The 13-year Observation of Hip Fracture in Poland-worrying Trend and Prognosis for the Future

Overview

Journal Aging Clin Exp Res

Publisher Springer

Specialty Geriatrics

Date 2017 Mar 30

PMID 28353218

Citations 4

Authors

Robert Wilk

Michal Skrzypek

Malgorzata Kowalska

Damian Kusz

Bogdan Koczy

Piotr Zagorski

Wojciech Pluskiewicz

Affiliations

Soon will be listed here.

Abstract

Introduction: Hip fractures are often considered to be one of the most common osteoporotic fractures. In our previous study, we noted the increasing trend in the total number of hip fractures as well as crude and standardized rates, for both women and men. This observation enabled us to delve deeper into the study of osteoporotic fractures.

Methods: Hospital records between 1.01.2002 and 31.12.2014 with ICD-10 codes S72.0. S72.1 and S72.2 (femoral neck. intertrochanteric, subtrochanteric, and inter and subtrochanteric fracture) were analysed. All fractures occurred in citizens who lived in the district Tarnowskie Góry and the city of Piekary Śląskie aged 50 years and more.

Results: 1507 fragility hip fractures (400 in men, and 1107 in women) were registered. The rates increase in both sexes was still observed. The tendency to sustain fractures was lower in female (29.3%) than in the male population (63.6%). We observed a lower increase in urban (35.8%) population when compared to rural (40.8%) population. Incidence rate ratios for female gender were 1.89 (95% CI 1.65-2.18). The rates in 2014 were as follows: crude rate of 216.2 (men 140.9; women 276.5) and standardized 183.9 (131.6 and 219.4, respectively). This observation allowed as to project a total crude rate of 467.2 (men 329.6; women 584.7) for the year 2050.

Conclusions: The number of osteoporotic hip fractures in Polish men and women is still relatively low, but the epidemiological situation is getting worse. The over 13 years of follow-up demonstrated that the trend to increase in total number of hip fractures for men and women is still observed. This prognosis is of a major concern.

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References

Briot K, Maravic M, Roux C . Changes in number and incidence of hip fractures over 12 years in France. Bone. 2015; 81:131-137. DOI: 10.1016/j.bone.2015.07.009. View

Ambrose A, Cruz L, Paul G . Falls and Fractures: A systematic approach to screening and prevention. Maturitas. 2015; 82(1):85-93. DOI: 10.1016/j.maturitas.2015.06.035. View

Kanis J, Oden A, McCloskey E, Johansson H, Wahl D, Cooper C . A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 2012; 23(9):2239-56. PMC: 3421108. DOI: 10.1007/s00198-012-1964-3. View

Wilk R, Skrzypek M, Kowalska M, Kusz D, Wielgorecki A, Horyniecki M . Standardized incidence and trend of osteoporotic hip fracture in Polish women and men: a nine year observation. Maturitas. 2013; 77(1):59-63. DOI: 10.1016/j.maturitas.2013.09.004. View

Oden A, McCloskey E, Kanis J, Harvey N, Johansson H . Burden of high fracture probability worldwide: secular increases 2010-2040. Osteoporos Int. 2015; 26(9):2243-8. DOI: 10.1007/s00198-015-3154-6. View

Miller B, Lu X, Cram P . The trends in treatment of femoral neck fractures in the Medicare population from 1991 to 2008. J Bone Joint Surg Am. 2013; 95(18):e132. PMC: 3763808. DOI: 10.2106/JBJS.L.01163. View

Icks A, Haastert B, Wildner M, Becker C, Meyer G . Trend of hip fracture incidence in Germany 1995-2004: a population-based study. Osteoporos Int. 2007; 19(8):1139-45. DOI: 10.1007/s00198-007-0534-6. View

Dimai H, Svedbom A, Fahrleitner-Pammer A, Pieber T, Resch H, Zwettler E . Epidemiology of hip fractures in Austria: evidence for a change in the secular trend. Osteoporos Int. 2010; 22(2):685-92. DOI: 10.1007/s00198-010-1271-9. View

Siggeirsdottir K, Aspelund T, Jonsson B, Mogensen B, Gudmundsson E, Gudnason V . Epidemiology of fractures in Iceland and secular trends in major osteoporotic fractures 1989-2008. Osteoporos Int. 2013; 25(1):211-9. DOI: 10.1007/s00198-013-2422-6. View

10.

Azagra R, Lopez-Exposito F, Martin-Sanchez J, Aguye A, Moreno N, Cooper C . Changing trends in the epidemiology of hip fracture in Spain. Osteoporos Int. 2013; 25(4):1267-74. PMC: 4890654. DOI: 10.1007/s00198-013-2586-0. View

11.

Ellanti P, Cushen B, Galbraith A, Brent L, Hurson C, Ahern E . Improving hip fracture care in ireland: a preliminary report of the irish hip fracture database. J Osteoporos. 2014; 2014:656357. PMC: 4274861. DOI: 10.1155/2014/656357. View

12.

Diamantopoulos A, Rohde G, Johnsrud I, Skoie I, Johnsen V, Hochberg M . Incidence rates of fragility hip fracture in middle-aged and elderly men and women in southern Norway. Age Ageing. 2011; 41(1):86-92. DOI: 10.1093/ageing/afr114. View

13.

Chevalley T, Guilley E, Herrmann F, Hoffmeyer P, Rapin C, Rizzoli R . Incidence of hip fracture over a 10-year period (1991-2000): reversal of a secular trend. Bone. 2007; 40(5):1284-9. DOI: 10.1016/j.bone.2006.12.063. View

14.

Iniguez-Ariza N, Clarke B . Bone biology, signaling pathways, and therapeutic targets for osteoporosis. Maturitas. 2015; 82(2):245-55. DOI: 10.1016/j.maturitas.2015.07.003. View

15.

Horii M, Fujiwara H, Ikeda T, Ueshima K, Ikoma K, Shirai T . Urban versus rural differences in the occurrence of hip fractures in Japan's Kyoto prefecture during 2008-2010: a comparison of femoral neck and trochanteric fractures. BMC Musculoskelet Disord. 2013; 14:304. PMC: 4016527. DOI: 10.1186/1471-2474-14-304. View

16.

Etxebarria-Foronda I, Arrospide A, Soto-Gordoa M, Caeiro J, Abecia L, Mar J . Regional variability in changes in the incidence of hip fracture in the Spanish population (2000-2012). Osteoporos Int. 2015; 26(5):1491-7. DOI: 10.1007/s00198-014-3015-8. View

17.

Hill K, Hunter S, Batchelor F, Cavalheri V, Burton E . Individualized home-based exercise programs for older people to reduce falls and improve physical performance: A systematic review and meta-analysis. Maturitas. 2015; 82(1):72-84. DOI: 10.1016/j.maturitas.2015.04.005. View

18.

Brincat M, Gambin J, Brincat M, Calleja-Agius J . The role of vitamin D in osteoporosis. Maturitas. 2015; 80(3):329-32. DOI: 10.1016/j.maturitas.2014.12.018. View

19.

Rosengren B, Karlsson M . The annual number of hip fractures in Sweden will double from year 2002 to 2050: projections based on local and nationwide data. Acta Orthop. 2014; 85(3):234-7. PMC: 4062788. DOI: 10.3109/17453674.2014.916491. View

20.

Concin H, Brozek W, Benedetto K, Hafele H, Kopf J, Barenzung T . Hip fracture incidence 2003-2013 and projected cases until 2050 in Austria: a population-based study. Int J Public Health. 2016; 61(9):1021-1030. DOI: 10.1007/s00038-016-0878-9. View