling Taiwan's National Health Insurance (NHI) database. Data from 102,763 men (51.27%) and 97,654 women (48.73%) were evaluated. In this cohort, osteoporosis was recorded in each yearly dataset if the codes 733.0 or 733.00-733.09 were found on a search of the administrative or outpatient sub-databanks. A stable estimated prevalence of osteoporosis was calculated according to Taiwan's NHI sampling data from 1999 to 2001. The results showed a trend toward increasing proportions of coded osteoporosis with age, more predominantly in the female population. The averaged prevalence of osteoporosis, between 1999 and 2001, in those aged ≥50 years was 1.63% for men and 11.35% for women. These estimates were lower than those reported elsewhere for Taiwan and for Japan but more equal to that in the Mexican American sub-population of the United States. In conclusion, the prevalence of osteoporosis is underestimated in the NHI database. Policymakers should be aware of this finding and allocate resources accordingly.

Original language	English
Pages (from-to)	329-337
Number of pages	9
Journal	Health Policy
Volume	75
Issue number	3
DOIs	https://doi.org/10.1016/j.healthpol.2005.04.009
State	Published - Feb 2006

Keywords

Osteoporosis prevalence
Taiwan

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.healthpol.2005.04.009

Cite this

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title = "Estimated prevalence of osteoporosis from a Nationwide Health Insurance database in Taiwan",

abstract = "Approximately 9.24% of the Taiwanese population is aged 65 years or older. Among them, osteoporosis is a major problem, along with it associated age-related fractures. We investigated the prevalence of osteoporosis in 1996-2001 by sampling Taiwan's National Health Insurance (NHI) database. Data from 102,763 men (51.27%) and 97,654 women (48.73%) were evaluated. In this cohort, osteoporosis was recorded in each yearly dataset if the codes 733.0 or 733.00-733.09 were found on a search of the administrative or outpatient sub-databanks. A stable estimated prevalence of osteoporosis was calculated according to Taiwan's NHI sampling data from 1999 to 2001. The results showed a trend toward increasing proportions of coded osteoporosis with age, more predominantly in the female population. The averaged prevalence of osteoporosis, between 1999 and 2001, in those aged ≥50 years was 1.63% for men and 11.35% for women. These estimates were lower than those reported elsewhere for Taiwan and for Japan but more equal to that in the Mexican American sub-population of the United States. In conclusion, the prevalence of osteoporosis is underestimated in the NHI database. Policymakers should be aware of this finding and allocate resources accordingly.",

keywords = "Osteoporosis prevalence, Taiwan",

author = "Yang, {Nan Ping} and Deng, {Chung Yeh} and Chou, {Yiing Jenq} and Chen, {Po Quang} and Lin, {Ching Heng} and Pesus Chou and Chang, {Hong Jen}",

note = "Funding Information: In the past, osteoporosis received less attention and was under-diagnosed and under-treated. A cross-sectional survey of 850 primary care physicians in Spain [32] showed that only 4% of physicians reported that their primary care center had implemented specific programs for osteoporosis and that the diagnosis of osteoporosis was made always personally in 25% of cases. In Europe, a survey conducted by the International Osteoporosis Foundation in 2000 revealed that less than 50% of women with osteoporosis were aware of their risk before the diagnosis. Therefore, the European Union Osteoporosis Consultation Panel, formed in 2002, published the document entitled “Osteoporosis in the European Community: Action Plan” with financial support from the European Commission [33] . ",

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AU - Deng, Chung Yeh

AU - Chou, Yiing Jenq

AU - Chen, Po Quang

AU - Lin, Ching Heng

AU - Chou, Pesus

AU - Chang, Hong Jen

N1 - Funding Information: In the past, osteoporosis received less attention and was under-diagnosed and under-treated. A cross-sectional survey of 850 primary care physicians in Spain [32] showed that only 4% of physicians reported that their primary care center had implemented specific programs for osteoporosis and that the diagnosis of osteoporosis was made always personally in 25% of cases. In Europe, a survey conducted by the International Osteoporosis Foundation in 2000 revealed that less than 50% of women with osteoporosis were aware of their risk before the diagnosis. Therefore, the European Union Osteoporosis Consultation Panel, formed in 2002, published the document entitled “Osteoporosis in the European Community: Action Plan” with financial support from the European Commission [33] .

PY - 2006/2

Y1 - 2006/2

N2 - Approximately 9.24% of the Taiwanese population is aged 65 years or older. Among them, osteoporosis is a major problem, along with it associated age-related fractures. We investigated the prevalence of osteoporosis in 1996-2001 by sampling Taiwan's National Health Insurance (NHI) database. Data from 102,763 men (51.27%) and 97,654 women (48.73%) were evaluated. In this cohort, osteoporosis was recorded in each yearly dataset if the codes 733.0 or 733.00-733.09 were found on a search of the administrative or outpatient sub-databanks. A stable estimated prevalence of osteoporosis was calculated according to Taiwan's NHI sampling data from 1999 to 2001. The results showed a trend toward increasing proportions of coded osteoporosis with age, more predominantly in the female population. The averaged prevalence of osteoporosis, between 1999 and 2001, in those aged ≥50 years was 1.63% for men and 11.35% for women. These estimates were lower than those reported elsewhere for Taiwan and for Japan but more equal to that in the Mexican American sub-population of the United States. In conclusion, the prevalence of osteoporosis is underestimated in the NHI database. Policymakers should be aware of this finding and allocate resources accordingly.

AB - Approximately 9.24% of the Taiwanese population is aged 65 years or older. Among them, osteoporosis is a major problem, along with it associated age-related fractures. We investigated the prevalence of osteoporosis in 1996-2001 by sampling Taiwan's National Health Insurance (NHI) database. Data from 102,763 men (51.27%) and 97,654 women (48.73%) were evaluated. In this cohort, osteoporosis was recorded in each yearly dataset if the codes 733.0 or 733.00-733.09 were found on a search of the administrative or outpatient sub-databanks. A stable estimated prevalence of osteoporosis was calculated according to Taiwan's NHI sampling data from 1999 to 2001. The results showed a trend toward increasing proportions of coded osteoporosis with age, more predominantly in the female population. The averaged prevalence of osteoporosis, between 1999 and 2001, in those aged ≥50 years was 1.63% for men and 11.35% for women. These estimates were lower than those reported elsewhere for Taiwan and for Japan but more equal to that in the Mexican American sub-population of the United States. In conclusion, the prevalence of osteoporosis is underestimated in the NHI database. Policymakers should be aware of this finding and allocate resources accordingly.

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Estimated prevalence of osteoporosis from a Nationwide Health Insurance database in Taiwan

Abstract

Keywords

UN SDGs

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