Abstract
We investigated the incidence of hip fracture in a population of patients ≥50 years old in 2004 and 2010 in Niigata City, Niigata Prefecture, Japan. We also investigated the long-term trends in the incidence of hip fracture from 1985 to 2010, using our previously reported survey results obtained from 1985 to 1999. In 2004 and 2010, the survey found 2,368 and 3,218 proximal femur fractures, respectively. The crude hip fracture incidence rates in 2004 and 2010 were 215.8 and 281.5 per 100,000 of population per year, respectively. For males, the incidence rates were 99.9 in 2004 and 126.3 in 2010; for females, the incidence rates were 311.0 and 410.7, respectively. In males aged 80–84 years, the incidence rate since 1999 has been decreasing, while that for males >85 years peaked in 2004. In females of all ages, the incidence rate was higher in 2010 than in all other survey periods, and in females >85 years, the incidence has increased the fastest. Additionally, the long-term changes in the age- and sex-standardized incidence each year using the 1985 population structure in Japan in females has been increasing, although it decreased in 1999. However, in males, the incidence in 2010 was not significantly different from that in 1994, although it has been increasing since 1999. Our study findings indicate that the age-specific incidence of hip fractures in the Niigata Prefecture of Japan has not plateaued in females, but that it may have done so in males; in addition, the number and incidence of hip fractures has been increasing.
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References
Cauley JA, Chalhoub D, Kassem AM, Fuleihan Gel-H (2014) Geographic and ethnic disparities in osteoporotic fractures. Nat Rev Endocrinol 10:338–351
Cooper C, Campion G, Melton LJ III (2002) Hip fractures in the elderly: a world wide projection. Osteoporos Int 2:285–289
Hagino H, Furukawa K, Fujiwara S, Okano T, Katagiri H, Yamamoto K, Teshima R (2009) Recent trends in the incidence and lifetime risk of hip fracture in Tottori, Japan. Osteoporos Int 20:543–548
Hagino H, Sakamoto K, Harada A, Nakamura T, Mutoh Y, Mori S, Endo N, Nakano T, Itoi E, Kita K, Yamamoto N, Aoyagi K, Yamazaki K, Committee on Osteoporosis of The Japanese Orthopaedic Association (2010) Nationwide one-decade survey of hip fracture in Japan. J Orthop Sci 15:737–745
Kawashima T (1989) Epidemiology of the femoral neck fracture in 1985, Niigata Prefecture, Japan. J Bone Miner Metab 7:118–126
Dohmae Y, Takahashi HE, Kawashima T (1991) Epidemiology of femoral neck fracture in 1989, Niigata Prefecture, Japan. A comparison with the incidence in 1985 and 1987. J Bone Miner Metab 9:94–98
Iga T, Dohmae Y, Endo N, Takahashi HE (1996) Increase of the incidence of cervical and trochanteric fractures of the proximal femur in Niigata Prefecture, Japan. J Bone Miner Metab 17:224–231
Morita Y, Endo N, Iga T, Tokunaga K, Ohkawa Y (2002) The incidence of cervical and trochanteric fractures of the proximal femur in 1999 in Niigata Prefecture, Japan. J Bone Miner Metab 20:311–318
Arakaki H, Owan I, Kudoh H, Horizono H, Arakaki K, Ikema Y, Shinjo H, Hayashi K, Kanaya F (2011) Epidemiology of hip fractures in Okinawa, Japan. J Bone Miner Metab 29:309–314
The report of the Ministry of Health, Labour and Welfare in Japan (in Japanese). http://www.mhlw.go.jp/toukei/saikin/hw/life/life10/03.html
Orimo H, Yaegashi Y, Onoda T, Fukushima Y, Hosoi T, Sakata K (2009) Hip fracture incidence in Japan: estimates of new patients in 2007 and 20-year trends. Arch Osteoporos 4:71–77
Sakuma M, Endo N, Oinuma T, Miyasaka D, Oguma Y, Imao K (2014) Incidence of osteoporotic fractures in Sado, Japan in 2010. J Bone Miner Metab 32:200–205
Reid IR, Chin K, Ewans MC, Jones JG (1994) Relation between increase in length of hip axis in older women between 1950s and 1990s and increase in age specific rates of hip fracture. BMJ 309:508–509
Baker SS, Cochran WJ, Flores CA, Georgieff MK, Jacobson MS, Jaksic T, Krebs NF (1999) American Academy of Pediatrics. Committee on Nutrition. Calcium requirements of infants, children, and adolescents. Pediatrics 104:1152–1157
Sakuma M, Endo N, Hagino A, Matsui Y, Nakano T, Nakamurra K (2011) Serum 25-hydroxyvitamin D status in hip and spine-fracture patients in Japan. J Orthop Sci 16:418–423
Sakuma M, Endo N, Oinuma T, Hayami T, Endo E, Yazawa T, Watanabe K, Watanabe S (2006) Vitamin D and intact PTH status in patients with hip fracture. Osteoporos Int 17:1608–1614
