Nationwide survey of hip fractures in Japan

Hagino, Hiroshi; Nakamura, Toshio; Sakamoto, Keizo; Yamamoto, Kichizo; Endo, Naoto; Mori, Satoshi; Mutoh, Yoshiteru; Yamamoto, Seiji; Harada, Atsushi; Kushida, Kazuhiro; Tanizawa, Tatsuhiko; Hotokebuchi, Takao; Takaoka, Kunio; Tomita, Katsuro; Kawai, Shinya; Takahashi, Hideaki; Inoue, Tetsuo; Kurokawa, Takahide; Yamamto, Hiroshi

doi:10.1007/s00776-003-0741-8

Cited by 73 publications

(38 citation statements)

References 11 publications

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“…Patients with isolated fractures of the greater trochanter, subtrochanteric fracture, or pathologic fracture were excluded. Registration forms according to the nationwide survey of the JOA [10] were sent to the 13 institutions by mail, and registration was performed by doctors at each hospital according to their hospital records. Variables examined included sex, age, affected side, fracture type (neck vs. trochanteric), place where the fracture occurred (indoors vs. outdoors), and cause of injury.…”

Section: Methodsmentioning

confidence: 99%

“…Variables examined included sex, age, affected side, fracture type (neck vs. trochanteric), place where the fracture occurred (indoors vs. outdoors), and cause of injury. Cause of injury was divided into 6 categories according to the nationwide survey: in bed, simple fall, fall on stairs, traffic accident, could not be recalled, and unknown [10]. …”

Section: Methodsmentioning

confidence: 99%

“…However, there are differences in their international [1,2] and age-related [3-8] incidences. For example, Northern Europe and Africa [5,8,9] have a higher incidence of neck fractures, while Japan [10-12] and the Mediterranean region [13,14] have a higher incidence of trochanteric fractures.…”

Section: Introductionmentioning

confidence: 99%

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Urban versus rural differences in the occurrence of hip fractures in Japan’s Kyoto prefecture during 2008–2010: a comparison of femoral neck and trochanteric fractures

Horii

Fujiwara

Ikeda

et al. 2013

BMC Musculoskelet Disord

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BackgroundTo investigate the differences in the characteristics of femoral neck and trochanteric fractures between urban and rural areas of Kyoto Prefecture in Japan.MethodsFracture type (neck vs. trochanteric), age, sex, place where fracture occurred (indoors vs. outdoors), and cause of injury were surveyed among patients aged ≥65 years who sustained hip fractures between 2008 and 2010 and who were treated at 1 of 13 participating hospitals (5 urban, 8 rural). The ratio of sick beds to total number of beds at the participating hospitals was 19.6% (2,188/11,158) in the urban area and 34.9% (1,963/5,623) in the rural area. We also investigated the incidence of hip fracture in Tango medical district as a representative rural area.ResultsThere were 1,346 neck (mean age, 82.4 years) and 1,606 trochanteric fractures (mean age, 85.0 years). The ratio of neck to trochanteric fractures was higher in the urban area than in the rural area in all age groups (65–74, 75–84, and ≥ 85 years). There were no apparent differences in place or cause of injury. The incidence of hip fracture in the women of Tango medical district was lower than the national average.ConclusionsThere was a difference in the ratio of neck to trochanteric fractures between urban and rural areas. This difference is estimated to be caused by the high and low incidence of neck fracture in urban and rural areas, respectively.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Urban versus rural differences in the occurrence of hip fractures in Japan’s Kyoto prefecture during 2008–2010: a comparison of femoral neck and trochanteric fractures

Horii

Fujiwara

Ikeda

et al. 2013

BMC Musculoskelet Disord

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“…The incidence rate of hip fractures rises substantially with age, especially after 65 years, and almost 50% occur in the elderly who are 80 years or older [1,2]. Life-time risk of hip fracture at 50 years of age was 14% in Japan, 16% in the United States (US) and 14% in the United Kingdom [3].…”

Section: Introductionmentioning

confidence: 99%

Comparison of lengths of hospital stay after surgery and mortality in elderly hip fracture patients between Japan and the United States – the relationship between the lengths of hospital stay after surgery and mortality

Kondo

Zierler

Isokawa

et al. 2009

Disability and Rehabilitation

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“…2 A national survey in Japan showed that 94% of the patients with hip fracture undergo surgical treatment. 3 However, whether surgery conducted early after admission is beneficial and the factors causing surgical delay remain controversial. Some investigators observed a positive effect of early operation on the mortality rate, 4e10 whereas others reported a higher mortality rate for operations conducted within 24 h 11 and 72 h. 12 Many more do not find any effect of early surgery on the mortality rate.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of early surgery and causes of surgical delay in patients with hip fracture

Hagino¹,

Ochiai²,

Senga³

et al. 2015

Journal of Orthopaedics

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Nationwide survey of hip fractures in Japan

Cited by 73 publications

References 11 publications

Urban versus rural differences in the occurrence of hip fractures in Japan’s Kyoto prefecture during 2008–2010: a comparison of femoral neck and trochanteric fractures

Urban versus rural differences in the occurrence of hip fractures in Japan’s Kyoto prefecture during 2008–2010: a comparison of femoral neck and trochanteric fractures

Comparison of lengths of hospital stay after surgery and mortality in elderly hip fracture patients between Japan and the United States – the relationship between the lengths of hospital stay after surgery and mortality

Efficacy of early surgery and causes of surgical delay in patients with hip fracture

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