Trends in incidence of proximal humerus fractures, surgical procedures and outcomes among elderly hospitalized patients with and without type 2 diabetes in Spain (2001–2013)

Martínez-Huedo, Maria A.; Jiménez‐García, Rodrigo; Mora-Zamorano, Eduardo; Hernández-Barrera, Valentín; Villanueva‐Martínez, Manuel; López‐de‐Andrés, Ana

doi:10.1186/s12891-017-1892-7

Cited by 21 publications

(27 citation statements)

References 42 publications

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“…We conducted a survey of patients aged ≥65 years with newly diagnosed PHFs in South Korea between 2008 and 2016 [7, 21, 22]. First, patients with PHFs who received surgical treatment were identified with the ICD-10 codes (S42.2) and the operation codes (ORIF: N0602 and N0612; CRIF: N0992; HA: N2711 and N2716; RSA: N2071 and N2076) from the HIRA database (Table 1) [23].…”

Section: Methodsmentioning

confidence: 99%

“…The HIRA data for 2007 was required to ensure that the observed PHFs were not recurrent entries of fractures that had occurred before 2008 [7]. To avoid multiple counting of ICD-10 codes for PHFs that were conservatively treated more than once during the study period, only the data obtained when the ICD-10 code was first entered for each patient were included [21].…”

Section: Methodsmentioning

confidence: 99%

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Surgical trends in elderly patients with proximal humeral fractures in South Korea: a population-based study

Jo¹,

Lee

2019

BMC Musculoskelet Disord

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Background It is known that there are large regional variations in treatment methods for the management of proximal humeral fractures. The objective of this study was to investigate the national surgical trends in elderly patients with proximal humeral fractures in South Korea. Methods We analyzed the Korean Health Insurance Review and Assessment Service database from 2008 to 2016. International Classification of Diseases, 10th revision codes and procedure codes were used to identify patients aged ≥65 years with proximal humeral fractures. Results A total of 69,120 proximal humeral fractures were identified from 2008 to 2016. The overall operative rate for proximal humeral fractures increased steadily from 24.6% in 2008 to 36.8% in 2016 ( p < 0.001). The rate of cases treated with open reduction and internal fixation tended to increase each year, from 71.5% of the overall surgeries in 2008 to 85.6% in 2016; conversely, the rate of cases treated with closed reduction and internal fixation tended to decrease from 19.9% in 2008 to 4.5% in 2016. In terms of type of arthroplasty procedure, the rate of cases treated with reverse shoulder arthroplasty tended to increase significantly each year, from 8.2% of the overall arthroplasty procedures in 2008 to 52.0% in 2016 ( p < 0.001). The proportion of reverse shoulder arthroplasty was shown to increase especially in patients aged 80 years or older. Conclusion Overall, our findings indicated that surgical treatment of proximal humeral fractures, particularly by open reduction and internal fixation, continues to increase; in terms of type of arthroplasty procedure, the rate of cases treated with reverse shoulder arthroplasty tended to increase.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Surgical trends in elderly patients with proximal humeral fractures in South Korea: a population-based study

Jo¹,

Lee

2019

BMC Musculoskelet Disord

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“…The annual percentage changes (APCs) in the age-adjusted incidence rates of isolated SLAP repair from 2008 to 2017 were calculated using joinpoint regression analysis (Joinpoint Regression Program, version 4.3.1.0; National Cancer Institute, Bethesda, MD, USA). 14,16 All other data sets were analyzed using SAS statistical software version 9.13 (SAS Institute, Cary, NC, USA). Univariate analysis was conducted using t-test.…”

Section: Discussionmentioning

confidence: 99%

National Trends in the Repair of Isolated Superior Labral Tear from Anterior to Posterior in Korea

