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Pongchaiyakul C, 2007. Burden of Osteoporosis in Thailand.

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Presentation on theme: "Pongchaiyakul C, 2007. Burden of Osteoporosis in Thailand."— Presentation transcript:

1 Pongchaiyakul C, Burden of Osteoporosis in Thailand

2 Pongchaiyakul C, Women  Female population: 31.6 millions  Age >50 yr: 6.7 millions  Prevalence of osteoporosis in Thailand 13.6 (FN), 19.8 (LS) 19.3 (FN), 24.7 (LS)…KK  Number of osteoporosis: 909,000 (hip) 1.3 millions (LS)  Number of hip fracture: 42,000  Death after hip fracture in osteo: 7,140 (1 in 6)..1 yr  Total cost of hip fracture Rx: 116,459 /yr Direct cost: 59,882  Direct cost per life-year: 118,168 /yr

3 Pongchaiyakul C, Men  Female population: 30.8 millions  Age >50 yr: 5.73 millions  Prevalence of osteoporosis in KK+BKK 12.6 (FN), 4.6 (LS) and 3.9 (boths)  Number of osteoporosis: 721,770 (hip) 263,500 (LS)  Number of hip fracture: 35,133  Death after hip fracture in osteo: 2,747 (1 in 6) in 1 yr  Total cost of hip fracture Rx: 116,459 /yr Direct cost: 59,882  Direct cost per life-year: 118,168 /yr

4 Pongchaiyakul C, Mortality after hip fracture Duration after FxMortality(%) 3 mo9 6 mo12 12 mo17 18 mo mo29

5 Pongchaiyakul C, Morbidity after hip fracture Morbidity(%) Walk without aid67.9 Walk with aid10 Can not walk22.1

6 Pongchaiyakul C, Quality of life : Hip fracture : Khonkaen Study normal mild to mod. Marked limit Overall QoL WOMAC well moderate disturb

7 The world population is ageing Population Pyramid in Millions Age MALEFEMALE UN Population Division, 1998 Revision and 2025

8 Pongchaiyakul C, Population Pyramid Summary for THAILAND, 2004 & 2050

9 The top ten of killers in Thailand 1999 RankDisease categoryDeaths%Disease categoryDeaths% Males Females 1HIV/AIDS37,888 17%Stroke24,257 15% 2Stroke20,330 9%HIV/AIDS13,271 8% 3Traffic accidents19,973 9%Diabetes12,409 8% 4Liver cancer16,231 7%Ischaemic heart disease8,321 5% 5COPD( emphysema)11,751 5% Liver cancer 7,922 5% 6Ischaemic heart disease10,871 5%COPD (emphysema)5,317 3% 7Lung cancer7,415 3%Lower respiratory infect5,105 3% 8Diabetes7,059 3%Tuberculosis4,478 3% 9Homicide and violence6,486 3%Traffic accidents4,442 3% 10Cirrhosis6,458 3%Nephritis & nephrosis4,142 3% Osteoporosis ?? Source: Bureau of Health Policy and Plan and Division of Epidemiology, MOPH Women 7,140 Men 2,741

10 Top Twenty Causes of Disability Burden in DALYs by sex, Thailand 1999 Rank Males DALY Rank Females DALYs 1 HIV/ AIDS 1,032, % 1 HIV/ AIDS 459,618 11% 2 Traffic accidents 623, % 2 Stroke 278,108 6 % 3 Stroke 234,737 4 % 3 Diabetes 269,107 6 % 4 Liver cancer 205,785 4 % 4 Depression 145,236 3 % 5 Homicide and violence 169,624 3 % 5 Traffic accidents 133,424 3 % 6 Suicides 159,948 3 % 6 Low birth weight 123,008 3 % 7 Diabetes 157,487 3 % 7 Liver cancer 121,780 3 % 8 COPD (emphysema) 149,188 3 % 8 Osteoarthritis 120,769 3 % 9 Ischaemic heart disease 141,012 2 % 9 COPD (emphysema) 112,759 3 % 10 Low birth weight 138,438 2 % 10 Ischemic heart disease 102,400 2 % 11 Drugs abuse 138,163 2 % 11 Lower respiratory tract infections 102,080 2 % 12 Alcohol abuse 130,072 2 % 12 Anemia 98,690 2 % 13 Drowing 118,926 2 % 13 Cataracts 95,221 2 % 14 Schizophrenia 114,888 2 % 14 Deafness 87,497 2 % 15 Birth trauma & asphyxia 102,001 2 % 15 Birth trauma & asphyxia 86,729 2 % 16 Cirrhosis 101,167 2 % 16 Schizophrenia 82,631 2 % 17 Depresision 97,799 2 % 17 Dementia 68,908 2 % 18 Anxiety disorders 67,013 2 % 18 Deafiness 95,571 2 % 19 Congenital heart disease 63,082 1 % 19 Lower respiratory tract infections 93,094 2 % 20 Tuberculosis 16,915 1 % 20 Lung cancer 90,847 2 % Osteoporosis ??

11 The morbidity burden in Year Lived with Disability (YLDs) by sex and disease group, in Thailand 1999 Chronic Respiratory6% Diabetes5% Neurological5% Other16% Musculoskeletal 8% Mental Nutritional 6% Infectious4% Injuries5% Drug & alcohol18% Sense organs12 Diabetes7% Neurological7% Infectious5% Cardiovascular3% Other13% Mental22% Congenital3% Chronic respiratory Nutritional 8% Sense organs 15% Musculoskeletal 11% Males1.4M YLD Females1.4M YLD Chronic Respiratory6% Diabetes5% Neurological5% Other16% Musculoskeletal 8% Mental 15 % Nutritional 6% Infectious4% Injuries5% Drug & alcohol18% Sense organs12% Diabetes7% Neurological7% Infectious5% Cardiovascular3% Other13% Mental22% Congenital3% Chronic respiratory 5 % Nutritional 8% Sense organs 15% Musculoskeletal 11% Males1.4M YLD Females1.4M YLD Source: Bureau of Health Policy and Plan and Division of Epidemiology, MOPH. 1999

12 Pongchaiyakul C, ร้อยละของผู้สูงอายุไทยที่เป็นโรคหรือมีอาการของโรคที่พบบ่อย จำแนกตามกลุ่มอายุ พ. ศ และ พ. ศ โรค / อาการของโรค พ.ศ. 2537พ.ศ รวม > 75รวม > 75 - ปวดเมื่อย ปวดหลัง - ปวดข้อ (ข้อเสื่อม) - นอนไม่หลับ - เวียนศีรษะ - โรคเกี่ยวกับตา - ความจำเสื่อม - ความดันโลหิตสูง/ต่ำ

13 Pongchaiyakul C, Conclusions  Women 1/7 in women with age ≥ 50 yr..osteoporosis 1/22 in osteoporosis…hip fracture Risk of hip Fx: 5-fold increased in osteo. 1/6 of hip fracture death within 1 yr 1/3 of hip fracture death within 5 yr  Men 1/8 in men with age ≥ 50 yr..osteoporosis 1/45 in osteoporosis…hip fracture Risk of hip Fx: 6-fold increased in osteo. 1/6 of hip fracture death within 1 yr


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