Tendencia, estacionalidad y distribución geográfica de la incidencia de fractura de cadera en un área de salud de la Comunidad Valenciana: (1994-2000)

Tenías, José María; Miedes, Damian Mifsut

doi:10.1590/s1135-57272004000400011

Cited by 18 publications

(1 citation statement)

References 11 publications

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“…Hip fracture is the most serious consequence of osteoporosis. In Spain it is estimated an incidence of hip fracture in people over 50 years-old between 2-3 cases per 1,000 inhabitants/year [ 2 - 5 ], with a male/female distribution of 2-3:5. These figures increase considerably with age, and in subjects over the age of 60, the incidence of hip fracture is 5-7 cases per 1,000 inhabitants/year, with greater occurrence among women [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a population-based prediction scale for osteoporotic fracture in the region of Valencia, Spain: the ESOSVAL-R study

et al. 2010

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BackgroundToday, while there are effective drugs that reduce the risk of osteoporotic fracture, yet there are no broadly accepted criteria that can be used to estimate risks and decide who should receive treatment. One of the actual priorities of clinical research is to develop a set of simple and readily-available clinical data that can be used in routine clinical practice to identify patients at high risk of bone fracture, and to establish thresholds for therapeutic interventions. Such a tool would have high impact on healthcare policies. The main objective of the ESOSVAL-R is to develop a risk prediction scale of osteoporotic fracture in adult population using data from the Region of Valencia, Spain.Methods/DesignStudy design: An observational, longitudinal, prospective cohort study, undertaken in the Region of Valencia, with an initial follow-up period of five years; Subjects: 14,500 men and women over the age of 50, residing in the Region and receiving healthcare from centers where the ABUCASIS electronic clinical records system is implanted; Sources of data: The ABUCASIS electronic clinical record system, complemented with hospital morbidity registers, hospital Accidents & Emergency records and the Regional Ministry of Health's mortality register; Measurement of results: Incident osteoporotic fracture (in the hip and/or major osteoporotic fracture) during the study's follow-up period. Independent variables include clinical data and complementary examinations; Analysis: 1) Descriptive analysis of the cohorts' baseline data; 2) Upon completion of the follow-up period, analysis of the strength of association between the risk factors and the incidence of osteoporotic fracture using Cox's proportional hazards model; 3) Development and validation of a model to predict risk of osteoporotic fracture; the validated model will serve to develop a simplified scale that can be used during routine clinical visits.DiscussionThe ESOSVAL-R study will establish a prediction scale for osteoporotic fracture in Spanish adult population. This scale not only will constitute a useful prognostic tool, but also it will allow identifying intervention thresholds to support treatment decision-making in the Valencia setting, based mainly on the information registered in the electronic clinical records.

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Section: Introductionmentioning

confidence: 99%

Development and validation of a population-based prediction scale for osteoporotic fracture in the region of Valencia, Spain: the ESOSVAL-R study

et al. 2010

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Time trends of age-adjusted incidence rates of first hip fractures: a register-based study among older people in Viborg County, Denmark, 1987–1997

Giversen

2006

Osteoporos Int

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Seasonality of hip fractures and estimates of season-attributable effects: a multivariate ARIMA analysis of population-based data

Lin¹,

Xiraxagar

2006

Osteoporos Int

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Based on our ARIMA regression coefficients for temperature, January, and May, we estimate that 32.1% of total hip fractures in January (the peak incidence month) are attributable to the season effect among seniors aged 75+ years, 17.2% among those aged 65-74 years, and 11.5% among those aged 45-64 years. We find that in a sub-tropical climate the effects of winter on hip fracture propensity is significant and increases with age. The policy implications are discussed.

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Tendencia, estacionalidad y distribución geográfica de la incidencia de fractura de cadera en un área de salud de la Comunidad Valenciana: (1994-2000)

Cited by 18 publications

References 11 publications

Development and validation of a population-based prediction scale for osteoporotic fracture in the region of Valencia, Spain: the ESOSVAL-R study

Development and validation of a population-based prediction scale for osteoporotic fracture in the region of Valencia, Spain: the ESOSVAL-R study

Time trends of age-adjusted incidence rates of first hip fractures: a register-based study among older people in Viborg County, Denmark, 1987–1997

Seasonality of hip fractures and estimates of season-attributable effects: a multivariate ARIMA analysis of population-based data

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