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Incidence of hip fracture in Kuwait: a national registry-based study

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Abstract

Summary

The crude and age-standardized rates of hip fractures in elderly Kuwaiti subpopulation were determined for the years 2009–2012. Both rates have increased and are further expected to rise substantially in the coming decades.

Introduction

It is projected that rates of hip fractures will increase in most of the Middle East countries. There are only few population-based studies investigating the incidence of hip fractures in the Arabian Gulf region. The objective of this study is to report the crude and age-standardized incidence rates of hip fracture in the Kuwaiti elderly population.

Methods

Using the Ministry of Public Health’s registry data, this population-based study evaluated the incidence of hip fractures in Kuwaiti subpopulation aged 50 and above for the years 2009, 2010, 2011, and 2012. Using the world population in 2010 as a reference, these incidence rates were age-standardized and compared to data from several regions.

Results

Hip fracture crude incidence rates varied between 113.7 and 147.4/100,000 for males and between 135.3 and 148.1/100,000 for females, with a female/male ratio of 1.3–1.5. The combined (men and women) incidence rate of hip fractures increased by 17.1 % over the 4-year period of study (125.9/100,000 in 2009 to 147.8/100,000 in 2012). Using the world population in 2010 as a reference, the age-standardized rates were 129.5, 131.5, 154.6, and 169.8 for males and 189.6, 192.9, 197.2, and 214.4 for females, for the years 2009, 2010, 2011, and 2012, respectively.

Conclusions

The hip fracture age-standardized incidence rates in the Kuwaiti subpopulation aged 50 years and above are rising and expected to increase substantially in the coming decades.

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References

  1. Strom O, Borgstrom F, Kanis JA, Compston J, Cooper C, McCloskey EV, Jonsson B (2011) Osteoporosis: burden, health care provision and opportunities in the EU: a report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos 6:59–155

    Article  PubMed  CAS  Google Scholar 

  2. Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726–1733

    Article  PubMed  CAS  Google Scholar 

  3. Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA (1992) Race and sex differences in mortality following fracture of the hip. Am J Public Health 82:1147–1150

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  4. Gullberg B, Johnell O, Kanis JA (1997) World-wide projections for hip fracture. Osteoporos Int 7:407–413

    Article  PubMed  CAS  Google Scholar 

  5. Fuleihan GEAMG, Nauroy L (2011) The Middle-East & Africa Regional Audit. Epidemiology, costs & burden of osteoporosis in 2011

  6. Kanis JA, Johnell O, De Laet C, Jonsson B, Oden A, Ogelsby AK (2002) International variations in hip fracture probabilities: implications for risk assessment. J Bone Mineral Res : Off J Am Soc Bone Mineral Res 17:1237–1244

    Article  Google Scholar 

  7. Memon A, Pospula WM, Tantawy AY, Abdul-Ghafar S, Suresh A, Al-Rowaih A (1998) Incidence of hip fracture in Kuwait. Int J Epidemiol 27:860–865

    Article  PubMed  CAS  Google Scholar 

  8. Gupta R, Al-saeed O, Azizieh F, Albusairi A, Gupta P, Mohammed A (2012) Evaluation of bone mineral density in postmenopausal women in Kuwait. J Clin Densitometry : Off J Int Soc Clin Densitometry 15:211–216

    Article  Google Scholar 

  9. Dhanwal DK, Dennison EM, Harvey NC, Cooper C (2011) Epidemiology of hip fracture: worldwide geographic variation. Indian J Orthop 45:15–22

    Article  PubMed  PubMed Central  Google Scholar 

  10. Ardawi MS, Maimany AA, Bahksh TM, Nasrat HA, Milaat WA, Al-Raddadi RM (2005) Bone mineral density of the spine and femur in healthy Saudis. Osteoporos Int 16:43–55

    Article  PubMed  Google Scholar 

  11. Maalouf G, Gannage-Yared MH, Ezzedine J et al (2007) Middle East and North Africa consensus on osteoporosis. J Musculoskeletal Neuronal Interact 7:131–143

    CAS  Google Scholar 

  12. Health & Vital Statistics Division NCoHI, Ministry of Public Health, Kuwait (2003-2013) Kuwait Health Indicators

  13. Armitage P, Berry G, Matthews JNS (2008) Statistical methods in epidemiology. statistical methods in medical research. Blackwell Science Ltd, pp 648-716

  14. Emaus N, Olsen LR, Ahmed LA, Balteskard L, Jacobsen BK, Magnus T, Ytterstad B (2011) Hip fractures in a city in Northern Norway over 15 years: time trends, seasonal variation and mortality: the Harstad Injury Prevention Study. Osteoporos Int 22:2603–2610

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  15. Soveid M, Serati AR, Masoompoor M (2005) Incidence of hip fracture in Shiraz, Iran. Osteoporos Int 16:1412–1416

    Article  PubMed  Google Scholar 

  16. Shukla JJ, Khandekar RB (2008) Magnitude and determinants of osteoporosis in adult population of South Sharqiya region of Oman. Saudi Med J 29:984–988

    PubMed  Google Scholar 

  17. Icks A, Haastert B, Wildner M, Becker C, Meyer G (2008) Trend of hip fracture incidence in Germany 1995–2004: a population-based study. Osteoporos Int 19:1139–1145

