The epidemiology of hip fractures across western Victoria, Australia

Holloway, Kara L.; Sajjad, Muhammad A.; Mohebbi, Mohammadreza; Kotowicz, Mark A.; Livingston, Patricia M.; Khasraw, Mustafa; Hakkennes, Sharon; Dunning, Trisha; Brumby, Susan; Page, Richard; Pedler, Daryl; Sutherland, Alasdair; Venkatesh, Svetha; Brennan-Olsen, Sharon L.; Williams, Lana J.; Pasco, Julie A.

doi:10.1016/j.bone.2017.12.007

Cited by 19 publications

(17 citation statements)

References 43 publications

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“…In our study, this plateauing incidence was very different from the previous rapid increase reported by Xia et al in Beijing, China [ 16 ], or the pattern found in other low- or intermediate-income nations such as South Africa [ 14 ] and Kuwait [ 15 ]. However, most high-income nations, such as the US [ 8 ], Canada [ 9 ], Finland [ 10 ], France [ 11 ], Australia [ 12 ], and Sweden [ 13 ], have reported a plateau or continuing decline after an initial increase. A similar pattern of age-adjusted incidence lagging about 1 decade behind that of high-income countries was also found in Taiwan [ 35 ] and Hong Kong [ 36 ], 2 other economically advanced regions in China.…”

Section: Discussionmentioning

confidence: 99%

“…It is projected that the number of hip fractures worldwide will increase from 1.26 million in 1990 to 4.5 million by 2050, about half of which are likely to occur in Asia, and particularly in China [1]. However, in the past decade, the incidence of hip fracture in high-income nations has declined or reached a plateau after an initial increase [8][9][10][11][12][13]. The vast majority of published studies have been conducted in high-income nations, and the data are scarce in low-or intermediate-income nations [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Incidence of and trends in hip fracture among adults in urban China: A nationwide retrospective cohort study

et al. 2020

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Background Hip fracture is a public health concern because of its considerable morbidity, excess mortality, great risk of disability, and high societal healthcare costs. China has the largest population of older people in the world and is experiencing rapid population aging and facing great challenges from an increasing number of hip fractures. However, few studies reported the epidemiology, especially at a national level. We aimed to evaluate trends in hip fracture incidence and associated costs for hospitalization in China. Methods and findings We conducted a population-based study using data between 2012 and 2016 from the national databases of Urban Employee Basic Medical Insurance and Urban Resident Basic Medical Insurance in China, covering about 480 million residents. Data from around 102.56 million participants aged 55 years and older during the study period were analyzed. A total of 190,560 incident hip fracture patients (mean age 77.05 years, standard deviation 8.94; 63.99% female) were identified. Primary outcomes included the age-and sex-specific incidences of hip fracture. Associated annual costs for hospitalization were also calculated. Incidence was described as per 100,000 person-years at risk, and 95% confidence intervals were computed assuming a Poisson distribution. Hip fracture incidence overall in China did not increase during the study period despite rapid population aging. Incidence per 100,000

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidence of and trends in hip fracture among adults in urban China: A nationwide retrospective cohort study

et al. 2020

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“…The OR can be used to estimate RR when the disease is not common in the studied population (the incidence of the disease less than 10%). As far as we know, the incidence rate of all types of fragility fracture in population over 50 years old was far below 10% [3,[63][64][65]. Herein, the ORs are approximated to the RRs in our meta-analysis [66].…”

Section: Discussionmentioning

confidence: 99%

Fragility fracture discriminative ability of radius quantitative ultrasound: a systematic review and meta-analysis

Luo

et al. 2020

Osteoporos Int

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The fragility fracture discriminative ability of radius quantitative ultrasound (QUS) was evaluated in a systematic review of 13 studies, including 16,681 individuals and 1296 fractures. The radial speed of sound (SOS) per standard deviation (SD) decrease contributed to an increased risk of total and hip fracture by 32% and 66% in women. Osteoporotic fracture, as a devastating consequence of osteoporosis, brings severe socioeconomic burden. The availability of dual-energy X-ray absorptiometry (DXA), as the gold standard of diagnosis, was quite limited in remote areas. Radius QUS measured by SOS shows potential in fracture discriminative ability where DXA equipment is not available. This study aimed to provide a comprehensive evaluation of the association between radius QUS and fracture risk. A detailed article search was carried out on PubMed, EMBASE, Cochrane Libraries, CNKI, Wan-Fang database, VIP, and SinoMed for studies published between January 1980 and February 2020. We determined the estimated relative risk (RR) for fracture per each radial SOS SD decrease. A meta-analysis of studies was performed under the random-effects model. A total of 16,681 individuals were included in this review. Among the participants, 5892 were male and 10,789 were female. A total of 1296 cases of fragility fracture were included. With each SD decrease in radial SOS, the risk of overall fragility fracture and hip fracture was increased by 21% and 55%, respectively. Particularly, the risk was increased by 32% and 66% for women. The association was even stronger for postmenopausal women. Radius QUS showed great potential as an effective tool for fracture risk evaluation, especially for women.

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“…Proximal femur fractures, commonly referred to as hip fractures, constitute one of the largest challenges to modern health care (Cheung et al, 2018;Holloway et al, 2018). With millions of cases worldwide every year (Ström et al, 2011), hip fractures are a significant economic and social concern (Hernlund et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Proximal femur fractures among a medieval Christian population of northern Sudan: prevalence and aetiology

Ciesielska

Stark

2020

Intl J of Osteoarchaeology

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The epidemiology of hip fractures across western Victoria, Australia

Cited by 19 publications

References 43 publications

Incidence of and trends in hip fracture among adults in urban China: A nationwide retrospective cohort study

Incidence of and trends in hip fracture among adults in urban China: A nationwide retrospective cohort study

Fragility fracture discriminative ability of radius quantitative ultrasound: a systematic review and meta-analysis

Proximal femur fractures among a medieval Christian population of northern Sudan: prevalence and aetiology

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