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The incidence of hip fracture in Shiraz, Iran: a promising rate comparing to previous studies

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Abstract

Summary

We evaluate the incidence of hip fracture in 50 years old or above in southwest of Iran. Age-adjusted incidence rates of hip fracture, standardized to the 2000 US white population, were 79.55 per 105 in total and 66.51 and 92.37 per 105 in male and female, respectively.

Introduction

Osteoporosis-related hip fracture is associated with considerable morbidity, mortality, and costs in older people. The aim of this study was to evaluate the incidence rate of hip fracture in the capital of Fars Province, southern Iran.

Methods

This study was conducted in Shiraz, Iran, from September 1, 2011, to August 30, 2012. All 50-year-old or above patients with hip fracture diagnosis, lived in Shiraz at least 6 months prior to hospital admission, were included in this study. All statistical analyses were performed using SPSS, version 18.0, and Microsoft Excel 2007 software.

Results

The mean age of 608 patients was 75.95 ± 11.07 and 353 (58.3%) were female. Age-adjusted incidence rates of hip fracture, standardized to the 2000 US white population, were 79.55 per 105 in total and 66.51 and 92.37 per 105 in male and female, respectively. The adjusted incidence rate of neck of the femur fracture (30.62 per 105 versus 23.49 per 105, p = 0.61) and intertrochanteric fracture (40.48 per 105 versus 28.5 per 105, p = 0.74) were higher in females than males but the differences were not statistically significant. Under the age of 65 years, the incidence rate of hip fracture was significantly higher in men, but after 65 years, it was higher among women.

Conclusion

The rate of osteoporotic hip fracture was relatively low in southern Iran. However, by aging population, this rate will increase and health policy makers should implement targeted osteoporosis screening and management programs.

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Acknowledgements

The authors would like to appreciate the Vice-chancellor for Research affiliated to the International Branch of Shiraz University of Medical Sciences for the financial support. This manuscript is extracted from a thesis encoded 86.1027.

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Authors and Affiliations

  1. Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

    N. Maharlouei, S. Kazemifar, M. Soveid, Z. Farahmand, P. Arab & K. B. Lankarani

  2. Student Research Committee, Shiraz University of Medical Sciences, International Branch, Shiraz, Iran

    S. Atefi

  3. Department of Orthopedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran

    H. Namazi

  4. Department of Biostatistics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

    H. R. Shahraki

  5. Goethe Universität Frankfurt am Main, Frankfurt am Main, Germany

    M. Khodayari

  6. Isfahan University of Medical Sciences, Isfahan, Iran

    F. Forouzan

  7. Shiraz University of Medical Sciences, Shiraz, Iran

    N. Allamehzadeh, S. Fazilat, S. Khademolhosseini & F. Nafari

Authors
  1. N. Maharlouei
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  2. S. Atefi
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  3. H. Namazi
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  4. S. Kazemifar
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  5. M. Soveid
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  6. H. R. Shahraki
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  7. Z. Farahmand
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  8. M. Khodayari
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  9. P. Arab
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  10. F. Forouzan
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  11. N. Allamehzadeh
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  12. S. Fazilat
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  13. S. Khademolhosseini
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  14. F. Nafari
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  15. K. B. Lankarani
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Corresponding author

Correspondence to K. B. Lankarani.

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Maharlouei, N., Atefi, S., Namazi, H. et al. The incidence of hip fracture in Shiraz, Iran: a promising rate comparing to previous studies. Osteoporos Int 28, 1989–1993 (2017). https://doi.org/10.1007/s00198-017-3983-6

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  • DOI: https://doi.org/10.1007/s00198-017-3983-6

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