Skip to main content
SpringerLink
Log in

Epidemiology of hip fracture in Tucuman, Argentina

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

Abstract

Summary

The incidence of osteoporotic hip fracture was studied previously in a central area of Argentina. Studying Tucuman (north area) was very useful to compare results of the different areas and detect a similar incidence in women and a slightly higher incidence in men compared with previous data for the central region.

Introduction/Methods

Epidemiology of hip fracture was studied over a 1-year period in the city of San Miguel de Tucumán (SMT) and in the whole province of Tucumán, located in the northeast of Argentina (latitudes 26° and 28° south). The results were compared with previous studies performed in the central region of Argentina.

Results

Two hundred and eighty-three patients (208 women and 75 men) aged 50 years or over in SMT suffered a hip fracture. The incidence in females and males was 334.9 and 163.8 hip fractures per 100,000 inhabitants per year, respectively (female/male ratio 2.0). A total of 498 hip fractures were recorded in Tucuman province (367 in women and 131 in men). The results in females and males were 276.5 and 114.7 hip fractures per 100,000 inhabitants per year, respectively. Average age of the female and male population was 78 ± 9 and 77 ± 9 years, respectively.

Conclusions

These results showed that the incidence of hip fracture in female and male populations in SMT was similar to previous studies performed in the central area of the country. Further studies on the south area of Argentina should be conducted to complete the information on a large country extending from latitudes 22° to 55°S.

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. Consensus Development Conference (1991) Diagnosis, prophylaxis and treatment of osteoporosis. Am J Med 90:107–110

    Article  Google Scholar 

  2. Osteoporosis prevention, diagnosis and therapy (2000) NIH Consensus Statement 17:1–45

    Google Scholar 

  3. Baim S, Binkley N, Bilezikian JP et al (2008) Official positions of the international society for clinical densitometry and executive summary of the 2007 ISCD position development conference. J Clin Densitom 11:75–91

    Article  PubMed  Google Scholar 

  4. Melton LJ, Kan SH, Wahner HW et al (1988) Life time fracture risk and approach to hip fracture assessment based on bone mineral and aged. J Clin Epidemiol 41:985–994

    Article  PubMed  Google Scholar 

  5. Lips P (1997) Epidemiology and predictors of fractures associated with osteoporosis. Am J Med 103:3S–8S

    Article  CAS  PubMed  Google Scholar 

  6. Morales-Torres J, Gutierrez Ureña S (2004) The burden of osteoporosis in Latin America. Osteoporos Int 15:625–632

    Article  PubMed  Google Scholar 

  7. Cooper C (1997) The crippling consequences of fractures and their impact on quality of life. Am J Med 103:12S–17S

    Article  CAS  PubMed  Google Scholar 

  8. Chrischilles E, Shireman T, Wallace R (1994) Cost and health effects of osteoporotic fractures. Bone 15:377–386

    Article  CAS  PubMed  Google Scholar 

  9. Shiga T, Wajima Z, Ohe Y (2008) Is operative delay associated with increased mortality of hip fracture patients? Systematic review, meta-analysis, and meta-regression. Can J Anaesth 55:146–154

    Article  PubMed  Google Scholar 

  10. Johnell O, Kanis JA (2004) An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int 15:897–902

    Article  CAS  PubMed  Google Scholar 

  11. Mautalen C, Pumarino H (1997) Epidemiology of osteoporosis in South America. Osteoporos Int 7(S):73–77

    Google Scholar 

  12. Pumarino H, Contreras L, Kirschbaum A (1997) Twelve years trends of hip fracture rates in Chile. Is there a relationship between their increase and population aging? Rev Med Chil 125:893–898

    CAS  PubMed  Google Scholar 

  13. Bagur A, Mautalen C, Rubin Z (1994) Epidemiology of hip fractures in an urban population of central Argentina. Osteoporos Int 4:332–335

    Article  CAS  PubMed  Google Scholar 

  14. Mosquera MT, Maurel DL, Pavon S et al (1998) Incidencia y factores de riesgo de la fractura de fémur proximal por osteoporosis. Rev Panam Salud Pública. 3:211–219

    Article  CAS  PubMed  Google Scholar 

  15. Morosano M, Masoni A, Sanchez A (2005) Incidence of hip fractures in the city of Rosario, Argentina. Osteoporos Int 16:1339–1344

    Article  PubMed  Google Scholar 

  16. Komatsu R, Jennings-Simoes M et al (1999) Incidence of fractures of the proximal femur in Marilia, Sao Pablo, Brasil, 1994 y 1995. Rev Bras Reumatol 39:325–331

