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Trends in the incidence of hip fractures

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Abstract

Summary

Hip fracture incidence in the capital city of Serbia was assessed over a period of 10 years (2000–2009). Crude annual incidence rates increased significantly for all ages and both sexes (p = 0.002). Age-adjusted rates also showed a steady increase. The mean rate of annual change for age-adjusted rates was 8.6 % (95 %CI 7.5–9.7) in males, 8.0 % (95 %CI 7.4–8.6) in females, and 8.2 % (95 %CI 7.7–8.7) in the total population.

Introduction

The aim of this study was to estimate the incidence rate and trend of hip fractures in the population of Belgrade, the capital of Serbia.

Methods

Data sources were the official statistics of the Public Health Institute in Belgrade. The patient's age, gender, residence, hospital admission, and diagnosis were registered for each hospital admission. Population estimates were based on census data from 2002 and on published estimates for the intercensus years. The annual incidence (crude) rates and age- and sex-specific incidence rates were calculated with 95 % confidence intervals (CI) and age-adjusted incidence rates for persons over the age of 50 years were computed.

Results

A significantly increasing trend of crude incidence rates for all ages was observed in males (p = 0.002), females (p = 0.001), and overall (p = 0.002). The proportion of trochanteric fractures rose significantly with age in women (p < 0.0001), whereas it decreased nonsignificantly in men ≥70 years (p = 0.44). The age-adjusted incidence rates (per 100,000 in subjects ≥50 years old) showed a steady increase. The mean rate of annual change for age-adjusted rates was 8.6 % (95 %CI 7.5–9.7) in males, 8.0 % (95 %CI 7.4–8.6) in females, and 8.2 % (95 %CI 7.7–8.7) in the total population.

Conclusion

Hip fracture incidence continues to increase. In view of the rapid aging of the population, it is necessary to implement a comprehensive preventive policy in our community.

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References

  1. Dhanwal DK, Dennison E, Harvey N, Cyrus Coope C (2011) Epidemiology of hip fracture: worldwide geographic variation. Indian J Orthop 45(1):15–22

    Article  PubMed  Google Scholar 

  2. Johnell O (1997) The socioeconomic burden of fractures: today & in the 21st century. Am J Med 103(2a):20s–25s

    Article  PubMed  CAS  Google Scholar 

  3. Cooper C, Cole ZA, Holroyd CR, Earl SC, Harvey NC, Dennison EM, Melton LJ, Cummings SR, Kanis JA, IOF CSA Working Group on Fracture Epidemiology (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int 22(5):1277–1288

    Article  PubMed  CAS  Google Scholar 

  4. Holt G, Smith R, Duncan K, Hutchison JD, Reid D (2009) Changes in population demographics and the future incidence of hip fracture. Injury 40(7):722–726

    Article  PubMed  CAS  Google Scholar 

  5. Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17(12):1726–1733

    Article  PubMed  CAS  Google Scholar 

  6. Brauer CA, Coca-Perraillon M, Cutler DM, Rosen AB (2009) Incidence and mortality of hip fractures in the United States. JAMA 302(14):1573–1579

    Article  PubMed  CAS  Google Scholar 

  7. Cicvarić T, Bencević-Striehl H, Juretić I, Marinović M, Grzalja N, Ostrić M (2010) Hip fractures in elderly—ten years analysis. Coll Antropol 34(Suppl 2):199–204

    PubMed  Google Scholar 

  8. Hernandez JL, Olmos JM, Alonso MA, Gonzalez-Fernandez CR, Martinez J, Pajarón M, Llorca J, González-Macías J (2006) Trend in hip fracture epidemiology over a 14-year period in a Spanish population. Osteoporos Int 17:464–470

    Article  PubMed  Google Scholar 

  9. Lesic A, Bumbasirevic M, Jarebinski M, Pekmezovic T (2005) Incidence of hip fractures in the population of Belgrade during the period 1990–2000. Projections for 2020. Acta Chir Iugosl 52(2):95–99

    Article  PubMed  CAS  Google Scholar 

  10. Kopjar B (2009) Hip fracture incidence in Croatia in patients aged 65 years and more. Lijec Vjesn 131(1–2):91–93

    Google Scholar 

  11. Lönnroos E, Kautiainen H, Karppi P, Huusko T, Hartikainen S, Kiviranta I, Sulkava R (2006) Increased incidence of hip fractures. A population based-study in Finland. Bone 39(3):623–627

