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Erschienen in: Osteoporosis International 11/2016

25.06.2016 | Short Communication

Falling age-related incidence of hip fractures in women, but not men, in Northern Ireland: 2001–2011

verfasst von: P. N. Karayiannis, M. G. McAlinden

Erschienen in: Osteoporosis International | Ausgabe 11/2016

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Abstract

Summary

Hip fractures place a large burden on healthcare and determining the variation in incidence is important to plan resources. We found, in Northern Ireland, that the age-related incidence for women is declining but the incidence for men and the total number of fractures remains static as the elderly population increases.

Introduction

Hip fractures place a significant burden on healthcare systems throughout the world. Recent studies have shown that the incidence is starting to decline or plateau. We aimed to study the incidence of hip fractures in 2001 and 2011 within Northern Ireland and hope to guide further service provision.

Methods

The years 2001 and 2011 were selected as accurate census population data was available. The Hospital Inpatient System (HIS) database was used to collect the data and the search was carried out by a statistician using ICD codes S72.0 and S72.1.

Results

The total incidence of hip fractures in the population aged 50 and over fell from 358 per 100,000 to 274 per 100,000. In females, the incidence fell from 513 to 412 per 100,000. In males, the incidence increased from 172 to 178 per 100,000. The total number of hip fractures remained static (1737 in 2001 and 1739 in 2011) as a result of an increase in the elderly population. Incidence and total number of femoral neck fractures (S72.0) declined while the incidence and total number of pertrochanteric fractures (S72.1) increased.

Conclusions

Our results are in keeping with the declining trend in hip fracture incidence in many Western countries, though we found that this is only true for women. The exact reasons for this remain unclear but are likely to be multifactorial. In the future, the number of fractures may increase further given the increasingly elderly population and further provision particularly for patients with pertrochanteric fractures will be required. Increased awareness, diagnosis and treatment of males with osteoporosis should be prioritised.
Literatur
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Zurück zum Zitat Kanis JA, Oden A, McCloskey EV, IOF Working Group on Epidemiology and Quality of Life et al (2012) A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporosis Int 23:2239–2256. doi:10.1007/s00198-012-1964-3 CrossRef Kanis JA, Oden A, McCloskey EV, IOF Working Group on Epidemiology and Quality of Life et al (2012) A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporosis Int 23:2239–2256. doi:10.​1007/​s00198-012-1964-3 CrossRef
Metadaten
Titel
Falling age-related incidence of hip fractures in women, but not men, in Northern Ireland: 2001–2011
verfasst von
P. N. Karayiannis
M. G. McAlinden
Publikationsdatum
25.06.2016
Verlag
Springer London
Erschienen in
Osteoporosis International / Ausgabe 11/2016
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-016-3677-5

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