Abstract
Summary
This work studies the epidemiology of hip fracture in Egypt. While the incidence of hip fracture in Egypt matches that of the Mediterranean region, there was geographic variation in osteoporotic hip fracture incidence between the north and south of Egypt.
Purpose
To assess the incidence of hip fracture in Egypt, with special emphasis on the geographic and demographic variation among the Egyptian population.
Methods
The incidence of hip fractures treated in two Egyptian FLS centers was calculated for the period of February 2022–February 2023. Demographic information was recorded for every patient on the national register. All patients completed a baseline questionnaire, had clinical evaluation, fracture risk, falls, and sarcopenia risk assessment. A DXA scan was carried out for every patient.
Results
The annual incidence of low-energy hip fracture in individuals aged 40 years or more in Egypt in 2022–2023 was 123.34 per 100,000 in women and 55.19 per 100,000 in men. The incidence of hip fractures was higher in south Egypt (113.62) versus north Egypt (64.8). This was consistent for both genders. Bone mineral density was significantly (p < 0.01) lower in south Egypt at both the spine, distal forearm, as well as hip trochanters, whereas there was no significant difference between both locations in terms of the total hip and neck of the femur. Yet, falls risk, sarcopenia, as well as functional disability rates were significantly (p < 0.001) higher in the north.
Conclusion
In Egypt, the hip fracture incidence was higher in the south compared to the north. Several modifiable factors contribute to fragility fracture risk independent of BMD, creating complex interrelationships between BMD, risk factors, and fracture risk.
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Data availability
The data will be available upon reasonable request.
Change history
28 February 2024
A Correction to this paper has been published: https://doi.org/10.1007/s11657-024-01370-x
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Funding
The costs of DXA scanning, lab testing as well as the admin staff in charge of the electronic data recording were covered by Amgen Egypt. No funding was received by any one of the authors.
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The original online version of this article was revised: In this article Ahmed Mohamed Farghaly, Karim Mohamed Elmaradny, and Sally Eskandar Saber Eskandar, have been removed from the author list.
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Supplementary file1 Number of the population at risk and the incidence of hip fracture per 100,000 in northern Egypt versus southern Egypt. (DOCX 21 KB)
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El Miedany, Y., El Gaafary, M., Gadallah, N. et al. Incidence and geographic characteristics of the population with osteoporotic hip fracture in Egypt— by the Egyptian Academy of Bone Health. Arch Osteoporos 18, 115 (2023). https://doi.org/10.1007/s11657-023-01325-8
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DOI: https://doi.org/10.1007/s11657-023-01325-8