Abstract
Summary
Hip fractures place a large burden on healthcare and determining the variation in incidence is important to plan resources. We found, in Northern Ireland, that the age-related incidence for women is declining but the incidence for men and the total number of fractures remains static as the elderly population increases.
Introduction
Hip fractures place a significant burden on healthcare systems throughout the world. Recent studies have shown that the incidence is starting to decline or plateau. We aimed to study the incidence of hip fractures in 2001 and 2011 within Northern Ireland and hope to guide further service provision.
Methods
The years 2001 and 2011 were selected as accurate census population data was available. The Hospital Inpatient System (HIS) database was used to collect the data and the search was carried out by a statistician using ICD codes S72.0 and S72.1.
Results
The total incidence of hip fractures in the population aged 50 and over fell from 358 per 100,000 to 274 per 100,000. In females, the incidence fell from 513 to 412 per 100,000. In males, the incidence increased from 172 to 178 per 100,000. The total number of hip fractures remained static (1737 in 2001 and 1739 in 2011) as a result of an increase in the elderly population. Incidence and total number of femoral neck fractures (S72.0) declined while the incidence and total number of pertrochanteric fractures (S72.1) increased.
Conclusions
Our results are in keeping with the declining trend in hip fracture incidence in many Western countries, though we found that this is only true for women. The exact reasons for this remain unclear but are likely to be multifactorial. In the future, the number of fractures may increase further given the increasingly elderly population and further provision particularly for patients with pertrochanteric fractures will be required. Increased awareness, diagnosis and treatment of males with osteoporosis should be prioritised.
This is a preview of subscription content, log in via an institution to check access.
References
Lawrence TM, White CT, Wenn R, Moran RG (2005) The current hospital costs of treating hip fractures. Injury Int J Care 36:88–91. doi:10.1016/j.injury.2004.06.015
Ballane et al (2014) Secular trends in hip fractures worldwide: opposing trends East versus West. J Bone Miner Res 29(8):1745–55. doi:10.1002/jbmr.2218
Nilson F, Moniruzzaman S, Gustavsson J, Andersson R (2012) Trends in hip fracture incidence rates among the elderly in Sweden 1987–2009. J Public Health 35(1):125–121. doi:10.1093/PubMed/fds053
Korhonen N et al (2013) Continuous decline in incidence of hip fracture: nationwide statistics from Finland between 1970 and 2010. Osteoporos Int 24:1599–1603. doi:10.1007/s00198-012-2190-8
Holt G et al (2009) Changes in population demographics and the future incidence of hip fracture. Injury Int J Care injured 40:722–726. doi:10.1016/j.injury.2008.11.004
Abrahamsen B, Vestergaard 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. doi:10.1007/s00198-009-0957-3
Dodds MK, Codd MB, Looney A et al (2009) Incidence of hip fracture in the Republic of Ireland and future projections: a population-based study. Osteoporos Int 20:2105–2110. doi:10.1007/s00198-009-0922-1
Turkington P et al (2012) Hip fracture in Northern Ireland, 1985 – 2010. Are age-specific fracture rates still rising? Ulster Med J 81(3):123–126, Free PMC Article available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3632820/
Beringer TR et al (2000) Proximal femoral fracture in Northern Ireland between 1985–1997–trends and future projections. Ulster Med J 69(2):112–117, Free PMC article available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2449191/
Shaw C. Fifty years of United Kingdom national population projections: how accurate have they been? Office for national statistics. Popul Trends. 2007 Summer;(128):8–23. Available at http://search.proquest.com.ezproxy.is.ed.ac.uk/docview/230480846?accountid=10673
Northern Ireland Statistics and Research Agency. NISRA. Census 2001 Population report. Available online at: http://www.nisra.gov.uk//Census/2001%20Census%20Results/PopulationReport.html. Last accessed December 2015
Northern Ireland Statistics and Research Agency. NISRA. Census 2011 Population tables. Available online at: http://www.nisra.gov.uk/census/2011_results_population.html
D. Russell. A Demographic portrait of Northern Ireland: some implications for public policy. Paper 50/11, NIAR 201 – 11. 21 March 2011. Available free at http://www.niassembly.gov.uk/globalassets/Documents/RaISe/Publications/2011/General/5011.pdf
McGowan B et al (2013) Hospitalisations for fracture and associated costs between 2000 and 2009 in Ireland: a trend analysis. Osteoporos Int 24(3):849–57. doi:10.1007/s00198-012-2032-8
Fisher AA, O’Brien ED, Davis MW (2009) Trends in hip fracture epidemiology in Australia: possible impact of bisphosphonates and hormone replacement therapy. Bone 45:246–253. doi:10.1016/j.bone.2009.04.244
Kanis JA, Oden A, McCloskey EV, IOF Working Group on Epidemiology and Quality of Life et al (2012) A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporosis Int 23:2239–2256. doi:10.1007/s00198-012-1964-3
MJ Parker, GA Pryor, JK Anand et al. A comparison of presenting characteristics of patients with intracapsular and extracapsular proximal femoral fractures. Journal of the Royal Society of Medicine, Volume 85, March 1992. Free PMC Article available at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1294817/
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
None.
Rights and permissions
About this article
Cite this article
Karayiannis, P.N., McAlinden, M.G. Falling age-related incidence of hip fractures in women, but not men, in Northern Ireland: 2001–2011. Osteoporos Int 27, 3377–3381 (2016). https://doi.org/10.1007/s00198-016-3677-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00198-016-3677-5