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Erschienen in: Archives of Osteoporosis 1-2/2011

01.12.2011 | Letter

A linear regression model can estimate hip fracture incidence

verfasst von: Juan F. Blanco, Jorge Cortés, Agustin Diaz-Alvarez, David Pescador, Javier del Pino

Erschienen in: Archives of Osteoporosis | Ausgabe 1-2/2011

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Excerpt

Hip fractures are a real health problem in the elderly [1]. Before launching a program for hip fracture prevention, knowing the incidence of hip fractures in a determined region is mandatory. In 2006 we published in Archives of Osteoporosis a manuscript on the incidence of osteoporotic hip fractures in our area (Salamanca, Spain) over the period 1994–2002, establishing a mathematical regression model to estimate the number of fractures up to 2015 [2]. Following the same methods used in this previous work [2], we collected data on hip fractures during the period 2004–2009 in order to ascertain whether the proposed model proved to be exact or not. These data are presented in Tables 1 and 2, and they show that the incidence of osteoporotic hip fractures in 2004–2009 concurs with the estimation of our mathematical model. Although incidence of fractures is increasing with time, it seems to reach a plateau or even showing some decrease. Some authors have pointed out the fact that the incidence of hip fractures is declining in the last few years [3, 4]. This change in the trend towards a decrease in hip fracture incidence is not homogeneous and may vary among countries. In addition, the gender should also be taken into account [5, 6]. In Spain, the data available show differences between regions [7], although the trend appears similar to our study [8].
Table 1
Incidence estimation and new data on incidence found in 2004–2009 period
Year
Observed incidence
Estimated incidence
Average estimation
Lower limit
Upper limit
1994
315
334
261
407
1995
361
350
280
420
1996
379
366
298
433
1997
397
380
315
448
1998
421
397
332
463
1999
375
413
347
479
2000
410
429
361
497
2001
425
445
375
515
2002
495
461
388
534
2003
 
477
400
554
2004
512a
493
411
574
2005
509a
508
422
595
2006
499a
524
432
616
2007
572a
540
442
638
2008
560a
556
452
660
2009
520a
572
462
682
2010
 
588
471
705
2011
 
604
480
727
2012
 
619
489
750
2013
 
635
498
773
2014
 
651
507
796
2015
 
667
515
819
aNew data found
Table 2
Observed data for the period 2004–2009
Year
Fractures
Gender F/M
Population (>64 years old)
Incidence × 100,000
F/M (odds)
2004
420
328/92
82,018
512
3.7/1
2005
417
339/78
81,848
509
4.3/1
2006
412
313/99
82,524
499
3.1/1
2007
472
355/118
82,389
574
3.0/1
2008
463
356/107
82,639
560
3.3/1
2009
434
347/87
83,385
520
3.9/1
Literatur
1.
Zurück zum Zitat Johnell O, Kanis JA (2004) An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int 15:897–902PubMedCrossRef Johnell O, Kanis JA (2004) An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int 15:897–902PubMedCrossRef
2.
Zurück zum Zitat Blanco JF, Diaz-Alvarez A, De Pedro JA, Borrego D, Del Pino J, Cortes J (2006) Incidence of hip fractures in Salamanca, Spain. Period :1994–2002. Arch Osteoporos 1:7–12CrossRef Blanco JF, Diaz-Alvarez A, De Pedro JA, Borrego D, Del Pino J, Cortes J (2006) Incidence of hip fractures in Salamanca, Spain. Period :1994–2002. Arch Osteoporos 1:7–12CrossRef
3.
Zurück zum Zitat Kannus P, Niemi S, Parkkari J, Palvanen M, Vuori I, Järvinen M (2006) Nationwide decline in incidence of hip fracture. J Bone Miner Res 21(12):1836–1838PubMedCrossRef Kannus P, Niemi S, Parkkari J, Palvanen M, Vuori I, Järvinen M (2006) Nationwide decline in incidence of hip fracture. J Bone Miner Res 21(12):1836–1838PubMedCrossRef
4.
Zurück zum Zitat Dimai HP, Svedbom A, Fahrleitner-Pammer A, Pieber T, Resch H, Zwettler E, Chandran M, Borgström F (2011) Epidemiology of hip fractures in Austria: evidence for a change in the secular trend. Osteoporos Int 22:685–692PubMedCrossRef Dimai HP, Svedbom A, Fahrleitner-Pammer A, Pieber T, Resch H, Zwettler E, Chandran M, Borgström F (2011) Epidemiology of hip fractures in Austria: evidence for a change in the secular trend. Osteoporos Int 22:685–692PubMedCrossRef
5.
Zurück zum Zitat Marks R (2010) Hip fracture epidemiological trends, outcomes, and risk factors, 1970–2009. Int J Gen Med 3:1–17PubMed Marks R (2010) Hip fracture epidemiological trends, outcomes, and risk factors, 1970–2009. Int J Gen Med 3:1–17PubMed
6.
Zurück zum Zitat Ics A, Haastert B, Wildner M, Becker C, Meyer G (2008) Trend of hip fracture incidence in Germany 1995–2004: a population based study. Osteoporos Int 19:1139–1145CrossRef Ics A, Haastert B, Wildner M, Becker C, Meyer G (2008) Trend of hip fracture incidence in Germany 1995–2004: a population based study. Osteoporos Int 19:1139–1145CrossRef
7.
Zurück zum Zitat Alvarez-Nebreda ML, Jimenez AB, Rodriguez P, Serra JA (2008) Epidemiology of hip fracture in the elderly in Spain. Bone 42:278–285PubMedCrossRef Alvarez-Nebreda ML, Jimenez AB, Rodriguez P, Serra JA (2008) Epidemiology of hip fracture in the elderly in Spain. Bone 42:278–285PubMedCrossRef
8.
Zurück zum Zitat Hernández JL, Olmos JM, Alonso MA, Gonzalez-Fernandez CR, Martinez J, Pajaron M, Llorca J, Gonzalez-Macias J (2006) Trend in hip fracture epidemiology over a 14-year period in a Spanish population. Osteoporos Int 17:464–470PubMedCrossRef Hernández JL, Olmos JM, Alonso MA, Gonzalez-Fernandez CR, Martinez J, Pajaron M, Llorca J, Gonzalez-Macias J (2006) Trend in hip fracture epidemiology over a 14-year period in a Spanish population. Osteoporos Int 17:464–470PubMedCrossRef
Metadaten
Titel
A linear regression model can estimate hip fracture incidence
verfasst von
Juan F. Blanco
Jorge Cortés
Agustin Diaz-Alvarez
David Pescador
Javier del Pino
Publikationsdatum
01.12.2011
Verlag
Springer-Verlag
Erschienen in
Archives of Osteoporosis / Ausgabe 1-2/2011
Print ISSN: 1862-3522
Elektronische ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-011-0055-y

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