Epidemiology of hip fracture in Tucuman, Argentina

Wittich, A.; Bagur, A.; Mautalén, C.; Cristofari, A.; Escobar, Oscar; Carrizo, Gabriel; Oliveri, Beatriz

doi:10.1007/s00198-009-1135-3

Cited by 30 publications

(16 citation statements)

References 31 publications

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“…In addition to large variations in fracture rates around the world, fracture rates may vary within countries. In addition to ethnic-specific differences [3, 12, 13, 30], up to twofold differences in hip fracture incidence have been reported using common methodology with higher rates in urban communities than rural areas in Argentina [36], Turkey [9], Sweden [37], Norway [38–40], Switzerland [41], Croatia [23] and in USA [42, 43]. The concern is perhaps less where several regional estimates have been used.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of hip fracture incidence and probability of fracture worldwide

et al. 2012

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SummaryThe country-specific risk of hip fracture and the 10-year probability of a major osteoporotic fracture were determined on a worldwide basis from a systematic review of literature. There was a greater than 10-fold variation in hip fracture risk and fracture probability between countries.IntroductionThe present study aimed to update the available information base available on the heterogeneity in the risk of hip fracture on a worldwide basis. An additional aim was to document variations in major fracture probability as determined from the available FRAX models.MethodsStudies on hip fracture risk were identified from 1950 to November 2011 by a Medline OVID search. Evaluable studies in each country were reviewed for quality and representativeness and a study (studies) chosen to represent that country. Age-specific incidence rates were age-standardised to the world population in 2010 in men, women and both sexes combined. The 10-year probability of a major osteoporotic fracture for a specific clinical scenario was computed in those countries for which a FRAX model was available.ResultsFollowing quality evaluation, age-standardised rates of hip fracture were available for 63 countries and 45 FRAX models available in 40 countries to determine fracture probability. There was a greater than 10-fold variation in hip fracture risk and fracture probability between countries.ConclusionsWorldwide, there are marked variations in hip fracture rates and in the 10-year probability of major osteoporotic fractures. The variation is sufficiently large that these cannot be explained by the often multiple sources of error in the ascertainment of cases or the catchment population. Understanding the reasons for this heterogeneity may lead to global strategies for the prevention of fractures.

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Section: Discussionmentioning

confidence: 99%

A systematic review of hip fracture incidence and probability of fracture worldwide

et al. 2012

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“…In addition to ethnic-specific differences [3,89,90], up to two-fold differences in hip fracture incidence have been reported using common methodology with the higher rates in urban communities in Argentina [91], Turkey [92], Sweden [93], Norway [94][95][96] Switzerland [97], Croatia [98] and in the USA [99,100]. Where possible, FRAX models are built using national rather than regional data, the former generally being of higher quality and based on large population-based sample sizes.…”

Section: Within Country Variation In Fracture Ratesmentioning

confidence: 99%

Interpretation and use of FRAX in clinical practice

et al. 2011

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“…(12) To compare the overall rates of hip fractures in women and men in Beijing to the rates in other countries we also standardized the rates for other selected countries to the 2004 US Census where reports provided sufficient data. (9,10,(12)(13)(14)(15)(16)(17)(18)(19) Results (Fig. 2).…”

Section: Analysesmentioning

confidence: 99%

Rapidly increasing rates of hip fracture in Beijing, China

Xia

et al. 2011

Journal of Bone and Mineral Research

176

112

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The age-specific rates of hip fractures have been declining in most countries in the West but a few studies suggest that the rates might be increasing in areas of Asia that are undergoing urbanization. We previously conducted a population-based study of hip fracture rates in Beijing, China, in 1990 to 1992 that included validation of hip fracture cases. Using a similar approach to validate cases, we estimated the age-specific hip fracture rates in Beijing, China, for 2002 to 2006. Specifically, we obtained hospital discharge data for hip fractures that were reported to the Beijing Bureau of Public Health. To confirm the diagnoses, Beijing residence, and find cases missed by the public records we checked individual cases in the public health records against medical records in a random sample of Beijing hospitals. The rates from public health data were adjusted for these under-and overestimations. We found that between 1990 and 1992 and 2002 and 2006, the adjusted age-specific rates of hip fracture over age 50 years increased 2.76-fold (95% confidence interval [CI], 2.68-2.84) in women and 1.61-fold (95% CI, 1.56-1.66) in men. Over age 70 years, the age-specific rates increased 3.37-fold (95% CI, 3.28-3.47) in women and 2.01-fold (95% CI, 1.95-2.07) in men. From 2002 to 2006, the rates over age 50 years increased 58% in women and 49% in men. We conclude that the rate of hip fracture has been rising very rapidly in Beijing, China. Therefore, the burden of hip fractures may be shifting rapidly from the West to urbanizing areas of the East. ß

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Epidemiology of hip fracture in Tucuman, Argentina

Cited by 30 publications

References 31 publications

A systematic review of hip fracture incidence and probability of fracture worldwide

A systematic review of hip fracture incidence and probability of fracture worldwide

Interpretation and use of FRAX in clinical practice

Rapidly increasing rates of hip fracture in Beijing, China

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