Declining trends in the incidence of hip fractures in people aged 65  years or over in years 2000–2011

Giannini, Sandro; Sella, Stefania; Rossini, Maurizio; Braghin, Daniela; Gatti, Davide; Vilei, Maria Teresa; Amabile, A.; Fusaro, Maria; Frigo, Anna Chiara; Sergi, Giuseppe; Lovato, Roberto; Nobile, M.; Fabris, Fabrizio; Adami, Silvano

doi:10.1016/j.ejim.2016.06.007

Cited by 14 publications

(15 citation statements)

References 39 publications

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“…Spinal and pelvic fractures were possibly caused by high impact injuries. Skeletal limb fractures occur predominantly in same-level falls and injuries from falling objects, findings similar to other studies (11,20,22).…”

Section: Fig 2 External Cause Of Fractures By Age Group and Gendersupporting

confidence: 91%

“…The larger proportion of men in the younger age groups is possibly related to hazardous work and sport (5,13,14). It has been described previously that the increased incidence of osteoporotic fractures (proximal humerus, distal radius, proximal femur) in elderly women is caused by postmenopausal osteoporosis (3,4,7,12,19,20). Another important factor is related to longer mean survival time among women (3,12,19).…”

Section: Discussionmentioning

confidence: 99%

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A 1-year prospective monocentric study of limb, spinal and pelvic fractures: Can monitoring fracture epidemiology impact injury prevention programmes?

Báča¹,

Klimeš²,

Tolar³

et al. 2018

Cent Eur J Public Health

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Objectives: The aim of this study was to assess fractures of extremities, spine and pelvis in patients with respect to mechanism, time of the incident and demography of patients in order to propose preventive measures. Methods: A mono-centric (Level I Trauma Centre, predominantly urban population) prospective study was carried-out during the one-year period from 1 January to 31 December 2012. Patients with bone fractures of extremities, spine and pelvis were studied. Demography, mechanism and time of the injury were analysed. Results: The study group consisted of 3,148 patients, 53% being women and treated for 3,909 fractures. The mean age of patients was 53 years. The most traumatised patients were of the 3rd and 4th decade, a further increase in the incidence of fractures was seen in the 7th and 9th decade. Multiple fractures were significantly higher in men (p = 0.002). A car crash or fall from a height was more common cause of spinal fracture or pelvic fracture than fracture to the upper or lower limbs (p < 0.001). Most of the fractures occurred during the day between 9 a.m. and 6 p.m., on Saturdays and during the winter season. The bones most often broken were the radius (739 patients, 18.5%) and femur (436 patients, 11.1%). Conclusions: Our study highlights the need for injury prevention focused on sex, age and types of activities performed. Among younger individuals, such programmes should primarily be targeted toward men who, as observed in our sample, have a higher fracture frequency compared to women. Conversely, injury prevention programmes for individuals ≥ 60 years should primarily be targeted toward women, who have the highest fracture prevalence in this population.

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Section: Fig 2 External Cause Of Fractures By Age Group and Gendersupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

A 1-year prospective monocentric study of limb, spinal and pelvic fractures: Can monitoring fracture epidemiology impact injury prevention programmes?

Báča¹,

Klimeš²,

Tolar³

et al. 2018

Cent Eur J Public Health

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“…Fracture Liason Service) may optimize the identification of patients at highest risk and make possible an adequate pharmacological treatment in a larger number of patients [22,23]. Moreover, a recent study by Giannini et al [24] carried out in the Veneto region of Italy suggested that a more comprehensive approach to osteoporosis management might reduce hip fracture incidence in people aged 65 years or over. This study has shown a marked variability in the use of osteoporosis medications across the four centres located in different Italian geographical areas which could be explained mainly by the different characteristics of the departments and by differences in management.…”

