Epidemiology of forearm fractures in adults in Denmark: national age- and gender-specific incidence rates, ratio of forearm to hip fractures, and extent of surgical fracture repair in inpatients and outpatients

Abrahamsen, Bo; Jørgensen, Niklas Rye; Schwarz, Peter

doi:10.1007/s00198-014-2831-1

Cited by 34 publications

(30 citation statements)

References 20 publications

(27 reference statements)

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“…A total of 14.9 % of women and 5.2 % of men reported a previous low-energy fracture, comparable to rates among women in Denmark of 11.5 % [12] and supporting newly published incidence rates of forearm fractures from Denmark similar to studies from Sweden and Norway [26]. For women above 65 years of age, the reported prevalence was 23.6 %, comparable to 29.7 % of US citizens using Medicare estimates for the USA [27] but higher than official estimates for Denmark and Sweden [28].…”

Section: Discussionsupporting

confidence: 79%

Risk factors for osteoporosis and factors related to the use of DXA in Norway

et al. 2015

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Section: Discussionsupporting

confidence: 79%

Risk factors for osteoporosis and factors related to the use of DXA in Norway

et al. 2015

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“…However, their findings must be interpreted with care as they included only one fracture per individual, rendering a decreasing population at risk with successive years without a corresponding decrease in the denominator and without adjustment for lower risks in those who remained eligible. On the other hand Abrahamsen et al [4] in a recent large register based study in Denmark, found a higher incidence compared to earlier. Their reported incidence for men (153 per 100,000 py) was nearly the same as we found, but for women (530 per 100,000 py) somewhat higher (Fig.…”

Section: Discussionmentioning

confidence: 81%

“…After the 1980’s some studies have reported decreasing or stable adult distal forearm fracture rates [5, 13–20], whilst some recent reports, from Denmark and Taiwan, infer an increasing incidence [4, 21] (Fig. 3a, b).…”

Section: Discussionmentioning

confidence: 99%

“…Reported incidence of distal forearm fractures in women per 100,000 py during the last 6 decades. [2, 4, 5, 9, 11, 13–18, 21, 22, 39–45] …”

Section: Discussionmentioning

confidence: 99%

“…In adults, however, few larger studies of distal forearm fracture epidemiology have been presented recently [4, 5] and none with focus on working-age individuals. To provide politicians and public health planners with current data, we aimed to, in the Skåne region, Sweden (i) describe present epidemiology of distal forearm fractures in the adult population, specifically also in the working-age population, (ii) estimate time-trends during the most recent decade, and (iii) make a forecast to estimate the number of fractures the decades to come.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology and time trends of distal forearm fractures in adults - a study of 11.2 million person-years in Sweden

Jerrhag

Englund

Karlsson

et al. 2017

BMC Musculoskelet Disord

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BackgroundA distal forearm fracture is a very common injury causing both suffering and substantial health care costs. The incidence of this fracture type seemed to increase worldwide until the middle 1980’s, but thereafter most reports have shown stable or decreasing rates. As few large studies have been presented lately we aimed to describe recent epidemiology and time trends of distal forearm fractures in adults. We paid special attention to fractures in working ages as they present challenges in terms of treatment and costs for sick-leave, and have not previously been thoroughly investigated.MethodsBy use of population data from Statistics Sweden and official in- and out-patient register data of men and women (≥17 years) in Sweden (Skåne region), we ascertained distal forearm fractures and estimated age- and sex-specific rates and time-trends from year 1999 to 2010 (11.2 million person-years (py)).ResultsThe total incidence rate was 278 per 100,000 py (31,233 fractures) with 23% higher annual numbers 2010 compared with 1999. An increase in the annual age standardized incidence was found in men, +0.7% per annum (95% confidence interval (CI) 0.1, 1.4), and women, +0.9% (95% CI 0.5, 1.3), driven mainly by an increasing incidence in working ages (17–64 years). Also, expected demographic changes including a 25% population increase may result in 38% more fractures until 2050, compared to 2017.ConclusionsThe incidence of distal forearm fractures in adults in southern Sweden is increasing, mainly driven by an increase in working ages. In combination with expected demographic changes these findings may present substantial challenges for the future.

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Anti-Mullerian Hormone as Predictor of Future and Ongoing Bone Loss During the Menopause Transition

Karlamangla

Shieh

Greendale

et al. 2020

Journal of Bone and Mineral Research

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The menopause transition in women is a period of significant bone loss, with rapid declines in bone mineral density (BMD) commencing a year before the final menstrual period (FMP). Changes in menstrual bleeding patterns cannot reliably tell us if this rapid bone loss has begun or is imminent. We hypothesized that low circulating levels of anti‐Mullerian hormone (AMH), which decline as women approach the FMP, would be associated with future and ongoing rapid bone loss. We used data from The Study of Women's Health Across the Nation, a multisite, multi‐ethnic, prospective cohort study of the menopause transition to test this hypothesis. Adjusted for age, body mass index, race/ethnicity, and study site, every 50% decrement in AMH level in premenopause and early perimenopause was associated with 0.14% per year faster decline over the following 3 to 4 years in lumbar spine BMD and 0.11% per year faster decline in femoral neck BMD (p < 0.001 for both). AMH in late perimenopause was not associated with the rate of future BMD decline. AMH was also associated with the magnitude of ongoing bone loss, measured as percent of peak BMD lost by the end of the next 2 to 3 years. Every 50% decrement in AMH level was associated with 0.22% additional loss in spine BMD in premenopause, 0.43% additional loss in early perimenopause, and 0.50% additional loss in late perimenopause (p < 0.001 for all three). If a woman will lose more of her peak BMD than the site‐specific least significant change (LSC) at either the lumbar spine or femoral neck by the next 2 to 3 years, then AMH below 100 pg/mL will detect it with sensitivity of 50% in premenopause, 80% in early perimenopause, and 98% in late perimenopause. These findings suggest that AMH measurement can help flag women at the brink of significant bone loss for early intervention. © 2022 American Society for Bone and Mineral Research (ASBMR).

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Epidemiology of forearm fractures in adults in Denmark: national age- and gender-specific incidence rates, ratio of forearm to hip fractures, and extent of surgical fracture repair in inpatients and outpatients

Abstract: The rates of forearm fracture in Denmark are higher than previously estimated and very similar to the high risk reported from studies in Norway and Sweden.

Cited by 34 publications

References 20 publications

Risk factors for osteoporosis and factors related to the use of DXA in Norway

Risk factors for osteoporosis and factors related to the use of DXA in Norway

Epidemiology and time trends of distal forearm fractures in adults - a study of 11.2 million person-years in Sweden

Anti-Mullerian Hormone as Predictor of Future and Ongoing Bone Loss During the Menopause Transition

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