Oh²,

Jeong

et al. 2020

J Korean Med Sci

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Background: The optimal treatment for superior labral tear from anterior to posterior (SLAP) lesions is controversial. Thus, we aimed to investigate the national surgical trends in isolated SLAP repair in Korea. Methods: We analyzed a nationwide database from the Korean Health Insurance Review and Assessment Service from 2008 to 2017. We investigated the trends in SLAP repair by time, sex, age, and the type of health care institution. Results: From 2008 to 2017, 27,850 isolated SLAP repairs were identified. Age-adjusted incidence rate of isolated SLAP repair increased by 692% from 1.07/100,000 in 2008 to 8.48/100,000 in 2012 (P = 0.005). However, the incidence rate declined significantly after 2012 (P = 0.032) and was 5.28/100,000 in 2017. Sex-specific incidence rate of isolated SLAP repair was 2.3 times higher in men than in women. The decline since 2012 was most evident in patients aged ≥ 40 years (P = 0.01); however, the incidence rates of isolated SLAP repair during the study period were similar between patients aged ≥ 40 years and those aged < 40 years. Moreover, hospitals with 30-100 beds had the greatest change in the number of isolated SLAP repair cases. Conclusion: In Korea, the incidence of isolated SLAP repair increased dramatically until 2012; since then, it has declined. Although the decrease in isolated SLAP repair later in the study was evident in those aged ≥ 40 years, the incidence rate was still relatively high in patients aged ≥ 40 years.

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“…Previous studies have focused on the epidemiology of the more common upper extremity fractures [2] particularly wrist [3], hand [4] and proximal humerus fractures [5,6], while other upper extremity fractures have been rarely described. None of these studies have focused on a rst presenting fracture.…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review of DRF epidemiology examined nine publications addressing secondary risk, that concluded that a prior wrist fracture was associated with approximately a doubling of risk for subsequent fractures [5]. Increasing rates of DRF in both working ages and older adults [6], is a concern for health care cost containment. Hand fracture rates have also been described, and the burden relates to costs and occupational impacts [7,8].…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic, health and fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures in Ontario.

Jc¹,

McClure²,

Richard³

et al. 2020

Preprint

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Background The purpose of this study was to describe 1st incident fractures of the upper extremity in terms of fracture characteristics, demographics, social deprivation and comorbid health profiles. Methods:Cases with a 1st adult upper extremity fracture from the years 2013 to 2017 were extracted from administrative data in Ontario, (population 14.3M). Fracture locations (ICD-10 codes) and associated characteristics (open/closed, associated hospitalization within 1-day, associated nerve or tendon injury) were described by fracture type, age category and sex. Fracture comorbidity characteristics were described in terms of the prevalence of diabetes, rheumatoid arthritis; and the Charlson Comorbidity Index. Social marginalization was expressed using the Ontario Marginalization Index (ON-Marg) for material deprivation, dependency, residential instability, ethnic concentration. ResultsFrom 266,324 first incident UE fractures occurring over 4 years, 51.5% were in women and 48.5% were in men. This masked large differences in age-sex profiles. Most commonly affected were the hand (93K), wrist/forearm(80K), shoulder (48K) or elbow (35K). The highest number of fractures: distal radius (DRF, 47.4K), metacarpal (30.4K), phalangeal (29.9K), distal phalangeal (24.4K), proximal humerus (PHF, 21.7K), clavicle (15.1K), radial head (13.9K), and scaphoid fractures (13.2K). The most prevalent multiple fractures included: multiple radius and ulna fractures (11.8K), fractures occurring in multiple regions of the upper extremity (8.7K), or multiple regions in the forearm (8.4K). Fractures most common in 18 – 40-year-old men included metacarpal and finger fractures. A large increase in fractures in women over the age of 50 occurred for: DRF, PHF and radial head. Tendon (0.6% overall; 8.2% in multiple finger fractures) or nerve injuries (0.3% overall, 1.5% in distal humerus) were rarely reported. Fractures were open in 4.7%, highest for distal phalanx (23%). Diabetes occurred in 15.3%, highest in PHF (29.7%). Rheumatoid arthritis occurred more commonly in women (2.8% vs 0.8% men). The Charlson Index indicated low comorbidity (mean=0.2; median=0: 2.4% 3+), highest in PHF (median=0; 6.6% 3+). Higher fracture burden was related to instability (excess of fractures in lower 2 quartiles 4.8%), although social indices varied by fracture type. ConclusionsFracture specific prevention strategies should consider fracture-specific age-sex interactions, health, behavioural and social risks

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Trends in incidence of proximal humerus fractures, surgical procedures and outcomes among elderly hospitalized patients with and without type 2 diabetes in Spain (2001–2013)

Cited by 21 publications

References 42 publications

Surgical trends in elderly patients with proximal humeral fractures in South Korea: a population-based study

Surgical trends in elderly patients with proximal humeral fractures in South Korea: a population-based study

National Trends in the Repair of Isolated Superior Labral Tear from Anterior to Posterior in Korea

Sociodemographic, health and fracture profiles of a 4-year cohort of 266,324 first incident upper extremity fractures in Ontario.

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