Kannus P, Niemi S, Parkkari J, Palvanen M, Vuori I, Jarvinen M (2006) Nationwide decline in incidence of hip fractures. J Bone Miner Res 21:1836–1838
Melton LJ III, Kearns AE, Atkinson EJ, Bolander ME, Achenbach SJ, Huddleston JM, Therneau TM, Leibson CL (2009) Secular trends in hip fracture incidence and recurrence. Osteoporos Int 20:687–694
Leslie WD, O’Donnell S, Jean S, Legace C, Walsh P, Bancej C, Morin S, Hanley DA, Papaioannou A, Osteoporosis Surveillance Expert Working Group (2009) Trends in hip fracture rates in Canada. JAMA 302:883–889
Fielden J, Purdie G, Horne G, Devane P (2001) Hip fracture incidence in New Zealand, revisited. NZ Med J 114:154–156
Chevalley T, Guilley E, Hermann FR, Hoffmeyer P, Rapin CH, Rizzoli R (2007) Incidence of hip fracture over a 10-year period (1991–2000): reversal of a secular trend. Bone 40:1284–1289
Acknowledgments
We would like to thank all the hospitals in the Niigata Prefecture and all the doctors and staff who contributed to this study. Without their cooperation, this study would not have been possible. We are especially grateful to Ojiya General Hospital, Kashiwazaki Chuo Hospital, Niigata Prefectural Shibata Hospital, Niigata Prefectural Koide Hospital, Niigata Prefectural Yoshida Hospital, Niigata Prefectural Kamo Hospital, Niigata Prefectural Chuo Hospital, Nagaoka Central General Hospital, Murakami General Hospital, Sanjo General Hospital, Joetsu General Hospital, Sannotyo Hospital, Tachikawa Medical Center General Hospital, Tsubame Rosai Hospital, Nagaoka Nishi Hospital, Nagaoka Red Cross Hospital, Niigata Rosai Hospital, Mishima Hospital, Mitsuke City Hospital, Yukiguni Yamato Hospital, Niigata Prefectural Rheumatic Center, Niigata Prefectural Muikamachi Hospital, Niigata Prefectural Tokamachi Hospital, Kashiwazaki Medical Center, Tominag Kusano Hospital, Nakajo Chuo Hospital, Uonuma Hospital, Itoigawa Hospital, Yoshida Hospital, Suibarago Hospital, Kamimura Hospital, Iwamuro Rihabilitation Hospital, Kaetsu Hospital, Kameda Daiichi Hospital, Kido Hospital, Kuwana Hospital, Saiseikai Niigata Daini Hospital, Shirone Kensei Hospital, Shirone Ohdori Hospital, Shinrakuenn Hospital, Toyosaka Hospital, Niigata Medical Center, Niigata Prefectural Cancer Center Hospital, Niigata Institute Health and Sports Medicine, Niigata City Hospital, Niigata Chuo Hospital, Niigata Teishin Hospital, Niigata Nishikan Medical Center Hospital, Niigata Minami Hospital, Niitsu Medical Center Hospital, Nishiniigata Chuo Hospital, Nekoyama Miyao Hospital, Misono Hospital, Midori Hospital, Ryotsu Hospital, Hamo Hospital, Sado General Hospital, Aikawa Hospital, Sawada Hospital, Aoki Orthopedic Clinic, Aozora Orthopedic Clinic, Asai Orthopedic Clinic, Ataka Orthopedic Clinic, Ariakedai Orthopedic Clinic, e-Medical Orthopedic Clinic, ishizaka Orthopedic Clinic, Ohkawa Clinic, Ohya Orthopedic Clinic, Okada Orthopedic Clinic, Ogawa Orthopedic Clinic, Okumura Orthopedic Clinic, Ono Orthopedic Clinic, Katsumi Orthopedic Clinics, Kaneko Orthopedic Clinic, Kimura Orthopedic Clinic, Kinto Orthopedic Clinic, Kojima Orthopedic Clinic, Kobayashi Orthopedic Clinic, Shimagaki Orthopedic Clinic, Takahashi Orthopedic Clinics, Takeda Orthopedic Clinic, Tanaka Orthopedic Clinic, Terao Orthopedic Clinic, Toyama Orthopedic Clinic, Nakayama Orthopedic Clinic, Niigata Aobadori Clinic, Nishiniigata Orthopedic Clinic, Nozawa Orthopedic Clinic, Noto Orthopedic Clinic, Hao Orthopedic Clinic, Hasegawa Orthopedic Clinic, Hatano Orthopedic Clinic, Hanaoka Orthopedic Clinic, Hayatsu Orthopedic Clinic, Harada Orthopedic Clinic, Hokari Orthopedic Clinic, Honma Orthopedic Clinic, Maniwa Orthopedic Clinic, Maruyama Orthopedic Clinic, Murai Orthopedic Clinic, Murata Orthopedic Clinic, Morita Orthopedic Clinic, Yagisawa Orthopedic Clinic, Yukiyoshi Orthopedic Clinic, Wakatsuki Orthopedic Clinic, and Sakata Orthopedic Clinic for their help with the collection of data. In addition, we would like to express our gratitude to Ms Y. Takakuwa and Ms T. Shiba for their devoted assistance. This study was supported by a Grant-in-Aid from the Ministry of Health, Labor and Welfare of Japan (Grant H 21-Chouju Ippan-004).
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Miyasaka, D., Endo, N., Endo, E. et al. Incidence of hip fracture in Niigata, Japan in 2004 and 2010 and the long-term trends from 1985 to 2010. J Bone Miner Metab 34, 92–98 (2016). https://doi.org/10.1007/s00774-015-0648-4
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DOI: https://doi.org/10.1007/s00774-015-0648-4