    Google Scholar 

  17. Mautalen C, Vega E (1993) Different characteristics of cervical and trochanteric hip fractures. Osteoporos Int Suppl 1:S102–S106

    Article  Google Scholar 

  18. Gukkberg B, Johnell O, Kanis J (1997) Worldwide projection for hip fracture. Osteoporos Int 7:407–413

    Article  Google Scholar 

  19. Herrera A, Martinez AA, Ferrandez L et al (2006) Epidemiology of osteoporotic hip fractures in Spain. Int Orthop 30:11–14

    Article  PubMed  Google Scholar 

  20. Alvarez-Nebrada ML, Jimenez AB, Rodriguez P et al (2008) Epidemiology of hip fracture in the elderly in Spain. Bone 42:278–285

    Article  Google Scholar 

  21. Melton LJ III, Kearns AE, Atkinson EJ et al (2009) Secular trends in hip fractures incidence and recurrence 20:687–694

    Google Scholar 

  22. Lofthus CM, Osnes EK, Falch JA et al (2001) Epidemiology of Hip fractures in Oslo, Norway. Bone 29:413–418

    Article  CAS  PubMed  Google Scholar 

  23. Larsson S, Eliasson P, Hansson L (1989) Hip fractures in northern Sweden 1973–1984: a comparison of rural and urban populations. Acta Orthop Scand 60:567–571

    Article  CAS  PubMed  Google Scholar 

  24. Falch JA, Kaastad TS, BØhler G et al (1993) Secular increase and geographical differences in hip fracture incidence in Norway. Bone 14:643–645

    Article  CAS  PubMed  Google Scholar 

  25. Löfman O, Berglund K, Larsson L et al (2002) Changes in hip fracture epidemiology: redistribution between ages, genders and fracture types. Osteoporos Int 13:18–25

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  27. Cooley H, Jones G (2001) A population based study of fracture incidence in Southern Tasmania: lifetime fracture risk and evidence for geographical variations within the same country. Osteoporos Int 12:124–130

    Article  CAS  PubMed  Google Scholar 

  28. Oliveri B, Plantalech L, Bagur A et al (2004) High prevalence of vitamin D insufficiency in healthy elderly people living at home in Argentina. Eur J Clin Nutr 58:337–342

    Article  CAS  PubMed  Google Scholar 

  29. Gannage-Yared MH, Chemali R, Yaacoub N et al (2000) Hypovitaminosis D in a sunny country: relation to lifestyle and bone markers. J Bone Miner Res 15:1856–1862

    Article  CAS  PubMed  Google Scholar 

  30. van der Wielen RP, Löwik MR, van den Berg H et al (1995) Serum vitamin D concentrations among elderly people in Europe. Lancet 346:207–210

    Article  PubMed  Google Scholar 

  31. Finsen V, Benum P (1987) Changing incidence of hip fractures in rural and urban areas of central Norway. Clin Orthop Relat Res 218:104–110

    PubMed  Google Scholar 

  32. Chevalley T, Herrmann FR, Delmi M et al (2002) Evaluation of the age-adjusted incidence of hip fracture between urban and rural areas: the difference is not related to the prevalence of institutions for the elderly. Osteoporos Int 13:113–118

    Article  CAS  PubMed  Google Scholar 

  33. Jónsson B, Gärdsell P, Johnell O et al (1992) Differences in fracture pattern between an urban and a rural population: a comparative population-based study southern Sweden. Osteoporos Int 2:269–273

    Article  PubMed  Google Scholar 

  34. Madhok R, Melton LJ, Atkinson EJ et al (1993) Urban vs. rural increase in hip fracture incidence. Age and sex of 901 cases 1980–1989 in Olmsted Country, USA. Acta Orthop Scand 64:543–548

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by a grant of Fundación Argentina de Osteoporosis and Fundación de Osteoporosis y Enfermedades Metabólicas Óseas.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Servicio de Endocrinología, Hospital Centro de Salud, Tucumán, Argentina

    A. Wittich, A. Cristofari, O. Escobar & G. Carrizo

  2. Sección Osteopatías Médicas, Hospital de Clínicas, Universidad de Buenos Aires, Córdoba 2351 8° piso, 1120, Buenos Aires, Argentina

    A. Bagur, C. Mautalen & B. Oliveri

Authors
  1. A. Wittich
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Bagur
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Mautalen
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Cristofari
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. O. Escobar
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. G. Carrizo
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. B. Oliveri
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to A. Bagur.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wittich, A., Bagur, A., Mautalen, C. et al. Epidemiology of hip fracture in Tucuman, Argentina. Osteoporos Int 21, 1803–1807 (2010). https://doi.org/10.1007/s00198-009-1135-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00198-009-1135-3

Keywords

Search

Navigation