The 13-year observation of hip fracture in Poland—worrying trend and prognosis for the future

Wilk, Robert; Skrzypek, Michał; Kowalska, Małgorzata; Kusz, Damian; Koczy, Bogdan; Zagórski, Piotr; Pluskiewicz, Wojciech

doi:10.1007/s40520-017-0747-2

Cited by 9 publications

(18 citation statements)

References 31 publications

(39 reference statements)

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“…In France, decreasing trends were found both in crude incidence rates and especially age- standardized rates despite the increased global number of HF throughout a 12-year period (11). Recent data from Poland showed an increasing trend in the total number of HF and incidence rates, in both women and men (12,13). In general, incidence rates decreased in the last 2 decades after a period of significant increase in many Western European countries and Northern America, albeit at different times, whereas rates are still increasing in other parts of the world (14)(15)(16)(17)(18)(19).…”

Section: Discussionmentioning

confidence: 97%

Incidence and Time Trend of Hip Fractures in Romania: a Nationwide Study From 2008 to 2018

et al. 2019

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Background. Hip fractures are a major issue of public health as they are responsible for high morbidity, excess mortality and costs. There are differences in Europe and worldwide in the incidence rates of hip fractures and time trends, in the context of the population aging. Ten years ago, we characterized the incidence of hip fracture in Romania using data from the national hospital discharge register. Objective. This is the first Romanian study to assess the hip fracture incidence rates over a period of 11 years, between 2008 and 2018. Subjects and Methods. This analysis is a nationwide retrospective study on hospitals reporting primary DRG data on hip fracture, using a rigorous definition with both diagnostic and surgical procedure codes. The population aged 40+ was stratified in 5-year intervals and both the crude incidence rates and the adjusted incidence rates of hip fracture using standardization on age for the 2018 reference population were calculated in women and men. Results. From 2008 to 2018, the number of hip fractures rose by 53 % in women (from 7513 to 11512) and 22.4 % in men (from 4266 to 5220). Meanwhile, the Romanian population over 40 years increased by 12.5% in women and 14.2% in men. The crude incidence rate rose by 36.2% in women and 7.2% in men and the age-standardized incidence rates by 27.4% in women and 6% in men. These increases are mostly based on 85+ age populations' changes. Conclusions. In Romania, the hip fractures incidence continues to grow throughout an 11-year-period, especially in women, representing an increasing burden for our society.

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Section: Discussionmentioning

confidence: 97%

Incidence and Time Trend of Hip Fractures in Romania: a Nationwide Study From 2008 to 2018

et al. 2019

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“…No published national data span more than a year in Poland [5]. Most reports come from a minority of hospitals or regional data extrapolated nationally [4,13]. Czerwinski et al [5] published data for 2005 based on discharge codes reported to the NHF with an estimated annual number of HFs of 17,199.…”

Section: Discussionmentioning

confidence: 99%

“…The most recent work published by Wilk et al [4] covers 13-year data from a single region in Southern Poland. Their observations for 2014 estimated the crude incidence rate to be 216.2 (men, 140.9; women, 276.5).…”

Section: Discussionmentioning

confidence: 99%

“…Early mortality is highest after HF and remains so for several years. Studies in Poland noted the increasing trend in the total number of hip fractures as well as crude and standardized rates for both women and men [4]. The incidence of hip fractures in 2005 was [5] one of the lowest in Europe.…”

Section: Introductionmentioning

confidence: 99%

“…Most frequently HFs occur in women. There are several national epidemiologic studies [7,8,9], but many reports consider regional hospitals in various countries [4,10,11].…”

Section: Introductionmentioning

confidence: 99%

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The Increase of Osteoporotic Hip Fractures and Associated One-Year Mortality in Poland: 2008–2015

Glinkowski

Narloch

Krasuski

et al. 2019

JCM

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Introduction: Hip fractures are a worldwide public health issue associated with significant mortality. Previous Polish studies reported an increasing trend in the number of hip fractures for both men and women, although lower than most other European countries. Materials and Methods: The Polish National Database was analyzed to examine osteoporotic hip fractures in the population aged 50 and over. Hip fracture incidence, rate, one-year mortality, and postoperative length of hospitalization were analyzed using the national health system data. Hospital discharge registry ICD-10 codes were reviewed from 2008 to 2015. Results: The incidence of hip fractures increased in both women and men by 19.4% and 14.2%, respectively. The female to male fracture ratio was 2.46. Mean postoperative hospitalization decreased from 13.6 to 11.2 days. The one-year mortality ranged between 30.45% to 32.8% for men and 26.2% to 28% for women. Of note, women aged 80–89 had the highest one-year mortality, 50.7%–55.4% after femoral neck fracture and 53%–58.5% after a pertrochanteric fracture. Conclusions: Hip fractures in Poland are increasingly more prevalent in the aging population. The unfavorable trends observed in this study indicate higher annual mortality after hip fracture, compared with other European countries.

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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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The 13-year observation of hip fracture in Poland—worrying trend and prognosis for the future

Cited by 9 publications

References 31 publications

Incidence and Time Trend of Hip Fractures in Romania: a Nationwide Study From 2008 to 2018

Incidence and Time Trend of Hip Fractures in Romania: a Nationwide Study From 2008 to 2018

The Increase of Osteoporotic Hip Fractures and Associated One-Year Mortality in Poland: 2008–2015

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

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