The impact of decreasing U.S. hip fracture rates on future hip fracture estimates
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We examined age- and sex-specific hip fracture hospitalization rates among people aged 65 and older using 1990–2010 National Hospital Discharge Survey data. Trends calculated using Joinpoint regression analysis suggest that future increases in hip fractures due to the aging population will be largely offset by decreasing hip fracture rates among women. However, this trend will be counterbalanced by rising numbers of hip fractures among men.
From 1990 to 2006, age-adjusted U.S. hip fracture rates among people aged 65 years and older declined significantly. We wanted to determine whether decreasing age group-specific hip fracture rates might offset increases in hip fractures among the aging population over the next two decades.
This study used data from the National Hospital Discharge Survey, a national probability survey of inpatient discharges from nonfederal U.S. hospitals, to analyze hip fracture hospitalizations, defined as cases with first diagnosis coded ICD-9 CM 820. We analyzed trends in rates by sex and 10-year age groups using Joinpoint analysis software and used the results and projected population estimates to obtain the expected number of hip fractures in 2020 and 2050.
Based on current age- and sex-specific trends in hip fracture hospitalization rates, the number of hip fractures is projected to rise 11.9 %—from 258,000 in 2010 to 289,000 (Projection Interval [PI] = 193,000–419,000) in 2030. The number of hip fractures among men is expected to increase 51.8 % (PI = 15.9–119.4 %) while the number among women is expected to decrease 3.5 % (PI = −44.3–37.3 %). These trends will affect the future distribution of hip fractures among the older population.
Although the number of older people in the U.S.A. will increase appreciably over the next 20 years, the expected increase in the total number of hip fractures will be largely offset by decreasing hip fracture rates among women. However, this trend will be counterbalanced by rising numbers of hip fractures among men.
- National Hospital Discharge Survey (NHDS), National Center for Health Statistics. Health Data Interactive, Health Care Use and Expenditures. www.cdc.gov/nchs/hdi.htm. Accessed 21 December 2012
- Burge R, Dawson-Hughs B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res 22:465–475 CrossRef
- Farahmand BY, Michaëlsson K, Ahlbom A, Ljunghall S, Baron JA (2005) Survival after hip fracture. Osteoporos Intern 16:1583–1590 CrossRef
- U.S. Census. www.census.gov/population/projections/data/national/2012/summarytables.html. Accessed 28 March 2013
- Brown CA, Starr AZ, Nunley JA (2012) Analysis of past secular trends of hip fractures and predicted number in the future 2010–2050. J Orthop Trauma 26(2):117–122 CrossRef
- Stevens JA, Rudd RA (2010) Declining hip fracture rates in the United States. Age Ageing 39(4):500–503 CrossRef
- Leslie WD, O’Donnell S, Jean S, Lagace C, Walsh P, Bancej C, Morin S, Hanley DA, Papaioannou A, Osteoporosis Surveillance Expert Working Group (2009) Trends in hip fracture rates in Canada. J Am Med Assoc 302(8):883–889 CrossRef
- Dimai HP, Svedbom A, Fahrleitner-Pammer A, Pieber T, Resch H, Zwettler E, Chandran M, Borgstrom F (2011) Epidemiology of hip fractures in Austria: evidence for a change in the secular trend. Osteoporos Int 22:685–692 CrossRef
- Lippuner K, Popp AW, Schwab P, Gitlin M, Schaufler T, Senn C, Perrelet R (2011) Fracture hospitalizations between years 2000 and 2007 in Switzerland: a trend analysis. Osteoporos Int 22:2487–2497 CrossRef
- Watson WL, Mitchell R (2011) Conflicting trends in fall-related injury hospitalisations among older people: variations by injury type. Osteoporos Int 22:2623–2631 CrossRef
- Dennison CF, Pokras R (2000) Design and operation of the National Hospital Discharge Survey: 1988 redesign. Vital and Health Stat 1(39). www.cdc.gov/nchs/data/series/sr_01/sr01_039.pdf. Accessed 21 December 2012
- Centers for Disease Control and Prevention. National Center for Health Statistics. Health Data Interactive. www.cdc.gov/nchs/hdi.htm. Accessed 21 December 2012
- The International Classification of Diseases, 9th revision, Clinical Modification: ICD-9-CM. www.cdc.gov/nchs/icd/icd9cm.htm. Accessed 21 December 2012
- Schneider EL, Guralnik JM (1990) The aging of America—impact on healthcare costs. JAMA 263:2335–2340 CrossRef
- Delmas PD, Fraser M (1999) Strong bones in later life: luxury or necessity? Bull World Health Organ 77:416–422
- Parkkari J, Kannus P, Palvanen M, Natri A, Vainio J, Aho H, Vuori I, Järvinen M (1999) Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patients. Calcif Tissue Int 65:183–187 CrossRef
- Hayes WC, Myers ER, Morris JN, Gerhart TN, Yett HS, Lipsitz LA (1993) Impact near the hip dominates fracture risk in elderly nursing home residents who fall. Calcif Tissue Int 52:192–198 CrossRef
- Greenspan SL, Myers ER, Maitland LA, Kido TH, Krasnow MB, Hayes WC (1994) Trochanteric bone mineral density is associated with type of hip fracture in the elderly. J Bone Mineral Res 9:1889–1894
- National Osteoporosis Foundation (NOF). Clinician’s guide to prevention and treatment of osteoporosis. www.nof.org/professionals/clinical-guidelines. Accessed 21 December 2012
- Looker AC, Melton LF III, Borrud LG, Shepherd JA (2012) Changes in femur neck bone density in US adults between 1988–1994 and 2005–2008: demographic patterns and possible determinants. Osteoporosis Int 23:771–780 CrossRef
- AGS/BGS (2010) Clinical Practice Guideline: Prevention of Falls in Older Persons. The American Geriatrics Society. www.americangeriatrics.org/health_care_professionals/clinical_practice/clinical_guidelines_recommendations/prevention_of_falls_summary_of_recommendations/. Accessed 21 December 2012
- Moyer VA (2012) Prevention of falls in community-dwelling older adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 157:1–8 CrossRef
- Stevens JA (2010b) A CDC Compendium of Effective Fall Interventions: What Works for Community-Dwelling Older Adults. 2nd edn. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. www.cdc.gov/HomeandRecreationalSafety/Falls/pubs.html. Accessed 21 December 2012
- The impact of decreasing U.S. hip fracture rates on future hip fracture estimates
Volume 24, Issue 10 , pp 2725-2728
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