    Article  PubMed  Google Scholar 

  12. Støen RO, Nordsletten L, Meyer HE, Frihagen JF, Falch JA, Lofthus CM (2012) Hip fracture incidence is decreasing in the high incidence area of Oslo, Norway. Osteoporos Int 23:2527–2534

    Google Scholar 

  13. Abrahamsen B, Vestergard P (2010) Declining incidence of hip fractures and the extent of use of anti-osteoporotic therapy in Denmark 1997–2006. Osteoporos Int 21:373–380

    Article  PubMed  CAS  Google Scholar 

  14. Hartholt KA, Oudshoorn C, Zielinski SM, Burgers PT, Panneman MJ, van Beeck EF, Patka P, van der Cammen TJ (2011) The epidemic of hip fractures: are we on the right track? PLoS One 6(7):e22227

    Article  PubMed  CAS  Google Scholar 

  15. De Laet C, Kanis JA, Oden A, Johanson H, Johnell O, Delmas P, Eisman JA, Kroger H, Fujiwara S, Garnero P, McCloskey EV, Mellstrom D, Melton LJ 3rd, Meunier PJ, Pols HA, Reeve J, Silman A, Tenenhouse A (2005) Body mass index as a predictor of fracture risk: a meta- analysis. Osteoporos Int 16:1330–1338

    Article  PubMed  Google Scholar 

  16. Benetou V, Orfanos P, Benetos IS, Pala V, Evangelista A, Frasca G, Giurdanella MC, Peeters PH, van der Schouw IT, Rohrmann S, Linseisen J, Boeing H, Weikert C, Pettersson U, Van Guelpen B, Bueno de Mesquita HB, Altzibar J, Boffetta P, Trichopoulou A (2011) Anthropometry, physical activity and hip fractures in the elderly. Injury 42(2):188–193

    Article  PubMed  Google Scholar 

  17. Tarantino U, Capone A, Planta M, D'Arienzo M, Letizia Mauro G, Impagliazzo A, Formica A, Pallotta F, Patella V, Spinarelli A, Pazzaglia U, Zarattini G, Roselli M, Montanari G, Sessa G, Privitera M, Verdoia C, Corradini C, Feola M, Padolino A, Saturnino L, Scialdoni A, Rao C, Iolascon G, Brandi ML, Pn P (2010) The incidence of hip, forearm, humeral, ankle, and vertebral fragility fractures in Italy: results from a 3-year multicenter study. Arthritis Res Ther 12(6):R226

    Article  PubMed  Google Scholar 

  18. Dzajkovska B, Wertheimer AI, Mrhar A (2007) The burden-of-illness study on osteoporosis in the Slovenian female population. Pharm World Sci 29(4):404–411

    Article  PubMed  Google Scholar 

  19. Ranhoff AH, Holvik K, Martinsen MI, Domaas K, Solheim LF (2010) Older hip fracture patients: three groups with different needs. BMC Geriatr 10:65

    Article  PubMed  Google Scholar 

  20. Maeda Y, Sugano N, Saito M, Yonenobu K (2011) Comparison of femoral morphology and bone mineral density between femoral neck fractures and trochanteric fractures. Clin Orthop Relat Res 469(3):884–888

    Article  PubMed  Google Scholar 

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Acknowledgments

This work was supported by the Ministry of Education and Science of Serbia contract nos. 179095 and 175046, 2011–2014.

Conflicts of interest

None.

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Authors and Affiliations

  1. Clinic of Orthopaedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade, Serbia

    K. Senohradski, A. Lesic & M. Bumbasirevic

  2. Faculty of Medicine, University of Belgrade, Institute of Epidemiology, Visegradska 26, 11000, Belgrade, Serbia

    L. Markovic-Denic

  3. Faculty of Medicine, University of Belgrade, Belgrade, Serbia

    A. Lesic, V. Bumbasirevic & M. Bumbasirevic

  4. Clinic of Anaesthesiology, Clinical Center of Serbia, Belgrade, Serbia

    V. Bumbasirevic

Authors
  1. K. Senohradski
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  2. L. Markovic-Denic
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  3. A. Lesic
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  4. V. Bumbasirevic
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  5. M. Bumbasirevic
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Correspondence to L. Markovic-Denic.

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Senohradski, K., Markovic-Denic, L., Lesic, A. et al. Trends in the incidence of hip fractures. Osteoporos Int 24, 1759–1763 (2013). https://doi.org/10.1007/s00198-012-2244-y

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  • DOI: https://doi.org/10.1007/s00198-012-2244-y

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