Skip to main content
SpringerLink
Log in

The burden of hospitalised fractures in Sweden

  • Original Article
  • Published:
Osteoporosis International Aims and scope Submit manuscript

Abstract

The aim of this study was to characterise the hospital burden of fractures in the Swedish population by age and gender. The number of patients and number of fractures were documented according to site of fracture, age, sex and duration of hospital stay for the whole population of Sweden in 1996. Fractures were additionally classified as osteoporotic according to fracture site. In 1996 there were 54,000 admissions for fracture in men and women aged 50 years or more, accounting for 600,000 hospital-bed days. Hip fractures accounted for 63% of admissions for fracture in men and 72% in women, for 69% and 73% of hospital-bed days, respectively. Fractures considered to be osteoporotic accounted for 84% of all hospital-bed days due to fracture in men, and 93% in women. More hospital-bed days were due to osteoporotic fracture than to breast cancer and prostate cancer combined. The number of hospital-bed days due to osteoporotic fracture was between the amount due to ischaemic heart disease and the amount due to stroke.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Kanis JA, Oden A, Johnell O, Jonsson B, De laet C, Dawson A (2001) The burden of osteoporotic fractures: a method for setting intervention thresholds. Osteoporos Int 12:417–427

    Article  CAS  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  3. Ray NF, Chan JK, Thamer M, Melton LJ III (1997) Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: report from the National Osteoporosis Foundation. J Bone Miner Res 12:24–35

    CAS  PubMed  Google Scholar 

  4. Johnell O, Gullberg B, Allander E, Kanis JA (1992) The apparent incidence of hip fractures in Europe: a study of national register sources. Osteoporos Int 2:298–302

    CAS  PubMed  Google Scholar 

  5. Elffors I, Allander E, Kanis JA et al (1994) The variable incidence of hip fracture in Southern Europe: the MEDOS study. Osteoporos Int 4:253–263

    CAS  PubMed  Google Scholar 

  6. Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA (1990) Regional variation in the incidence of hip fractures: US white women aged 65 years and older. JAMA 264:500–502

    Article  CAS  PubMed  Google Scholar 

  7. Lau EMC, Lee JK, Suriwongpaisal P et al (2001) The incidence of hip fracture in four Asian countries: the Asia Osteoporosis Study (AOS). Osteoporos Int 12:239–243

    Article  CAS  PubMed  Google Scholar 

  8. Kanis JA, Oden A, Zethraeus N, Johnell O, De Laet C, Jonsson B (2004) The risk and burden of vertebral fractures in Sweden. Osteoporos Int 15:20–26

    Article  CAS  PubMed  Google Scholar 

  9. The European Prospective Osteoporosis Study (EPOS) Group (2002) Incidence of vertebral fracture in Europe: results from the European Prospective Osteoporosis Study (EPOS). J Bone Miner Res 17:716–724

    PubMed  Google Scholar 

  10. O’Neill TW, Felsenberg D, Varlow J et al (1996) The prevalence of vertebral deformity in European Men and Women: The European Vertebral Osteoporosis Study. J Bone Miner Res 11(7):1010–1018

    PubMed  Google Scholar 

  11. Oleksik A, Lips P, Dawson A et al (2000) Health-related quality of life (HRQOL) in postmenopausal women with low BMD with or without prevalent vertebral fractures. J Bone Miner Res 15(7):1384–1392

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  13. Cauley JA, Thomson DE, Ensrud KC et al (2000) Risk of mortality following clinical fracture. Osteoporos Int 11:556–561

    Article  CAS  PubMed  Google Scholar 

  14. Kado DM, Browner WS, Palermo L et al (1999) Vertebral fractures and mortality in older women. Arch Intern Med 159:1215–1220

    Article  CAS  PubMed  Google Scholar 

  15. Van Staa TP, Dennison EM, Leufkens HGM, Cooper C (2001) Epidemiology of fractures in England and Wales. Bone 29:517–522

    Article  PubMed  Google Scholar 

  16. Singer BR, McLauchlan CJ, Robinson CM, Christie J (1998) Epidemiology of fracture in 15,000 adults. The influence of age and gender. J Bone Joint Surg Br 80:234–238

    Article  PubMed  Google Scholar 

  17. Lippuner K, Von Overbeck J, Pevielet R, Bossard H, Jaeger PH (1997) Incidence and direct medical costs of hospitalisations due to osteoporotic fracture in Switzerland. Osteoporos Int 7:414–425

