Older Male Physicians Have Lower Risk of Trochanteric but Not Cervical Hip Fractures

Abstract

Background: Osteoporosis is pathophysiologically related to trochanteric fractures, and this condition is more preventable by lifestyle modifications than cervical fractures. We investigated whether older physicians, who are health-conscious people, are at a lower risk of hip fractures because of fewer trochanteric fractures. Methods: Data regarding older (≥65 years) physicians (n = 4303) and matched non-medical persons (control) were retrieved from Taiwan’s National Health Insurance claims. All of the subjects were obtained from NHIRD with index dates from 1 January 2000 to 31 December 2008. Cox proportional hazard and competing risk regression models were established to estimate the hazard ratio (HR) of hip fracture associated with older physicians. Results: The incidence rates of trochanteric fractures were lower in older physicians than in controls (1.73 and 3.07 per 1000 person-years, respectively), whereas the rates of cervical fractures were similar between the two groups (2.45 and 2.12 per 1000 person-years, respectively). Older physicians yielded 46% lower hazard of trochanteric fractures than controls (adjusted HR 0.54, 95% confidence interval 0.37–0.79); by contrast, hazards of cervical fractures were comparable between the two groups. The HRs estimated from the competing risk models remained unchanged. Conclusions: Our findings indicated that health risk awareness may pose a significant preventive effect on trochanteric hip fractures.

Managing an ageing healthcare workforce: a systematic literature review

“…Under this category, articles covering specific health risk awareness among health workers were also reviewed (Shen et al. , 2015; Smyth et al.…”

“…Under this category, articles covering specific health risk awareness among health workers were also reviewed (Shen et al, 2015;Smyth et al, 2016;Soylar et al, 2019). These studies show the importance to find out more regarding health workers' attitudes and knowledge regarding health risks.…”

Increased risk of pelvic fracture after radiotherapy in rectal cancer survivors: A propensity matched study

“…Pelvic fracture is defined as patients with International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Codes 808, 805.4-805.7, 806.4-806.7, and 820 (including pelvic, sacrum, lumbar vertebral fracture, and femoral neck fracture) during the follow-up time. [14][15][16][17] The radiation field of rectal cancer is usually designed to cover tumor or tumor bed, mesorectal, presacral, and internal iliac bones, and sometimes also included external iliac nodes in some cases. 18 In contrast to pelvic bone, arm would not be irradiated and can be used as a comparison to evaluate the effect of radiation.…”