Skip to main content
Erschienen in: Osteoporosis International 2/2005

01.02.2005 | Original Article

The burden of hospitalised fractures in Sweden

verfasst von: O. Johnell, J. A. Kanis, B. Jonsson, A. Oden, H. Johansson, C. De Laet

Erschienen in: Osteoporosis International | Ausgabe 2/2005

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study was to characterise the hospital burden of fractures in the Swedish population by age and gender. The number of patients and number of fractures were documented according to site of fracture, age, sex and duration of hospital stay for the whole population of Sweden in 1996. Fractures were additionally classified as osteoporotic according to fracture site. In 1996 there were 54,000 admissions for fracture in men and women aged 50 years or more, accounting for 600,000 hospital-bed days. Hip fractures accounted for 63% of admissions for fracture in men and 72% in women, for 69% and 73% of hospital-bed days, respectively. Fractures considered to be osteoporotic accounted for 84% of all hospital-bed days due to fracture in men, and 93% in women. More hospital-bed days were due to osteoporotic fracture than to breast cancer and prostate cancer combined. The number of hospital-bed days due to osteoporotic fracture was between the amount due to ischaemic heart disease and the amount due to stroke.
Literatur
1.
Zurück zum Zitat Kanis JA, Oden A, Johnell O, Jonsson B, De laet C, Dawson A (2001) The burden of osteoporotic fractures: a method for setting intervention thresholds. Osteoporos Int 12:417–427CrossRefPubMed Kanis JA, Oden A, Johnell O, Jonsson B, De laet C, Dawson A (2001) The burden of osteoporotic fractures: a method for setting intervention thresholds. Osteoporos Int 12:417–427CrossRefPubMed
2.
Zurück zum Zitat Cummings S, Melton LJ (2002) Epidemiology and outcomes of osteoporotic fractures. Lancet 359:1761–1767CrossRefPubMed Cummings S, Melton LJ (2002) Epidemiology and outcomes of osteoporotic fractures. Lancet 359:1761–1767CrossRefPubMed
3.
Zurück zum Zitat Ray NF, Chan JK, Thamer M, Melton LJ III (1997) Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: report from the National Osteoporosis Foundation. J Bone Miner Res 12:24–35PubMed Ray NF, Chan JK, Thamer M, Melton LJ III (1997) Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: report from the National Osteoporosis Foundation. J Bone Miner Res 12:24–35PubMed
4.
Zurück zum Zitat Johnell O, Gullberg B, Allander E, Kanis JA (1992) The apparent incidence of hip fractures in Europe: a study of national register sources. Osteoporos Int 2:298–302PubMed Johnell O, Gullberg B, Allander E, Kanis JA (1992) The apparent incidence of hip fractures in Europe: a study of national register sources. Osteoporos Int 2:298–302PubMed
5.
Zurück zum Zitat Elffors I, Allander E, Kanis JA et al (1994) The variable incidence of hip fracture in Southern Europe: the MEDOS study. Osteoporos Int 4:253–263PubMed Elffors I, Allander E, Kanis JA et al (1994) The variable incidence of hip fracture in Southern Europe: the MEDOS study. Osteoporos Int 4:253–263PubMed
6.
Zurück zum Zitat Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA (1990) Regional variation in the incidence of hip fractures: US white women aged 65 years and older. JAMA 264:500–502CrossRefPubMed Jacobsen SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA (1990) Regional variation in the incidence of hip fractures: US white women aged 65 years and older. JAMA 264:500–502CrossRefPubMed
7.
Zurück zum Zitat Lau EMC, Lee JK, Suriwongpaisal P et al (2001) The incidence of hip fracture in four Asian countries: the Asia Osteoporosis Study (AOS). Osteoporos Int 12:239–243CrossRefPubMed Lau EMC, Lee JK, Suriwongpaisal P et al (2001) The incidence of hip fracture in four Asian countries: the Asia Osteoporosis Study (AOS). Osteoporos Int 12:239–243CrossRefPubMed
8.
Zurück zum Zitat Kanis JA, Oden A, Zethraeus N, Johnell O, De Laet C, Jonsson B (2004) The risk and burden of vertebral fractures in Sweden. Osteoporos Int 15:20–26CrossRefPubMed Kanis JA, Oden A, Zethraeus N, Johnell O, De Laet C, Jonsson B (2004) The risk and burden of vertebral fractures in Sweden. Osteoporos Int 15:20–26CrossRefPubMed
9.
Zurück zum Zitat The European Prospective Osteoporosis Study (EPOS) Group (2002) Incidence of vertebral fracture in Europe: results from the European Prospective Osteoporosis Study (EPOS). J Bone Miner Res 17:716–724PubMed The European Prospective Osteoporosis Study (EPOS) Group (2002) Incidence of vertebral fracture in Europe: results from the European Prospective Osteoporosis Study (EPOS). J Bone Miner Res 17:716–724PubMed
10.
Zurück zum Zitat O’Neill TW, Felsenberg D, Varlow J et al (1996) The prevalence of vertebral deformity in European Men and Women: The European Vertebral Osteoporosis Study. J Bone Miner Res 11(7):1010–1018PubMed O’Neill TW, Felsenberg D, Varlow J et al (1996) The prevalence of vertebral deformity in European Men and Women: The European Vertebral Osteoporosis Study. J Bone Miner Res 11(7):1010–1018PubMed
11.
Zurück zum Zitat Oleksik A, Lips P, Dawson A et al (2000) Health-related quality of life (HRQOL) in postmenopausal women with low BMD with or without prevalent vertebral fractures. J Bone Miner Res 15(7):1384–1392PubMed Oleksik A, Lips P, Dawson A et al (2000) Health-related quality of life (HRQOL) in postmenopausal women with low BMD with or without prevalent vertebral fractures. J Bone Miner Res 15(7):1384–1392PubMed
12.
Zurück zum Zitat Nevitt MC, Ettinger B, Black DM et al (1998) The association of radiographically detected vertebral fractures with back pain and function: a prospective study. Ann Intern Med 128:793–800PubMed Nevitt MC, Ettinger B, Black DM et al (1998) The association of radiographically detected vertebral fractures with back pain and function: a prospective study. Ann Intern Med 128:793–800PubMed
13.
Zurück zum Zitat Cauley JA, Thomson DE, Ensrud KC et al (2000) Risk of mortality following clinical fracture. Osteoporos Int 11:556–561CrossRefPubMed Cauley JA, Thomson DE, Ensrud KC et al (2000) Risk of mortality following clinical fracture. Osteoporos Int 11:556–561CrossRefPubMed
14.
Zurück zum Zitat Kado DM, Browner WS, Palermo L et al (1999) Vertebral fractures and mortality in older women. Arch Intern Med 159:1215–1220CrossRefPubMed Kado DM, Browner WS, Palermo L et al (1999) Vertebral fractures and mortality in older women. Arch Intern Med 159:1215–1220CrossRefPubMed
15.
Zurück zum Zitat Van Staa TP, Dennison EM, Leufkens HGM, Cooper C (2001) Epidemiology of fractures in England and Wales. Bone 29:517–522CrossRefPubMed Van Staa TP, Dennison EM, Leufkens HGM, Cooper C (2001) Epidemiology of fractures in England and Wales. Bone 29:517–522CrossRefPubMed
16.
Zurück zum Zitat Singer BR, McLauchlan CJ, Robinson CM, Christie J (1998) Epidemiology of fracture in 15,000 adults. The influence of age and gender. J Bone Joint Surg Br 80:234–238CrossRefPubMed Singer BR, McLauchlan CJ, Robinson CM, Christie J (1998) Epidemiology of fracture in 15,000 adults. The influence of age and gender. J Bone Joint Surg Br 80:234–238CrossRefPubMed
17.
Zurück zum Zitat Lippuner K, Von Overbeck J, Pevielet R, Bossard H, Jaeger PH (1997) Incidence and direct medical costs of hospitalisations due to osteoporotic fracture in Switzerland. Osteoporos Int 7:414–425PubMed Lippuner K, Von Overbeck J, Pevielet R, Bossard H, Jaeger PH (1997) Incidence and direct medical costs of hospitalisations due to osteoporotic fracture in Switzerland. Osteoporos Int 7:414–425PubMed
18.
Zurück zum Zitat Kanis JA, Pitt FA (1992) Epidemiology of osteoporosis. Bone 13 [Supp]:S7-S15 Kanis JA, Pitt FA (1992) Epidemiology of osteoporosis. Bone 13 [Supp]:S7-S15
19.
Zurück zum Zitat Kanis JA, Johnell O, Oden A, Sernbo I, Redlund-Johnell I, Dawson A, De Laet C, Jonsson B (2000) Long-term risk of osteoporotic fractures in Malmo. Osteoporos Int 11:669–674CrossRefPubMed Kanis JA, Johnell O, Oden A, Sernbo I, Redlund-Johnell I, Dawson A, De Laet C, Jonsson B (2000) Long-term risk of osteoporotic fractures in Malmo. Osteoporos Int 11:669–674CrossRefPubMed
20.
Zurück zum Zitat Gabriel SE, Toesteson ANA, Leibson CL, Crowson CS, Pond GR, Hammond CS, Melton LJ III (2002) Direct medical costs attributable to osteoporotic fractures. Osteoporos Int 13:323–330CrossRefPubMed Gabriel SE, Toesteson ANA, Leibson CL, Crowson CS, Pond GR, Hammond CS, Melton LJ III (2002) Direct medical costs attributable to osteoporotic fractures. Osteoporos Int 13:323–330CrossRefPubMed
21.
Zurück zum Zitat Jones G, Nguyen T, Sambrook P, Kelly PJ, Gilbert C, Eisman JA (1994) Symptomatic fracture incidence in elderly men and women. The Dubbo Osteoporosis Epidemiology Study (DOES). Osteoporos Int 4:277–282PubMed Jones G, Nguyen T, Sambrook P, Kelly PJ, Gilbert C, Eisman JA (1994) Symptomatic fracture incidence in elderly men and women. The Dubbo Osteoporosis Epidemiology Study (DOES). Osteoporos Int 4:277–282PubMed
22.
Zurück zum Zitat Melton LJ, Crowson CS, O’Fallon WM (1999) Fracture incidence in Olmsted County, Minnesota: comparison of urban with rural rates and changes in urban rates over time. Osteoporos Int 9:29–37CrossRefPubMed Melton LJ, Crowson CS, O’Fallon WM (1999) Fracture incidence in Olmsted County, Minnesota: comparison of urban with rural rates and changes in urban rates over time. Osteoporos Int 9:29–37CrossRefPubMed
23.
Zurück zum Zitat Honkanen R, Kroger H, Tuppurainen M, Alhava E, Saarikoski S (1995) Fractures and low axial bone density in perimenopausal women. J Clin Epidemiol 48:881–888CrossRefPubMed Honkanen R, Kroger H, Tuppurainen M, Alhava E, Saarikoski S (1995) Fractures and low axial bone density in perimenopausal women. J Clin Epidemiol 48:881–888CrossRefPubMed
24.
Zurück zum Zitat Seeley DG, Browner WS, Nevitt MC, Genant HK, Scott JC, Cummings SR, for the Study of Osteoporotic Fractures Research Group (1991) Which fractures are associated with low appendicular bone mass in elderly women? Ann Intern Med 115:837–842PubMed Seeley DG, Browner WS, Nevitt MC, Genant HK, Scott JC, Cummings SR, for the Study of Osteoporotic Fractures Research Group (1991) Which fractures are associated with low appendicular bone mass in elderly women? Ann Intern Med 115:837–842PubMed
25.
Zurück zum Zitat Sanders KM, Seeman E, Ugoni AM et al (1999) Age- and gender-specific rate of fractures in Australia: a population-based study. Osteoporos Int 10:240–247CrossRefPubMed Sanders KM, Seeman E, Ugoni AM et al (1999) Age- and gender-specific rate of fractures in Australia: a population-based study. Osteoporos Int 10:240–247CrossRefPubMed
26.
Zurück zum Zitat Sanders KM, Nicholson GC, Ugoni AM, Pasco JA, Seeman E, Kotowicz MA (1999) Health burden of hip and other fractures in Australia beyond 2000. Projections based on the Geelong Osteoporosis Study. Med J Aust 170:467–470PubMed Sanders KM, Nicholson GC, Ugoni AM, Pasco JA, Seeman E, Kotowicz MA (1999) Health burden of hip and other fractures in Australia beyond 2000. Projections based on the Geelong Osteoporosis Study. Med J Aust 170:467–470PubMed
27.
Zurück zum Zitat Baron JA, Barrett J, Malenka D et al (1994) Racial differences in fracture risk. Epidemiology 5:42–47PubMed Baron JA, Barrett J, Malenka D et al (1994) Racial differences in fracture risk. Epidemiology 5:42–47PubMed
28.
Zurück zum Zitat Nilsson AC, Spetz C-L, Carsjo K, Nightingale R, Smedby B (1994) Slutenvardsregistrets tillforlitlighet. Diagnosuppgifterna batter an sitt rykte. Lakartidningen (In Swedish). 91:598–605 Nilsson AC, Spetz C-L, Carsjo K, Nightingale R, Smedby B (1994) Slutenvardsregistrets tillforlitlighet. Diagnosuppgifterna batter an sitt rykte. Lakartidningen (In Swedish). 91:598–605
29.
Zurück zum Zitat Johnell O, Oden A, Caulin F, Kanis JA (2001) Acute and long-term increase in fracture risk after hospitalisation for vertebral fracture. Osteoporos Int 12:207–214CrossRefPubMed Johnell O, Oden A, Caulin F, Kanis JA (2001) Acute and long-term increase in fracture risk after hospitalisation for vertebral fracture. Osteoporos Int 12:207–214CrossRefPubMed
30.
Zurück zum Zitat Johnell O, Gullberg B, Allander E, Kanis JA (1992) The apparent incidence of hip fracture in Europe: a study of national register sources. MEDOS Study Group. Osteoporos Int 2:298–302PubMed Johnell O, Gullberg B, Allander E, Kanis JA (1992) The apparent incidence of hip fracture in Europe: a study of national register sources. MEDOS Study Group. Osteoporos Int 2:298–302PubMed
31.
Zurück zum Zitat Melton LJ III, Gabriel SE, Crowson CS, Johnell O, Kanis JA (2003) Cost-equivalence of different osteoporotic fractures. Osteoporos Int 14:383–388CrossRefPubMed Melton LJ III, Gabriel SE, Crowson CS, Johnell O, Kanis JA (2003) Cost-equivalence of different osteoporotic fractures. Osteoporos Int 14:383–388CrossRefPubMed
32.
Zurück zum Zitat Fox Ray N, Chan JK, Thamer M, Melton III LJ (1997) Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: report from the National Osteoporosis Foundation. J Bone Miner Res 12:24–35PubMed Fox Ray N, Chan JK, Thamer M, Melton III LJ (1997) Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: report from the National Osteoporosis Foundation. J Bone Miner Res 12:24–35PubMed
33.
Zurück zum Zitat Phillips S, Fox N, Jacobs J, Wright WE (1986) The direct medical cost of osteoporosis from American women aged 45 years and older. Bone 9:271–279CrossRef Phillips S, Fox N, Jacobs J, Wright WE (1986) The direct medical cost of osteoporosis from American women aged 45 years and older. Bone 9:271–279CrossRef
Metadaten
Titel
The burden of hospitalised fractures in Sweden
verfasst von
O. Johnell
J. A. Kanis
B. Jonsson
A. Oden
H. Johansson
C. De Laet
Publikationsdatum
01.02.2005
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 2/2005
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-004-1686-2

Weitere Artikel der Ausgabe 2/2005

Osteoporosis International 2/2005 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.