Epidemiology of fractures in the United Kingdom 1988–2012: Variation with age, sex, geography, ethnicity and socioeconomic status

Curtis, Elizabeth M; Velde, Robert van der; Moon, Rebecca J; Bergh, Joop van den; Geusens, Piet; Vries, Frank de; Staa, Tjeerd van; Cooper, Cyrus; Harvey, Nicholas C.

doi:10.1016/j.bone.2016.03.006

Cited by 352 publications

(295 citation statements)

References 47 publications

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“…These data are summarised in the table below, and clearly demonstrate that the differences in fracture incidence by ethnicity are congruent with the raw incidence data presented in our paper, with rates highest in whites, intermediate in South Asians and lowest in blacks. In conclusion, whilst there are ethnic differences in age distribution in the UK, these do not explain the differential fracture rates; as discussed in our paper [1], variations in factors such as BMD, bone geometry and Correspondence and reprint requests to: Professor Cyrus Cooper, …”

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confidence: 53%

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confidence: 99%

“…Whatever the underlying cause, we agree with Harper et al that our findings inform the allocation of healthcare resources to those at greatest need. Harvey et al Page 3 Table 1 Incidence of fragility fracture by ethnicity [1], and Incidence Rate Ratios relative to white ethnicity (adjusted for age and calendar year) in UK men and women aged 50 years or over, 1988 to 2012. …”

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confidence: 99%

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On epidemiology of fractures and variation with age and ethnicity

Harvey

Curtis

Velde

et al. 2016

Bone

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We recently demonstrated differences in fracture incidence by ethnicity in the UK population using the Clinical Practice Research Datalink (CPRD) [1]. In their letter, Harper et al [2] draw attention to the differential age structure of the UK population by ethnicity, and suggest that the lower incidence of fractures in Asian adults over 50 years might reflect the lower proportion of very elderly individuals within this demographic compared with the white population. The relatively small number of fractures within black and South Asian ethnicities meant that presentation of fracture incidence stratified by age band was not feasible. We have thus used a Poisson model to calculate incidence rate ratios (with white ethnicity as the referent), adjusting for age and calendar year to account for any contribution of age distribution and secular change within ethnicity strata. These data are summarised in the table below, and clearly demonstrate that the differences in fracture incidence by ethnicity are congruent with the raw incidence data presented in our paper, with rates highest in whites, intermediate in South Asians and lowest in blacks. In conclusion, whilst there are ethnic differences in age distribution in the UK, these do not explain the differential fracture rates; as discussed in our paper [1], variations in factors such as BMD, bone geometry and Correspondence and reprint requests to: Professor Cyrus Cooper,

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On epidemiology of fractures and variation with age and ethnicity

Harvey

Curtis

Velde

et al. 2016

Bone

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“…This is in contrast with common fragility fractures such as hip and distal radius, which have a higher incidence in women [8]. Furthermore, the same Ferguson et al [3] showed that in the elderly there was an increased preponderance of anterior column fractures, anterior wall and anterior column and posterior wall secured at a transverse as to young adults.…”

Section: Discussionmentioning

confidence: 96%

Total hip arthroplasty vs. osteosynthesis in acute complex acetabular fractures in the elderly: Evaluation of surgical management and outcomes

Carta

Falzarano

Rollo

et al. 2016

JAD

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Objective: To retrospectively evaluate the open reduction internal fixation and total hip arthroplasty directions, results and complications associated with internal fixation in managing these fractures. Methods: In 8 years at 4 centers, 61 patients with associated acetabular fractures (Letournel classification) were treated. The patients were divided into two groups. The total hip arthoplasty (THA) group consisted of 30 patients, while the open reduction internal fixation group had 31 patients. The average age of the patients was 74.7 years. The following parameters were compared: the duration of surgery and hospitalization, the international unit of red blood cell concentrate transfusion, the time for the verticalization of the patient, perioperative complications, Harris hip score, and the short form (12) health survey. The clinical and radiographic follow-up was performed at 1 month, 3 months, 6 months and 12 months and annually thereafter. Patients with post-traumatic osteoarthritis formed the third comparison group. P ≤ 0.05 was considered statistically significant according to the analytical Student's t-test. Results: The P < 0.05 in favor of the THA group was: surgical time, length of stay, number of the international unit of red blood cell concentrate transfusions, verticalization, quality of life and hip function, a reduction of perioperative complications and reinterventions. Conclusions: Our experience shows that the THA treatment for acetabular fractures in the elderly is to be preferred.

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“…In the older adult, osteoporosis and poor postural stability are associated with these fractures after falls onto an outstretched hand [1,[6][7][8]9•]. Distal radius fracture in young patients usually occurs in the setting of play or sports and accounts for 23% of all sports-related fractures in adolescents [10].…”

Section: Introductionmentioning

confidence: 99%

Distal radius fractures in the athlete

Beleckas

Calfee

2017

Curr Rev Musculoskelet Med

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Purpose of Review Distal radius fractures are one of the most common upper extremity fractures. Athletes with distal radius fractures are treated according to the same principles as nonathletes but present several unique considerations. At all levels of sport, injured athletes desire to return to play as rapidly as possible. Recent Findings Earlier operative fixation may allow an athlete to return to play more quickly. Volar locking plates are most commonly used for operative treatment of distal radius fractures due to their stability and low incidence of complications. Summary Although the majority of distal radius fractures in athletes are treated non-operatively, operative intervention is offered when required to restore and maintain acceptable skeletal alignment. Return to sport is individualized guided by fracture stability, athlete age, and wrist-specific demands for competition.

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Epidemiology of fractures in the United Kingdom 1988–2012: Variation with age, sex, geography, ethnicity and socioeconomic status

Cited by 352 publications

References 47 publications

On epidemiology of fractures and variation with age and ethnicity

On epidemiology of fractures and variation with age and ethnicity

Total hip arthroplasty vs. osteosynthesis in acute complex acetabular fractures in the elderly: Evaluation of surgical management and outcomes

Distal radius fractures in the athlete

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