Substantial changes in fracture rates in German hospitals in 2018 compared with 2002: an epidemiological study

Hemmann, Philipp; Friederich, Maximilian; Bahrs, Christian; Jacoby, Johann; Körner, Daniel

doi:10.1007/s00402-021-03874-4

Cited by 3 publications

(2 citation statements)

References 35 publications

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“…Fractures, the most debilitating consequence of osteoporosis, have been projected to increase in number worldwide with large differences between regions and countries [5][6][7]. In countries neighboring Switzerland, and more generally in the EU [8], reasonable epidemiological data is available for hip fractures [9][10][11][12] but much less is known about fractures of the spine, distal radius, and proximal humerus [12][13][14][15]. Furthermore, long-term trends covering several decades generally rely on extrapolations [16].…”

Section: Introductionmentioning

confidence: 99%

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Hospitalizations for major osteoporotic fractures in Switzerland: a long-term trend analysis between 1998 and 2018

et al. 2022

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Between 1998 and2018, the number of hospitalizations for major osteoporotic fractures increased. After standardization for age, these numerical increases translated into a reduced incidence of hospitalizations for hip fractures and an increased incidence of hospitalizations for spine, proximal humerus, and distal radius fractures in both sexes. Introduction The longterm epidemiological trends of hospitalizations for major osteoporotic fractures (MOF) between 1998 and 2018 in Switzerland are unknown. Methods The absolute number of acute hospitalizations for MOF (hip fractures and fractures of the spine, proximal humerus, and distal radius) and related length of acute hospital stay were extracted from the medical database of the Swiss Federal Office of Statistics. Age-standardized incidence rates were calculated using 1998 as the reference year. Results Hospitalizations for MOF increased from 4483 to 7542 (+ 68.2%) in men and from 13,242 to 19,362 (+ 46.2%) in women. The age-standardized incidence of hospitalizations for MOF increased by 5.7% in men (p = 0.002) and by 5.1% in women (p = 0.018). The age-standardized incidence of hip fractures decreased by 15.3% in men (p < 0.001) and by 21.5% in women (p < 0.001). In parallel, the age-standardized incidence of MOF other than hip fractures increased by 31.8% in men (p < 0.001) and by 40.1% in women (p < 0.001). The mean length of acute hospital stays for MOF decreased from 16.3 to 8.5 days in men and from 16.9 to 8.1 days in women. Conclusion Between 1998 and 2018, the number of hospitalizations for MOF increased significantly by a larger extent than expected based on the ageing of the Swiss population alone. This increase was solely driven by an increased incidence of MOF other than hip fractures as incident hip fractures decreased over time in both sexes, more so in women than in men.

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Section: Introductionmentioning

confidence: 99%

“…Furthermore, long-term trends covering several decades generally rely on extrapolations [ 16 ]. Finally, data reporting may vary by country and by publication, ranging from absolute numbers or crude incidences [ 11 ] to age-standardized incidences [ 9 , 10 , 12 , 15 ].…”

Section: Introductionmentioning

confidence: 99%