Background
Methods
Source, security, and quality control of data
Data protection and permission
Data selection and definition of pathologic fractures
Statistics
Results
Treatment incidence of pathologic fractures of various locations and associated metabolic disorders
Total | Inc.* for those | Inc.* for those | Inc.* for those | |||||
---|---|---|---|---|---|---|---|---|
enrolled cases
|
aged 0-19.9
|
aged 20-49.9
|
aged 50 or over
| |||||
Category of fracture
|
Cases
|
Inc. *
|
Female
|
Male
|
Female
|
Male
|
Female
|
Male
|
Pathologic fracture of humerus (733.11) | 154 | 0.67 | 0.04 | 0.21 | 0.30 | 0.18 | 1.82 | 2.03 |
Pathologic fracture of distal radius and ulna (733.12) | 18 | 0.08 | 0.00 | 0.04 | 0.05 | 0.05 | 0.25 | 0.10 |
Pathologic fracture of vertebrae (733.13) | 2424 | 10.58 | 0.04 | 0.14 | 1.91 | 1.33 | 41.97 | 29.29 |
Pathologic fracture of neck of femur (733.14) | 254 | 1.11 | 0.04 | 0.14 | 0.39 | 0.31 | 3.63 | 3.08 |
Pathologic fracture of other specified part of femur (733.15) | 128 | 0.56 | 0.12 | 0.14 | 0.19 | 0.22 | 1.72 | 1.41 |
Pathologic fracture of tibia and fibula (733.16) | 25 | 0.11 | 0.00 | 0.04 | 0.04 | 0.09 | 0.28 | 0.26 |
Pathologic fracture, other specified or unspecified sites (733.1,733.10, 733.19) | 2241 | 9.78 | 0.27 | 0.53 | 2.49 | 2.21 | 33.36 | 29.06 |
Medical utilization for the various identifiably-located pathologic fractures and concomitant bony surgery
Medical Cost ($NT), mean, (S.D.) | Length of Stay (days), mean, (S.D.) | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
In general | Female | Male | In general | Female | Male | |||||||||||||||
Fracture location | cases | mean | (S.D.) |
cases
| mean | (S.D.) |
cases
| mean | (S.D.) |
P* |
cases
| mean | (S.D.) |
cases
| mean | (S.D.) |
cases
| mean | (S.D.) |
P* |
Pathological Fx of Humerus
|
154
| 353,575 | 407,372 |
76
| 360,005 | 346,344 |
78
| 347,309 | 461,335 | 0.357 |
154
| 43.9 | 42.9 |
76
| 48.3 | 45.7 |
78
| 39.6 | 39.8 | 0.402 |
Pathological Fx of Distal Radius/Ulna
|
18
| 293,803 | 387,673 |
11
| 178,740 | 210,325 |
7
| 474,616 | 538,219 | 0.009 |
18
| 31.1 | 32.9 |
11
| 21.0 | 19.0 |
7
| 47.0 | 44.5 | 0.020 |
Pathological Fx of Vertebrae
|
2424
| 200,015 | 256,668 |
1,451
| 186,175 | 245,394 |
973
| 220,654 | 271,435 | 0.005 |
2424
| 29.4 | 34.4 |
1,451
| 26.3 | 30.3 |
973
| 33.9 | 39.4 | 0.000 |
Pathological Fx of Neck of Femur
|
254
| 307,807 | 284,991 |
139
| 303,879 | 248,781 |
115
| 312,555 | 324,480 | 0.324 |
254
| 43.3 | 41.2 |
139
| 45.7 | 42.7 |
115
| 40.4 | 39.5 | 0.327 |
Pathological Fx of Other Part of Femur
|
128
| 340,675 | 352,755 |
69
| 350,874 | 394,534 |
59
| 328,747 | 299,516 | 0.270 |
128
| 42.4 | 38.1 |
69
| 43.5 | 42.4 |
59
| 41.3 | 32.7 | 0.165 |
Pathological Fx of Tibia and Fibula
|
25
| 300,888 | 316,227 |
11
| 290,137 | 309,024 |
14
| 309,335 | 333,140 | 0.451 |
25
| 42.0 | 32.8 |
11
| 43.6 | 26.5 |
14
| 40.6 | 38.0 | 0.119 |
Pathologic Fx of Humerus (n= 154) | Pathologic Fx of Distal Radius/Ulna (n= 18) | Pathologic Fx of Vertebrae (n= 2424) | PathologicFx of Neck of Femur (n= 254) | Pathologic Fx of Other Part of Femur (n= 128) | Pathologic Fx of Tibia and Fibula (n= 25) | |
---|---|---|---|---|---|---|
n(%) |
n(%) |
n(%) |
n(%) |
n(%) |
n(%) | |
Bony surgery performed? | ||||||
Yes | 48 (31.2%) | 8 (44.4%) | 273 (11.3%) | 118 (46.5%) | 62 (48.4%) | 13 (52.0%) |
No | 106 (69.8%) | 10 (55.6%) | 2151 (88.7%) | 136 (53.5%) | 66 (51.6%) | 12 (48.0%) |
Bony surgery strategy: | ||||||
1. Instrument fixation | 41 | 8 | 58 | 52 | 13 | |
2. Spine fusion | 91* 164** | |||||
3. Prosthesis | 3 | 0 | 51 | 5 | 0 | |
4. Excision, biopsy | 39 | 6 | 98 | 46 | 38 | 9 |
5. Bone-grafting, bone plastic surgery | 6 | 5 | 28 | 9 | 11 | 4 |