File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Global Epidemiology of Hip Fractures: Secular Trends in Incidence Rate, Post‐Fracture Treatment, and All‐Cause Mortality

TitleGlobal Epidemiology of Hip Fractures: Secular Trends in Incidence Rate, Post‐Fracture Treatment, and All‐Cause Mortality
Authors
KeywordsEPIDEMIOLOGY
FRACTURE PREVENTION
HIP FRACTURE
MORTALITY
OSTEOPOROSIS
Issue Date29-May-2023
PublisherWiley
Citation
Journal of Bone and Mineral Research, 2023, v. 38, n. 8, p. 1064-1075 How to Cite?
Abstract

In this international study, we examined the incidence of hip fractures, postfracture treatment, and all-cause mortality following hip fractures, based on demographics, geography, and calendar year. We used patient-level healthcare data from 19 countries and regions to identify patients aged 50 years and older hospitalized with a hip fracture from 2005 to 2018. The age- and sex-standardized incidence rates of hip fractures, post-hip fracture treatment (defined as the proportion of patients receiving anti-osteoporosis medication with various mechanisms of action [bisphosphonates, denosumab, raloxifene, strontium ranelate, or teriparatide] following a hip fracture), and the all-cause mortality rates after hip fractures were estimated using a standardized protocol and common data model. The number of hip fractures in 2050 was projected based on trends in the incidence and estimated future population demographics. In total, 4,115,046 hip fractures were identified from 20 databases. The reported age- and sex-standardized incidence rates of hip fractures ranged from 95.1 (95% confidence interval [CI] 94.8–95.4) in Brazil to 315.9 (95% CI 314.0–317.7) in Denmark per 100,000 population. Incidence rates decreased over the study period in most countries; however, the estimated total annual number of hip fractures nearly doubled from 2018 to 2050. Within 1 year following a hip fracture, post-hip fracture treatment ranged from 11.5% (95% CI 11.1% to 11.9%) in Germany to 50.3% (95% CI 50.0% to 50.7%) in the United Kingdom, and all-cause mortality rates ranged from 14.4% (95% CI 14.0% to 14.8%) in Singapore to 28.3% (95% CI 28.0% to 28.6%) in the United Kingdom. Males had lower use of anti-osteoporosis medication than females, higher rates of all-cause mortality, and a larger increase in the projected number of hip fractures by 2050. Substantial variations exist in the global epidemiology of hip fractures and postfracture outcomes. Our findings inform possible actions to reduce the projected public health burden of osteoporotic fractures among the aging population.