    Article  PubMed  CAS  Google Scholar 

  18. Singer BR, McLauchlan GJ, Robinson CM, Christie J (1998) Epidemiology of fractures in 15,000 adults: the influence of age and gender. J Bone Joint Surg (Br) 80:243–248

    Article  CAS  Google Scholar 

  19. Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H, Kanis JA (2012) Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int 23:949–955

    Article  PubMed  CAS  Google Scholar 

  20. Couris CM, Chapurlat RD, Kanis JA, Johansson H, Burlet N, Delmas PD, Schott AM (2012) FRAX(R) probabilities and risk of major osteoporotic fracture in France. Osteoporos Int 23:2321–2327

    Article  PubMed  CAS  Google Scholar 

  21. Ballane G, Cauley JA, Luckey MM, Fuleihan Gel H (2014) Secular trends in hip fractures worldwide: opposing trends East versus West. J Bone Mineral Res : Off J Am Soc Bone Mineral Res 29:1745–1755

    Article  Google Scholar 

  22. Ettinger B, Black DM, Dawson-Hughes B, Pressman AR, Melton LJ 3rd (2010) Updated fracture incidence rates for the US version of FRAX. Osteoporos Int 21:25–33

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  23. Azar ES, Abulmajeed SMB, Kanis JA (2011) The prevalence of osteoporotic hip fractures in Jordan. Osteoporos Int 22:S715

    Google Scholar 

  24. Xia WB, He SL, Xu L, Liu AM, Jiang Y, Li M, Wang O, Xing XP, Sun Y, Cummings SR (2012) Rapidly increasing rates of hip fracture in Beijing, China. J Bone Mineral Res : Off J Am Soc Bone Mineral Res 27:125–129

    Article  Google Scholar 

  25. Dhanwal DK, Siwach R, Dixit V, Mithal A, Jameson K, Cooper C (2013) Incidence of hip fracture in Rohtak district, North India. Arch Osteoporos 8:135

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  26. al-Nuaim AR, Kremli M, al-Nuaim M, Sandkgi S (1995) Incidence of proximal femur fracture in an urbanized community in Saudi Arabia. Calcif Tissue Int 56:536–538

    Article  PubMed  CAS  Google Scholar 

  27. El Maghraoui A, Koumba BA, Jroundi I, Achemlal L, Bezza A, Tazi MA (2005) Epidemiology of hip fractures in 2002 in Rabat, Morocco. Osteoporos Int 16:597–602

    Article  PubMed  Google Scholar 

  28. Zrour-Hassen S, Jguirim M, Guezguez M, Mnif H, Younes M, Bejia I, Touzi M, Abid A, Essabah H, Bergaoui N (2011) The fracture risk assessment tool (FRAXTM), where are we in Tunisia? Tunis Med 89:136–141

    PubMed  Google Scholar 

  29. Cauley JA, Chalhoub D, Kassem AM, Fuleihan Gel H (2014) Geographic and ethnic disparities in osteoporotic fractures. Nat Rev Endocrinol 10:338–351

    Article  PubMed  Google Scholar 

  30. Younis M, Al-Hajeri M, Celik Y, Kisa A, Richard P, Parkash J (2015) Healthcare of aging population of Kuwait. Ageing Int 40:36–43

    Article  Google Scholar 

  31. Cooper C, Cole ZA, Holroyd CR, Earl SC, Harvey NC, Dennison EM, Melton LJ, Cummings SR, Kanis JA, Epidemiology ICWGoF (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int 22:1277–1288

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  32. Sibai AM, Nasser W, Ammar W, Khalife MJ, Harb H, Fuleihan Gel H (2011) Hip fracture incidence in Lebanon: a national registry-based study with reference to standardized rates worldwide. Osteoporos Int 22:2499–2506

    Article  PubMed  CAS  Google Scholar 

  33. Abolhassani F, Moayyeri A, Naghavi M, Soltani A, Larijani B, Shalmani HT (2006) Incidence and characteristics of falls leading to hip fracture in Iranian population. Bone 39:408–413

    Article  PubMed  Google Scholar 

  34. Kanis JA, Oden A, McCloskey EV, Johansson H, Wahl DA, Cooper C (2012) A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int 23:2239–2256

    Article  PubMed  CAS  PubMed Central  Google Scholar 

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Acknowledgments

This study was made possible by the help of Dr. Abdullah M. Al-Ajeel, the Director of the Medical Statistical Analysis Department, Ministry of Public Health, Kuwait, who thankfully provided the Ministry’s hip fractures’ registry data for the years 2009, 2010, 2011, and 2012. My sincere thanks also to Prof. John Kanis, WHO Collaborating Center for Metabolic Bone Disease, University of Sheffield Medical School, UK, for his encouragement and advice on how to improve the manuscript.

This study is supported by Kuwait Foundation of Advancement of Science (KFAS) project no. 2013-1302-02.

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Correspondence to Fawaz Y. Azizieh.

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Azizieh, F.Y. Incidence of hip fracture in Kuwait: a national registry-based study. Arch Osteoporos 10, 40 (2015). https://doi.org/10.1007/s11657-015-0248-x

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