    CAS  PubMed  Google Scholar 

  18. Kanis JA, Pitt FA (1992) Epidemiology of osteoporosis. Bone 13 [Supp]:S7-S15

  19. Kanis JA, Johnell O, Oden A, Sernbo I, Redlund-Johnell I, Dawson A, De Laet C, Jonsson B (2000) Long-term risk of osteoporotic fractures in Malmo. Osteoporos Int 11:669–674

    Article  CAS  PubMed  Google Scholar 

  20. Gabriel SE, Toesteson ANA, Leibson CL, Crowson CS, Pond GR, Hammond CS, Melton LJ III (2002) Direct medical costs attributable to osteoporotic fractures. Osteoporos Int 13:323–330

    Article  CAS  PubMed  Google Scholar 

  21. Jones G, Nguyen T, Sambrook P, Kelly PJ, Gilbert C, Eisman JA (1994) Symptomatic fracture incidence in elderly men and women. The Dubbo Osteoporosis Epidemiology Study (DOES). Osteoporos Int 4:277–282

    CAS  PubMed  Google Scholar 

  22. Melton LJ, Crowson CS, O’Fallon WM (1999) Fracture incidence in Olmsted County, Minnesota: comparison of urban with rural rates and changes in urban rates over time. Osteoporos Int 9:29–37

    Article  PubMed  Google Scholar 

  23. Honkanen R, Kroger H, Tuppurainen M, Alhava E, Saarikoski S (1995) Fractures and low axial bone density in perimenopausal women. J Clin Epidemiol 48:881–888

    Article  CAS  PubMed  Google Scholar 

  24. Seeley DG, Browner WS, Nevitt MC, Genant HK, Scott JC, Cummings SR, for the Study of Osteoporotic Fractures Research Group (1991) Which fractures are associated with low appendicular bone mass in elderly women? Ann Intern Med 115:837–842

    CAS  PubMed  Google Scholar 

  25. Sanders KM, Seeman E, Ugoni AM et al (1999) Age- and gender-specific rate of fractures in Australia: a population-based study. Osteoporos Int 10:240–247

    Article  CAS  PubMed  Google Scholar 

  26. Sanders KM, Nicholson GC, Ugoni AM, Pasco JA, Seeman E, Kotowicz MA (1999) Health burden of hip and other fractures in Australia beyond 2000. Projections based on the Geelong Osteoporosis Study. Med J Aust 170:467–470

    CAS  PubMed  Google Scholar 

  27. Baron JA, Barrett J, Malenka D et al (1994) Racial differences in fracture risk. Epidemiology 5:42–47

    CAS  PubMed  Google Scholar 

  28. Nilsson AC, Spetz C-L, Carsjo K, Nightingale R, Smedby B (1994) Slutenvardsregistrets tillforlitlighet. Diagnosuppgifterna batter an sitt rykte. Lakartidningen (In Swedish). 91:598–605

  29. Johnell O, Oden A, Caulin F, Kanis JA (2001) Acute and long-term increase in fracture risk after hospitalisation for vertebral fracture. Osteoporos Int 12:207–214

    Article  CAS  PubMed  Google Scholar 

  30. Johnell O, Gullberg B, Allander E, Kanis JA (1992) The apparent incidence of hip fracture in Europe: a study of national register sources. MEDOS Study Group. Osteoporos Int 2:298–302

    CAS  PubMed  Google Scholar 

  31. Melton LJ III, Gabriel SE, Crowson CS, Johnell O, Kanis JA (2003) Cost-equivalence of different osteoporotic fractures. Osteoporos Int 14:383–388

    Article  PubMed  Google Scholar 

  32. Fox Ray N, Chan JK, Thamer M, Melton III LJ (1997) Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: report from the National Osteoporosis Foundation. J Bone Miner Res 12:24–35

    CAS  PubMed  Google Scholar 

  33. Phillips S, Fox N, Jacobs J, Wright WE (1986) The direct medical cost of osteoporosis from American women aged 45 years and older. Bone 9:271–279

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedics, Malmö General Hospital, Malmö, Sweden

    O. Johnell

  2. WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield, S10 2RX, UK

    J. A. Kanis

  3. Department of Economics, Stockholm School of Economics, Stockholm, Sweden

    B. Jonsson

  4. Gothenburg, Sweden

    A. Oden

  5. Gothenburg, Sweden

    H. Johansson

  6. Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands

    C. De Laet

Authors
  1. O. Johnell
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. A. Kanis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Jonsson
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Oden
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. H. Johansson
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. C. De Laet
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. A. Kanis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Johnell, O., Kanis, J.A., Jonsson, B. et al. The burden of hospitalised fractures in Sweden. Osteoporos Int 16, 222–228 (2005). https://doi.org/10.1007/s00198-004-1686-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00198-004-1686-2

Keywords

Search

Navigation