Persistent Identifierhttp://hdl.handle.net/10722/339291
ISSN
2023 Impact Factor: 5.1
2023 SCImago Journal Rankings: 1.868
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorSing, Chor‐Wing-
dc.contributor.authorLin, Tzu‐Chieh-
dc.contributor.authorBartholomew, Sharon-
dc.contributor.authorBell, J Simon-
dc.contributor.authorBennett, Corina-
dc.contributor.authorBeyene, Kebede-
dc.contributor.authorBosco‐Levy, Pauline-
dc.contributor.authorBradbury, Brian D-
dc.contributor.authorChan, Amy Hai Yan-
dc.contributor.authorChandran, Manju-
dc.contributor.authorCooper, Cyrus-
dc.contributor.authorde Ridder, Maria-
dc.contributor.authorDoyon, Caroline Y-
dc.contributor.authorDroz‐Perroteau, Cécile-
dc.contributor.authorGanesan, Ganga-
dc.contributor.authorHartikainen, Sirpa-
dc.contributor.authorIlomaki, Jenni-
dc.contributor.authorJeong, Han Eol-
dc.contributor.authorKiel, Douglas P-
dc.contributor.authorKubota, Kiyoshi-
dc.contributor.authorLai, Edward Chia‐Cheng-
dc.contributor.authorLange, Jeff L-
dc.contributor.authorLewiecki, E Michael-
dc.contributor.authorLin, Julian-
dc.contributor.authorLiu, Jiannong-
dc.contributor.authorMaskell, Joe-
dc.contributor.authorde Abreu, Mirhelen Mendes-
dc.contributor.authorO'Kelly, James-
dc.contributor.authorOoba, Nobuhiro-
dc.contributor.authorPedersen, Alma B-
dc.contributor.authorPrats‐Uribe, Albert-
dc.contributor.authorPrieto‐Alhambra, Daniel-
dc.contributor.authorQin, Simon Xiwen-
dc.contributor.authorShin, Ju‐Young-
dc.contributor.authorSørensen, Henrik T-
dc.contributor.authorTan, Kelvin Bryan-
dc.contributor.authorThomas, Tracy-
dc.contributor.authorTolppanen, Anna‐Maija-
dc.contributor.authorVerhamme, Katia MC-
dc.contributor.authorWang, Grace Hsin‐Min-
dc.contributor.authorWatcharathanakij, Sawaeng-
dc.contributor.authorWood, Stephen J-
dc.contributor.authorCheung, Ching‐Lung-
dc.contributor.authorWong, Ian CK -
dc.date.accessioned2024-03-11T10:35:28Z-
dc.date.available2024-03-11T10:35:28Z-
dc.date.issued2023-05-29-
dc.identifier.citationJournal of Bone and Mineral Research, 2023, v. 38, n. 8, p. 1064-1075-
dc.identifier.issn0884-0431-
dc.identifier.urihttp://hdl.handle.net/10722/339291-
dc.description.abstract<p>In this international study, we examined the incidence of hip fractures, postfracture treatment, and all-cause mortality following hip fractures, based on demographics, geography, and calendar year. We used patient-level healthcare data from 19 countries and regions to identify patients aged 50 years and older hospitalized with a hip fracture from 2005 to 2018. The age- and sex-standardized incidence rates of hip fractures, post-hip fracture treatment (defined as the proportion of patients receiving anti-osteoporosis medication with various mechanisms of action [bisphosphonates, denosumab, raloxifene, strontium ranelate, or teriparatide] following a hip fracture), and the all-cause mortality rates after hip fractures were estimated using a standardized protocol and common data model. The number of hip fractures in 2050 was projected based on trends in the incidence and estimated future population demographics. In total, 4,115,046 hip fractures were identified from 20 databases. The reported age- and sex-standardized incidence rates of hip fractures ranged from 95.1 (95% confidence interval [CI] 94.8–95.4) in Brazil to 315.9 (95% CI 314.0–317.7) in Denmark per 100,000 population. Incidence rates decreased over the study period in most countries; however, the estimated total annual number of hip fractures nearly doubled from 2018 to 2050. Within 1 year following a hip fracture, post-hip fracture treatment ranged from 11.5% (95% CI 11.1% to 11.9%) in Germany to 50.3% (95% CI 50.0% to 50.7%) in the United Kingdom, and all-cause mortality rates ranged from 14.4% (95% CI 14.0% to 14.8%) in Singapore to 28.3% (95% CI 28.0% to 28.6%) in the United Kingdom. Males had lower use of anti-osteoporosis medication than females, higher rates of all-cause mortality, and a larger increase in the projected number of hip fractures by 2050. Substantial variations exist in the global epidemiology of hip fractures and postfracture outcomes. Our findings inform possible actions to reduce the projected public health burden of osteoporotic fractures among the aging population.<br></p>-
dc.languageeng-
dc.publisherWiley-
dc.relation.ispartofJournal of Bone and Mineral Research-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectEPIDEMIOLOGY-
dc.subjectFRACTURE PREVENTION-
dc.subjectHIP FRACTURE-
dc.subjectMORTALITY-
dc.subjectOSTEOPOROSIS-
dc.titleGlobal Epidemiology of Hip Fractures: Secular Trends in Incidence Rate, Post‐Fracture Treatment, and All‐Cause Mortality-
dc.typeArticle-
dc.identifier.doi10.1002/jbmr.4821-
dc.identifier.scopuseid_2-s2.0-85160841363-
dc.identifier.volume38-
dc.identifier.issue8-
dc.identifier.spage1064-
dc.identifier.epage1075-
dc.identifier.eissn1523-4681-
dc.identifier.isiWOS:001000075000001-
dc.identifier.issnl0884-0431-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats