Change in hip fracture incidence over the last 6 years in France

Maravic, Milka; Taupin, Pierre; Landais, Paul; Roux, Christian

doi:10.1007/s00198-010-1255-9

Cited by 90 publications

(32 citation statements)

References 17 publications

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“…We found that the incidence of hip fractures decreased in women as previously reported (19) and a small variation of the incidence per million from 1369 to 1476 in men. A fall in the incidence of hip fractures had already been reported previously for a period of 11 years in women, (16,18) but not consistently in men.…”

Section: Discussionsupporting

confidence: 85%

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Subtrochanteric/femoral shaft Versus hip fractures: Incidences and identification of risk factors

Maravic¹,

Ostertag

Cohen‐Solal

2011

Journal of Bone and Mineral Research

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Subtrochanteric and femoral shaft (ST/FS) fractures are now considered to be fragility fractures in osteoporotic patients. Although rare, there is growing evidence of the burden that they constitute. Little is known about the change over time in incidence of ST/FS fractures. We assessed the incidence of ST/FS fractures and the associated risk factors from 2002 to 2009 compared with those of hip fractures. Data were obtained from the French National Database, which includes all hospital discharge codes from acute care facilities. Hospitalizations for primary surgical management of neck/trochanteric (hip) and ST/FS fractures in patients aged above 50 years were selected and described for different age groups. Incidences per million populations were calculated using the estimated French population adjusted for each year, age, and gender. We studied the change for each fracture site. The comorbidity factors related to these fractures were assessed in 2009 using multivariate logistic regression. From 2002 to 2009, the adjusted incidence of hip fractures decreased continuously from 4368 to 3662 in women ( p < 0.0001), and a mild increase from 1476 to 1384 in men ( p < 0.0001) after an initial decrease. In contrast, the incidence of ST/FS increased significantly in both genders (from 353 to 395 in women, from 146 to 159 in men).

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Section: Discussionsupporting

confidence: 85%

“…(19) This database is mandatory and exhaustive, as the funding of each hospital is calculated from this hospital coding. The accuracy and quality of the coding is checked every month in each hospital by a dedicated physician, and an external audit is performed on a yearly basis by physicians of the national medical insurance services.…”

Section: Methodsmentioning

confidence: 99%

Subtrochanteric/femoral shaft Versus hip fractures: Incidences and identification of risk factors

Maravic¹,

Ostertag

Cohen‐Solal

2011

Journal of Bone and Mineral Research

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“…The stable rates of hip fracture amongst women that we observed in the present study are consistent with many other studies of populations in the developed world, some of which have even documented a decline in age-and sex-adjusted rates [1]. Thus studies in USA [7], Canada [8], Austria [28], France [29], Australia [30] and New Zealand [31] have demonstrated declining age-and sex-specific rates of hip fracture over recent decades, often following an increase in rates in the decades prior. In the UK, a plateau in rates of age-adjusted hospital admission for hip fracture [32] was observed over the years 1989 to 1998.…”

Section: Discussionsupporting

confidence: 81%

Secular trends in fracture incidence in the UK between 1990 and 2012

et al. 2016

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Introduction-There is increasing evidence of secular changes in age-and sex-adjusted fracture incidence globally. Such observations broadly suggest decreasing rates in developed countries and increasing rates in transitioning populations. Since altered fracture rates have major implications for healthcare provision and planning, we investigated secular changes to age-and sex-adjusted fracture risk amongst the UK population aged 50 years or above from 1990 till 2012.

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“…It was higher than that recently reported in Eastern and Central European [19][20][21]28] and Western European countries [31,32,34,36,37]. The SIR in men was comparable to that in Finland, Hungary and the Czech Republic [10,15,33,38] but lower than in the group of countries with the highest incidence in Europe [10,13,14,17,29,30].…”

Section: Discussioncontrasting

confidence: 46%