Section: Discussionmentioning

confidence: 99%

Prescription of anti-osteoporosis medications after hospitalization for hip fracture: a multicentre Italian survey

et al. 2016

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Purpose Literature data indicate that the proportion of patients with recent hip fracture who receive a prescription for anti-osteoporotic drugs is low and does not seem to increase over time. This study aimed to obtain data on the prescription for anti-osteoporotic drugs in Italian patients discharged after a recent hip fracture and to assess which variables could have influenced the decision for prescribing osteoporosis medication. Methods A total of four Italian centres located in four different geographical areas (Siena, Verona, Naples and Palermo) participated in this retrospective study. In each centre, experienced clinicians gathered the data of up to 200 consecutive patients discharged after a recent low-trauma hip fracture. The analysis was carried out on 697 patients (540 women and 157 men; mean age 81.9 ± 8.6 years). Results The percentage of patients who were receiving any type of treatment for osteoporosis before the hip fracture was 8.8% (ranging from 2.4% in Naples to 17.4% in Verona). After the index hip fracture, only 23.2% of patients (namely 10.5% of men and 27.2% of women) received prescription for any pharmacological treatments for osteoporosis. Both female gender and previous use of medications for osteoporosis were positively associated with the likelihood of receiving prescription for anti-osteoporotic treatment at discharge. Conclusions This study showed that less than 25% of the elderly Italian patients discharged after a hip fracture received a prescription for any type of treatment for osteoporosis and highlights the urgent need for implementing new strategies in the management of hip fracture patients.

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“…The management of hip fractures, especially surgery, generates high costs. Due to high incidence of hip fractures and high costs for health systems, several authors presented lately data on trends of hip fracture incidence [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. Some authors noted the decrease in hip fracture rate [4][5][6][7][8]16] and the other ones observed their increase [1-3, 9, 13, 17].…”

Section: Introductionmentioning

confidence: 99%

The incidence of arm, forearm, and hip osteoporotic fractures during early stage of COVID-19 pandemic

et al. 2021

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The study analyzes whether the COVID-19 pandemic affects the incidence of arm, forearm, and hip fractures. Additionally, the change in the overall cost of those fractures treatment was estimated. During the COVID-19 pandemic, the incidence of arm, forearm, and hip fractures and the cost of fracture management are decreased. Introduction Purposes of the study were to analyze if COVID-19 pandemic influences the incidence of arm, forearm, and hip osteoporotic fractures and to estimate the changes in costs of their management. Methods Data on arm, forearm, and hip fracture incidence were collected for inhabitants aged over 50 years in the district of Tarnowskie Góry and the city of Piekary Śląskie, South Poland, in the early stage of COVID-19 pandemic (77 days, from March 16th to May 31st 2020). These results were compared with the number of fractures noted in years 2015-2019 in the same period of the year. The ratio of analyzed fractures per 100,000 inhabitants was calculated. Results The recorded numbers of fractures of arm, forearm, and hip were 13, 43, and 29, respectively. The respective mean number for fractures reported in corresponding period in 2015-2019 years was 23.6, 52, and 33. The year fracture incidence calculated per 100,000 inhabitants decreased by 45.8%, 18.4%, and 13.4%, respectively. The estimated numbers of avoided fractures extrapolated for the whole country for arm, forearm, and hip were 1722, 1548, and 947, respectively. The total number of avoided fractures was 4217. The expected nationwide cost reduction for the arm, forearm, and hip fracture management was estimated at € 568,260, € 332,820, and € 1,628,840, respectively. The total cost reduction was € 2,529,920 over the period of observation. Conclusion During COVID-19 pandemic, a decrease of arm, forearm, and hip fracture incidence was observed which may result in decrease of total costs for Polish healthcare system.

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Declining trends in the incidence of hip fractures in people aged 65 years or over in years 2000–2011

Cited by 14 publications

References 39 publications

A 1-year prospective monocentric study of limb, spinal and pelvic fractures: Can monitoring fracture epidemiology impact injury prevention programmes?

A 1-year prospective monocentric study of limb, spinal and pelvic fractures: Can monitoring fracture epidemiology impact injury prevention programmes?

Prescription of anti-osteoporosis medications after hospitalization for hip fracture: a multicentre Italian survey

The incidence of arm, forearm, and hip osteoporotic fractures during early stage of COVID-19 pandemic

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