Nationwide Decline in Incidence of Hip Fracture

Kannus, Pekka; Niemi, Seppo; Parkkari, Jari; Palvanen, Mika; Vuori, Ilkka; Järvinen, Markku

doi:10.1359/jbmr.060815

Cited by 238 publications

(165 citation statements)

References 19 publications

(30 reference statements)

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“…As confirmed by the present analysis, hip fractures seem on the decline in Swiss women which confirms earlier findings from our group [5] and others [11,12]. This possible reversal of a secular trend is consistent with reports from other countries such as USA [13][14][15], Canada [16,17], Japan [18], Finland [19], and Denmark [20]. Similar observations were made in neighbour countries such as France [21] and Austria [22] but not in Italy [23] and Germany [24,25].…”

Section: Cost Of Hospitalizationssupporting

confidence: 93%

Comparative trends in hospitalizations for osteoporotic fractures and other frequent diseases between 2000 and 2008

et al. 2011

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Mini-AbstractIn Switzerland, the number, incidence, and cost of acute hospitalizations for major osteoporotic fractures and major cardiovascular events increased in both women and men between 2000 and 2008, although the mean length of stay was significantly reduced. Similar trend patterns were observed for hip fractures and strokes (decrease) and non-hip fractures and acute myocardial infarctions (increase). Methods : Trends in the number, age-standardized incidence, mean length of stay and cost of hospitalized MOF (hip, clinical spine, distal radius, and proximal humerus), major cardiovascular events (MCE: acute myocardial infarction, stroke, heart failure), chronic obstructive pulmonary disease (COPD), and breast carcinoma were compared in women and men aged ≥45 years, based on data from the Swiss Federal Statistical Office hospital database and population statistics.Results : Between 2000 and 2008, the age-standardized incidence of acute hospitalizations for MOF increased by 3.4% in women and 0.3% in men. In both sexes, a significant decrease in hip fractures (-15.0% and -11.0%) was compensated by a concomitant, significant increase in non-hip fractures (+24.8% and +13.8%).Similarly, the incidence of acute hospitalizations for MCE increased by 4.4% in women and 8.2% in men, as an aggregated result from significantly increasing acute myocardial infarctions and significantly decreasing strokes. While the mean length of stay in the acute inpatient setting decreased almost linearly between year 2000 and 3 2008 in all indications, the inpatient costs increased significantly (p<0.001) for MOF (+30.1%, +42.7%) and MCE (+22.6%, +47.1%) in women and men, respectively. In women in 2008, the cost of acute hospitalizations was more than threefold higher for MOF than for COPD and breast cancer and 1.5 fold higher than for any MCE. In men it was comparable to that of COPD, acute myocardial infarction, and heart failure.Conclusions : In conclusion, between year 2000 and 2008, the burden of hospitalized osteoporotic fractures to the Swiss healthcare system has continued to increase in both sexes. In women, this burden was significantly higher than that of major cardiovascular events and the gap between both disease groups widened over time.

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Section: Cost Of Hospitalizationssupporting

confidence: 93%

Comparative trends in hospitalizations for osteoporotic fractures and other frequent diseases between 2000 and 2008

et al. 2011

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“…Similar pattern was reported recently in the nationwide hip fracture incidence in elderly people in Finland. (23) The rapidly changing society and living Fig. 4.…”

Section: Discussionmentioning

confidence: 99%

Decreasing incidence and changing pattern of childhood fractures: A population-based study

Mäyränpää

Mäkitie

Kallio

2010

Journal of Bone and Mineral Research

185

124

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Fractures are common in children, and some studies suggest an increasing incidence. Data on population-based long-term trends are scarce. In order to establish fracture incidence and epidemiologic patterns, we carried out a population-based study in Helsinki, Finland. All fractures in children aged 0 to 15 years were recorded from public health care institutions during a 12-month period in 2005. Details regarding patient demographics, fracture site, and trauma mechanism were collected. All fractures were confirmed from radiographs. Similar data from 1967, 1978, and 1983 were used for comparison. In 2005, altogether 1396 fractures were recorded, 63% in boys. The overall fracture incidence was 163 per 10,000. Causative injuries consisted of mainly falls when running or walking or from heights less than 1.5 m. Fracture incidence peaked at 10 years in girls and 14 years in boys. An increase in fracture incidence was seen from 1967 to 1983 (24%, p < .0001), but a significant decrease (18%, p < .0001) was seen from 1983 to 2005. This reduction was largest in children between the ages of 10 and 13 years. Despite the overall decrease and marked decrease in hand (À39%, p < .0001) and foot (À48%, p < .0001) fractures, the incidence of forearm and upper arm fractures increased significantly by 31% ( p < .0001) and 39% ( p ¼ .021), respectively. Based on these findings, the overall incidence of childhood fractures has decreased significantly during the last two decades. Concurrently, the incidence of forearm and upper arm fractures has increased by one-third. The reasons for these epidemiologic changes remain to be elucidated in future studies. ß

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“…About 30% of people with a hip fracture will die in the following year, and many more will experience significant functional loss (Brauer et al, 2009). Data from recent studies in Europe and North America indicate that the incidence of hip fractures is declining (Brauer et al, 2009, Chevalley et al, 2007, Kannus et al, 2006, Leslie et al, 2009). This decline has been observed since 1985 (Leslie et al, 2009) and by some as early as 1950 (Melton et al, 1996).…”

Section: Predominant Injuriesmentioning

confidence: 99%

The impact of falls in the elderly

Boyé

Lieshout

Beeck

et al. 2012

Trauma

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The number of falls in the elderly is becoming a major public health problem in our society. In the past decade life expectancy increased from 75 years in 1990 to 79 years in 2009 in the United States (US). It has been estimated that the number of persons aged 65 years and older in the US will double by 2050.In 2000 falls accounted for 45% of all injury-related inpatient stays, with almost 750,000 hospitalizations. Fractures were the most common primary injury diagnosis, including 314,006 hip fractures. Injury following a fall is associated with a decreased quality of life and poor functional outcome, in severe injuries these effects continue for a prolonged period of time.In 2006 fall-related medical costs in the population aged ≥65 in the US amounted to US$19 billion for non-fatal and US$0.2 billion for fatal injuries.In this paper we provide a literature overview on the impact of falls in the elderly, the demands on healthcare and the costs for our society.

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Nationwide Decline in Incidence of Hip Fracture

Cited by 238 publications

References 19 publications

Comparative trends in hospitalizations for osteoporotic fractures and other frequent diseases between 2000 and 2008

Comparative trends in hospitalizations for osteoporotic fractures and other frequent diseases between 2000 and 2008

Decreasing incidence and changing pattern of childhood fractures: A population-based study

The impact of falls in the elderly

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