Declining incidence of osteoporotic hip fracture in Australia

Crisp, Alice; Dixon, Tracy; Jones, Graeme; Cumming, Robert G.; Laslett, Laura L; Bhatia, Kuldeep; Webster, Adrian; Ebeling, Peter R.

doi:10.1007/s11657-012-0095-y

Cited by 45 publications

(44 citation statements)

References 20 publications

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“…The stable rates of hip fracture amongst women that we observed in the present study are consistent with many other studies of populations in the developed world, some of which have even documented a decline in age-and sex-adjusted rates [1]. Thus studies in USA [7], Canada [8], Austria [28], France [29], Australia [30] and New Zealand [31] have demonstrated declining age-and sex-specific rates of hip fracture over recent decades, often following an increase in rates in the decades prior. In the UK, a plateau in rates of age-adjusted hospital admission for hip fracture [32] was observed over the years 1989 to 1998.…”

Section: Discussionsupporting

confidence: 92%

Secular trends in fracture incidence in the UK between 1990 and 2012

et al. 2016

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Introduction-There is increasing evidence of secular changes in age-and sex-adjusted fracture incidence globally. Such observations broadly suggest decreasing rates in developed countries and increasing rates in transitioning populations. Since altered fracture rates have major implications for healthcare provision and planning, we investigated secular changes to age-and sex-adjusted fracture risk amongst the UK population aged 50 years or above from 1990 till 2012.

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Section: Discussionsupporting

confidence: 92%

Secular trends in fracture incidence in the UK between 1990 and 2012

et al. 2016

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“…Overall, this regional data indicates stable age-adjusted hip fracture incidence rates in Australia from the late 1980s until 2000. More recent nationwide (56) data from all public and private hospitals in Australia, through the National Hospital Morbidity Database, has shown decreasing age-adjusted hip fracture rates in both genders (1.3%/year in men and 2%/year in women) between 1997 and 2007.…”

Section: Oceaniamentioning

confidence: 99%

Secular Trends in Hip Fractures Worldwide: Opposing Trends East Versus West

Ballane

Cauley

Luckey

et al. 2014

Journal of Bone and Mineral Research

165

118

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Despite wide variations in hip rates fractures worldwide, reasons for such differences are not clear. Furthermore, secular trends in the age-specific hip fracture rates are changing the world map of this devastating disease, with the highest rise projected to occur in developing countries. The aim of our investigation is to systematically characterize secular trends in hip fractures worldwide, examine new data for various ethnic groups in the United States, evidence for divergent temporal patterns, and investigate potential contributing factors for the observed change in their epidemiology. All studies retrieved through a complex Medline Ovid search between 1966 and 2013 were examined. For each selected study, we calculated the percent annual change in age-standardized hip fracture rates de-novo. Although occurring at different time points, trend breaks in hip fracture incidence occurred in most Western countries and Oceania. After a steep rise in age-adjusted rates in these regions, a decrease became evident sometimes between the mid-seventies and nineties, depending on the country. Conversely, the data is scarce in Asia and South America, with evidence for a continuous rise in hip fracture rates, with the exception of Hong-Kong and Taiwan that seem to follow Western trends. The etiologies of these secular patterns in both the developed and the developing countries have not been fully elucidated, but the impact of urbanization is at least one plausible explanation. Data presented here show close parallels between rising rates of urbanization and hip fractures across disparate geographic locations and cultures. Once the proportion of the urban population stabilized, hip fracture rates also stabilize or begin to decrease perhaps due to the influence of other factors such as birth cohort effects, changes in bone mineral density and BMI, osteoporosis medication use and/or lifestyle interventions such as smoking cessation, improvement in nutritional status and fall prevention.

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“…Identifying patients at risk and treating osteoporosis before fracture has been a strategy with proven benefits. This has occurred in the absence of dedicated ''hip fracture centers'' [9,24]. Medical care and team-based approaches have improved with national patient safety measures.…”

Section: University Of Rochester Medical Centermentioning

confidence: 99%

Not the Last Word: Geriatric Hip Fracture Centers: The Time Has Come

Bernstein

2015

Clinical Orthopaedics &Amp; Related Research

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Declining incidence of osteoporotic hip fracture in Australia

Cited by 45 publications

References 20 publications

Secular trends in fracture incidence in the UK between 1990 and 2012

Secular trends in fracture incidence in the UK between 1990 and 2012

Secular Trends in Hip Fractures Worldwide: Opposing Trends East Versus West

Not the Last Word: Geriatric Hip Fracture Centers: The Time Has Come

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