Incidence of hip fractures in Greece during a 30-year period: 1977–2007

BackgroundPatients with hip fractures present a great challenge for surgeons due to multimorbidity, polypharmacy as well as difficulty in communicating. These could be attributed to a recent trend in the aging patient population (80 years and older) as compared to the past. The aim of this study is to analyze age structure and location in male and female patients’ population with hip fracture over 50.Materials and methodsHospital records between 2005 and 2014 with ICD-10 codes S72,0, S72,1 and S72,2 were included in the analysis. All fractures occurred in citizen aged 50 years and over living in the district of Tarnowskie Góry and the city of Piekary Śląskie in Poland.ResultsWithin the study period, 1258 hip fractures were registered. The mean age of the patients was higher every year, starting from 77.27 ± 9.52 in 2005 to 80.80 ± 9.65 years in 2014 (p < 0.01). The average age also increased in both gender groups from 73.85 ± 8.30 to 77.89 ± 9.52 years in male and from 78.14 ± 9.66 to 81.98 ± 9.49 years in female, respectively. The median age value was changed from 78.00 to 83.00 years in the total population. We noted a significant increase in female with trochanteric fracture; however, the level of neck fracture was almost the same. In men, crude rates for both trochanteric and cervical fractures slightly increased.ConclusionsAs the age of patients increases, fractures were shown to be more complicated. Given the scale of the phenomenon and its determinants, we emphatically conclude orthogeriatrics is needed in Poland.

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“…This tendency is similar in other countries [10–12]. As evident in group under 80 years, there is no increase in the number of fracture.…”

Section: Discussionsupporting

confidence: 87%

Do we need orthogeriatrics in Poland? Changes in the age structure and location of hip fractures

et al. 2016

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“…A further validation is the external replication of reversals in studies not included, e.g. outside of the European region 43, 44 or using alternative methodological approaches 45 . Regarding the effect of age, we opted to use categories as defined in each publication and their midpoint as the index age.…”

Section: Discussionmentioning

confidence: 99%

Quantitative modelling of hip fracture trends in 14 European countries: testing variations of a shared reversal over time

Lucas

Martins

Severo

et al. 2017

Sci Rep

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Qualitative similarities between hip fracture trends in different countries suggests variations of the same epidemic. We tested a single statistical shape to describe time trends in Europe, while allowing for country-level variability. Using data from 14 countries, we modelled incidence rates over time using linear mixed-effects models, including the fixed effects of calendar year and age. Random effects were tested to quantify country-level variability in background rates, timing of trend reversal and tempo of reversal. Mixture models were applied to identify clusters of countries defined by common behavioural features. A quadratic function of time, with random effects for background rates and timing of trend reversal, adjusted well to the observed data. Predicted trend reversal occurred on average in 1999 in women (peak incidence about 600 per 100 000) and 2000 in men (about 300 per 100 000). Mixture modelling of country-level effects suggested three clusters for women and two for men. In both sexes, Scandinavia showed higher rates but earlier trend reversals, whereas later trend reversals but lower peak incidences were found in Southern Europe and most of Central Europe. Our finding of a similar overall reversal pattern suggests that different countries show variations of a shared hip fracture epidemic.

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“…(47) More recent national data showed stable rates in men and women between 2002 and 2008. (48) A recent trend study from Greece, (49) collecting data by a questionnaire sent to all public and private orthopedic departments for the years 1997, 2002, and 2007, compared the ageadjusted hip fracture rates to those reported by a previous study (50) The accuracy of the data was difficult to assess because they were collected by questionnaire without using the International Classification of Diseases (ICD) code to define fractures, and incidence rates were limited to selected years rather than the entire time period. Comparison of two incidence studies from Turkey suggests a substantial increase in hip fracture rates over a 20-year period.…”

Section: Southern Europementioning

confidence: 99%

“…(47) More recent national data showed stable rates in men and women between 2002 and 2008. (48) A recent trend study from Greece, (49) collecting data by a questionnaire sent to all public and private orthopedic departments for the years 1997, 2002, and 2007, compared the ageadjusted hip fracture rates to those reported by a previous study (50) for the years 1977, 1982, 1987, and 1992. It showed that rates increased significantly between 1977 and 2002 (3.3%/year in men and 4.9%/year in women) but later stabilized in men and decreased in women by 1.5%/year between 2002 and 2007.…”

Section: Southern Europementioning

confidence: 99%

Secular Trends in Hip Fractures Worldwide: Opposing Trends East Versus West

Ballane

Cauley

Luckey

et al. 2014

Journal of Bone and Mineral Research

167

118

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Despite wide variations in hip rates fractures worldwide, reasons for such differences are not clear. Furthermore, secular trends in the age-specific hip fracture rates are changing the world map of this devastating disease, with the highest rise projected to occur in developing countries. The aim of our investigation is to systematically characterize secular trends in hip fractures worldwide, examine new data for various ethnic groups in the United States, evidence for divergent temporal patterns, and investigate potential contributing factors for the observed change in their epidemiology. All studies retrieved through a complex Medline Ovid search between 1966 and 2013 were examined. For each selected study, we calculated the percent annual change in age-standardized hip fracture rates de-novo. Although occurring at different time points, trend breaks in hip fracture incidence occurred in most Western countries and Oceania. After a steep rise in age-adjusted rates in these regions, a decrease became evident sometimes between the mid-seventies and nineties, depending on the country. Conversely, the data is scarce in Asia and South America, with evidence for a continuous rise in hip fracture rates, with the exception of Hong-Kong and Taiwan that seem to follow Western trends. The etiologies of these secular patterns in both the developed and the developing countries have not been fully elucidated, but the impact of urbanization is at least one plausible explanation. Data presented here show close parallels between rising rates of urbanization and hip fractures across disparate geographic locations and cultures. Once the proportion of the urban population stabilized, hip fracture rates also stabilize or begin to decrease perhaps due to the influence of other factors such as birth cohort effects, changes in bone mineral density and BMI, osteoporosis medication use and/or lifestyle interventions such as smoking cessation, improvement in nutritional status and fall prevention.

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Incidence of hip fractures in Greece during a 30-year period: 1977–2007

Abstract: The incidence of hip fractures doubled during the last 30 years among people aged ≥50 years, although a mild decrease was observed in almost all age groups after 2002. The most affected group is 80 and over.

Cited by 31 publications

References 22 publications

Do we need orthogeriatrics in Poland? Changes in the age structure and location of hip fractures

Do we need orthogeriatrics in Poland? Changes in the age structure and location of hip fractures

Quantitative modelling of hip fracture trends in 14 European countries: testing variations of a shared reversal over time

Secular Trends in Hip Fractures Worldwide: Opposing Trends East Versus West

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