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Incidence of hip fractures in Mexico 2006–2019: increasing numbers but decreasing rates

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Abstract

Summary

This study, characterizing the incidence of hip fractures in Mexico, showed not only that the crude number of fractures has increased, but also there has been a decrease in fracture rates. Nonetheless, as the population ages in the coming decades, the current declines rate of could be expected to reverse.

Purpose

This study is to examine the incidence, rates, and time trends of hip fractures from 2006 to 2019 in Mexico. Additionally, an analysis of the follow-up of the birth cohorts was carried out.

Methods

Hip fractures registered during the period of the study were obtained through the Mexican Social Security Institute (IMSS) national discharge records. The incidence per 100,000 individuals was calculated from the IMSS population at risk. A time trend analysis was conducted using linear regression, and the identification of breakpoints in linear trends.

Results

There was an increase of hip fractures for both sexes ≥ 60 years (43% for women and 41%, for men). However, the rates diminished from 167.8/100,000 in 2006 to 138.5 /100,000 in the population 60 and over (1.9% and 0.9% per year in women and men respectively). When the information was analyzed by age groups, hip fracture rates were similar in both sexes but higher in women. The most significant contribution to the total number of fractures is due to the groups ≥ 70 years; people born before 1937 are accounting for the burden of fractures over the total data. In contrast, the younger generations appear to have lower rates.

Conclusion

Rates of hip fracture have steadily declined in Mexico since 2006; however, with the population aging in the coming decades, current rates declines could be expected to reverse.

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Acknowledgements

We would like to thank the different departments of the Mexican Social Security Institute (IMSS who provided us with the data for the report of these analyses, as well as Berenice Araiza-Nava for her critical appreciation of the results obtained.

Author information

Authors and Affiliations

  1. Clinical Epidemiology Research Unit, Hospital Infantil de Mexico “Federico Gomez”, Mexico City, Mexico

    Patricia Clark & Griselda-Adriana Cruz-Priego

  2. Faculty of Medicine of National Autonomous University of Mexico (Universidad, Nacional Autónoma de México), Mexico City, Mexico

    Patricia Clark & Griselda-Adriana Cruz-Priego

  3. Coordination of Epidemiological Surveillance, Mexican Institute of Social Security (IMSS), Mexico City, Mexico

    Ramón Alberto Rascón-Pacheco

  4. Faculty of Medicine and Psychology, Autonomous University of Baja California (UABC), Tijuana, Baja California, Mexico

    Alhelí Bremer

  5. Teaching and Research Unit, Directorate of Medical Benefits, Mexican Institute of Social Security, IMSS, Mexico City, Mexico

    Víctor Hugo Borja-Aburto

Authors
  1. Patricia Clark
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  2. Griselda-Adriana Cruz-Priego
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Contributions

G-A C-P, PC, and AB did research on the current panorama of the topic and wrote the introduction to the topic. RA R-P and VH B-A provided the data from the Mexican Social Security Institute and supported the discussion of results. G-A C-P performed the analysis of all fracture data, interpretation of results, and drafting of the final manuscript; PC contributed with the clinical relevance interpretation the results and discussion.

Corresponding author

Correspondence to Griselda-Adriana Cruz-Priego.

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Clark, P., Cruz-Priego, GA., Rascón-Pacheco, R.A. et al. Incidence of hip fractures in Mexico 2006–2019: increasing numbers but decreasing rates. Osteoporos Int (2024). https://doi.org/10.1007/s00198-024-07045-0

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