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The incidence of fragility fractures in Italy

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Abstract

Osteoporosis can significantly impact on the risk of developing a fracture. Thus, fragility fractures represent a challenge for health professionals and decision makers of the twenty-first century. The aim of this work is to review the literature concerning osteoporotic fractures in Italy in terms of incidence, rate of hospitalization, relative risk of a new fragility fracture, and costs for the national health system. It was estimated that the costs of treating proximal femur fragility fractures in 2002 summed up to 1 billion Euros. The number of fragility fractures in Italy was calculated as follows: 91.494 hip fractures, 61.009 clinical vertebral fractures, 57.401 humeral fragility fractures, and 94.045 forearm/wrist fragility fractures. The incidence of fragility fractures in Italy is very high, and osteoporosis is the leading cause of morbidity in the Italian population.

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References

  1. Adami S, Giannini S, Giorgino R, Isaia G, Maggi S, Sinigaglia L, Filipponi P, Crepaldi G, Di Munno O (2003) The effect of age, weight, and lifestyle factors on calcaneal quantitative ultrasound: the ESOPO study. Osteoporos Int 14:198–207

    PubMed  Google Scholar 

  2. Kanis JA, Burlet N, Cooper C, Delmas PD, Reginster JY, Borgstrom F, Rizzoli R (2008) European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO): European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int 19:399–428

    Article  PubMed  CAS  Google Scholar 

  3. World Health Organization. WHO statistical information system (WHOSIS). [http://apps.who.int/ghodata/?vid=720]

  4. Piscitelli P, Iolascon G, Gimigliano F, Muratore M, Camboa P, Borgia O, Forcina B, Fitto F, Robaud V, Termini G, Rini GB, Gianicolo E, Faino A, Rossini M, Adami S, Angeli A, Distante A, Gatto S, Gimigliano R, Guida G, SIOMMMS study group, CERSUM research group (2007) Incidence and costs of hip fractures compared to acute myocardial infarction in the Italian population: a 4 year survey. Osteoporos Int 18:211–219

    Article  PubMed  CAS  Google Scholar 

  5. O’Neill TW, Felsenberg D, Varlow J, Cooper C, Kanis JA, Silman AJ (1996) The prevalence of vertebral deformity in European men and women: the European Vertebral Osteoporosis Study. J Bone Miner Res 11:1010–1018

    Article  PubMed  Google Scholar 

  6. Nevitt MC, Ettinger B, Black DM et al (1998) The association of radiologically detected vertebral fracture with back pain and function: a prospective study. Ann Inter Med 128:793–800

    Article  CAS  Google Scholar 

  7. Lindsay R, Silverman SL, Cooper C et al (2001) Risk of new vertebral fracture in the year following a fracture. JAMA 285:320–323

    Article  PubMed  CAS  Google Scholar 

  8. Ismail AA, O’neill TW, Cooper C et al (1998) Mortality associated with vertebral deformity in men and women: results from the European Prospective Osteoporosis Study (EPOS). Osteoporos Int 8:291–297

    Article  PubMed  CAS  Google Scholar 

  9. Rossini M, Piscitelli P, Fitto F, Camboa P, Angeli A, Guida G, Adami S (2005) Incidence and socioeconomic burden of hip fractures in Italy. Reumatismo 57(2):97–102

    PubMed  CAS  Google Scholar 

  10. Cummings SR, Melton LJ (2002) Epidemiology and outcomes of osteoporotic fractures. Lancet 359(9319):1761–1767

    Article  PubMed  Google Scholar 

  11. Klotzbuecher CM, Ross PD, Landsmann PD, Abbott TA 3rd, Berger M (2000) Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. J Bone Miner Res 15(4):721–739

    Article  PubMed  CAS  Google Scholar 

  12. Clinton J (2009) Proximal humeral fracture as a risk factor for subsequent hip fractures. J Bone Jt Surg (American) 91:503–511

    Article  Google Scholar 

  13. Tarantino U, Capone A, D’Arienzo M, Mauro GL, 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, Piscitelli P (2010) The incidence of hip, forearm, humeral, ankle, and vertebral fragility fracture in Italy: results from a 3-year multi center study. Arthritis Res Ther 12:R226

    Article  PubMed  Google Scholar 

  14. Piscitelli P, Tarantino U, Chitano G, Argentiero A, Neglia C, Agnello N, Saturnino L, Feola M, Celi M, Raho C, Distante A, Brandi ML (2011) Updated incidence rates of fragility fractures in Italy: extension study 2002–2008. Clin Cases Miner Bone Metab 8(3):54–56

    PubMed  Google Scholar 

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On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Correspondence to Ettore Vulcano.

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Ratti, C., Vulcano, E., La Barbera, G. et al. The incidence of fragility fractures in Italy. Aging Clin Exp Res 25 (Suppl 1), 13–14 (2013). https://doi.org/10.1007/s40520-013-0071-4

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  • DOI: https://doi.org/10.1007/s40520-013-0071-4

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