Changing trends in hip fracture epidemiology in the Republic of Ireland: a follow-up study

Talbot, Stephanie; Denton, Hazel; Dodds, M; Lynch, Deirdre

doi:10.1007/s11657-022-01112-x

Cited by 2 publications

(2 citation statements)

References 34 publications

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“…Other factors, outside the scope of this study, that are likely lowering hip fracture incidence in the elderly are the increase in anti-osteoporosis drug use, more awareness of nutritional deficiencies (specifically calcium and vitamin D), exercise, fall prevention, and other fracture prevention and awareness programs [ 26 – 29 ]. This study’s findings of decreasing incidence in the elderly, in contrast with increasing crude numbers, are also consistent with other recent European and Japanese studies [ 30 – 34 ].…”

Section: Discussionsupporting

confidence: 93%

Trends in incidence, health care consumption, and costs for proximal femoral fractures in the Netherlands between 2000 and 2019: a nationwide study

et al. 2023

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Summary This study evaluated the incidence rates and societal burden of hip fractures in The Netherlands. Although incidence in the elderly population is decreasing and hospital stay is at an all-time low, the burden of medical costs and crude numbers of proximal femoral fractures are still rising in our aging population. Purpose The aim of this nationwide study was to provide an overview of the incidence rate and economic burden of acute femoral neck and trochanteric fractures in The Netherlands. Methods Data of patients who sustained acute proximal femoral fractures in the period January 1, 2000, to December 31, 2019, were extracted from the National Medical Registration of the Dutch Hospital Database. The incidence rate, hospital length of stay (HLOS), health care and lost productivity costs, and years lived with disability (YLD) were calculated for age- and sex-specific groups. Results A total of 357,073 patients were included. The overall incidence rate increased by 22% over the 20-year study period from 16.4 to 27.1/100,000 person-years (py). The age-specific incidence rate in elderly > 65 years decreased by 16% (from 649.1 to 547.6/100,000 py). The incidence rate in men aged > 90 has surpassed the incidence rate in women. HLOS decreased in all age groups, hip fracture subtypes, and sexes from a mean of 18.5 to 7.2 days. The mean health care costs, over the 2015–2019 period, were lower for men (€17,723) than for women (€23,351) and increased with age to €26,639 in women aged > 80. Annual cumulative costs reached €425M, of which 73% was spent on women. Conclusion The total incidence of hip fractures in The Netherlands has increased by 22%. Although incidence in the elderly population is decreasing and HLOS is at an all-time low, the burden of medical costs and crude numbers of proximal femoral fractures are still rising in our aging population. Supplementary Information The online version contains supplementary material available at 10.1007/s00198-023-06774-y.

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Section: Discussionsupporting

confidence: 93%

Trends in incidence, health care consumption, and costs for proximal femoral fractures in the Netherlands between 2000 and 2019: a nationwide study

et al. 2023

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“…Moving forward, predictive models should be continuously refined, validated, and compared in order to account for changing trends and treatments [6,11], epidemiology and demographics [7,12], and even health pandemics [3,9]. For example, after increased mortality was recognized in patients who tested positive for COVID-19 and were treated for hip fractures, New York University's Langone Medical Center added COVID-19 as a predictor to their Score for Trauma Triage in the Geriatric and Middle-Aged [9].…”

Section: How Do We Get There?mentioning

confidence: 99%

CORR Insights®: A Tool to Estimate Risk of 30-day Mortality and Complications After Hip Fracture Surgery: Accurate for Some but Not All Purposes? A Study From the ACS-NSQIP Database

Webb

2022

Clin Orthop Relat Res

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Changing trends in hip fracture epidemiology in the Republic of Ireland: a follow-up study

Cited by 2 publications

References 34 publications

Trends in incidence, health care consumption, and costs for proximal femoral fractures in the Netherlands between 2000 and 2019: a nationwide study

Trends in incidence, health care consumption, and costs for proximal femoral fractures in the Netherlands between 2000 and 2019: a nationwide study

CORR Insights®: A Tool to Estimate Risk of 30-day Mortality and Complications After Hip Fracture Surgery: Accurate for Some but Not All Purposes? A Study From the ACS-NSQIP Database

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