EPIDEMIOLOGY OF FRACTURES OF THE PROXIMAL FEMUR IN ELDERLY RESIDENTS OF YAKUTSK

Bone fractures of the skeleton with a minor injury is a clinical manifestation of osteoporosis and its population-based marker. The incidence of hip fracture varies in different geographic areas and ethnic groups. The aim was to study incidence of hip fractures in patients older than 40 years in the Republic of Sakha (Yakutia, Russian federation) in 2011-2013 and to compare the data with the previous study at the same region performed in 1997-2003. Material and methods. The study is a part of a multi-center international project «Epidemiological study of osteoporotic fractures in Eurasia (EVA).» It was a retrospective study followed by a prospective one. In the retrospective part the information on hip fracture cases registered in the official documents of the orthopedic service in 2011-2012 was collected. The prospective part was conducted in 2013, it was aimed at the identification of the patients with a hip fracture, applied not only in orthopedic department but also to other medical professionals, such as general practitioners. Results. Overall, in three years 426 hip fractures were reported in the city of Yakutsk. The total number of fractures in women was 286 (67.1%), in men - 140 (32.9%). We observed the increase in hip fracture incidence in 2013 (192 cases per 100,000 population in men and 283 per 100,000 in women 50 years old and older) which was 12% higher than in 2011 and 2012. We owe it to improved registration of hip fractures in the group of women 85 years old and older. The hip fracture incidence in this study significantly exceed the data of previous study 15 years ago. Conclusion. In recent years, there is an increase in incidence rates of hip fracture in Yakutsk due to improved hospitalization rates in orthopedic service.

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Epidemiology of osteoporotic fracture in Kazakhstan and development of a country specific FRAX model

Archives of Osteoporosis ◽

10.1007/s11657-020-0701-3 ◽

2020 ◽

Vol 15 (1) ◽

Cited By ~ 4

Author(s):

S. Issayeva ◽

O. Lesnyak ◽

A. Zakroyeva ◽

B. Issayeva ◽

D. Dilmanova ◽

...

Keyword(s):

Hip Fracture ◽

Hip Fractures ◽

Osteoporotic Fractures ◽

Population Based ◽

Trauma Centre ◽

Fracture Incidence ◽

Hip Fracture Incidence ◽

The Republic ◽

Country Specific ◽

Population Based Survey

Abstract Summary Retrospective and prospective population-based survey in a region of the Republic of Kazakhstan determined the incidence of fractures at the hip, proximal humerus and distal forearm. The hip fracture rates were used to create a FRAX® model to enhance fracture risk assessment in Kazakhstan. Objective This paper describes the epidemiology of osteoporotic fractures in the Republic of Kazakhstan that was used to develop a country specific FRAX® tool for fracture prediction. Methods We carried out a retrospective population-based survey in Taldykorgan in the Republic of Kazakhstan representing approximately 1% of the country’s population. Hip, forearm and humerus fractures were identified retrospectively in 2015 and 2016 from hospital registers and the trauma centre. Hip fractures were prospectively identified in 2017 from the same sources and additionally from primary care data. Age- and sex-specific incidence of hip fracture and national mortality rates were incorporated into a FRAX model for Kazakhstan. Fracture probabilities were compared with those from neighbouring countries having FRAX models. Results The difference in hip fracture incidence between the retrospective and prospective survey indicated that approximately 25% of hip fracture cases did not come to hospital attention. The incidence of hip fracture applied nationally suggested that the estimated number of hip fractures nationwide in persons over the age of 50 years for 2015 was 11,690 and is predicted to increase by 140% to 28,000 in 2050. Hip fracture incidence was a good predictor of forearm and humeral fractures in men but not in women. Conclusion The FRAX model should enhance accuracy of determining fracture probability among the Kazakh population and help guide decisions about treatment.

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Marked socioeconomic inequalities in hip fracture incidence rates during the Bone and Joint Decade (2000–2010) in Portugal: age and sex temporal trends in a population based study

Journal of Epidemiology & Community Health ◽

10.1136/jech-2015-206508 ◽

2016 ◽

Vol 70 (8) ◽

pp. 755-763 ◽

Cited By ~ 4

Author(s):

Carla Maria Oliveira ◽

Sandra Maria Alves ◽

Maria Fátima Pina

Keyword(s):

Hip Fracture ◽

Temporal Trends ◽

Population Based ◽

Incidence Rates ◽

Socioeconomic Inequalities ◽

Fracture Incidence ◽

Population Based Study ◽

Hip Fracture Incidence ◽

Joint Decade ◽

Age And Sex

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The Decline of Hip Fracture Incidence Rates Over a 10-Year period: A Single Centre Experience

Injury ◽

10.1016/j.injury.2021.04.051 ◽

2021 ◽

Author(s):

Eoghan Meagher ◽

Stanly Varghese ◽

James A. Harty ◽

Padhraig F. O'Loughlin

Keyword(s):

Hip Fracture ◽

Incidence Rates ◽

Fracture Incidence ◽

Single Centre ◽

Hip Fracture Incidence ◽

Single Centre Experience

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A comparison of hip fracture incidence rates among elderly in Sweden by latitude and sunlight exposure

Scandinavian Journal of Public Health ◽

10.1177/1403494813510794 ◽

2013 ◽

Vol 42 (2) ◽

pp. 201-206 ◽

Cited By ~ 7

Author(s):

Finn Nilson ◽

Syed Moniruzzaman ◽

Ragnar Andersson

Keyword(s):

Hip Fracture ◽

Incidence Rates ◽

Sunlight Exposure ◽

Fracture Incidence ◽

Hip Fracture Incidence

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Hip Fracture Incidence Rates in Singapore 1991–1998

Osteoporosis International ◽

10.1007/s001980170121 ◽

2001 ◽

Vol 12 (4) ◽

pp. 311-318 ◽

Cited By ~ 91

Author(s):

L. K. H. Koh ◽

◽

S.-M. Saw ◽

J. J. M. Lee ◽

K.-H. Leong ◽

...

Keyword(s):

Hip Fracture ◽

Incidence Rates ◽

Fracture Incidence ◽

Hip Fracture Incidence

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Epidemiology of osteoporotic fracture in Moldova and development of a country-specific FRAX model

Archives of Osteoporosis ◽

10.1007/s11657-019-0669-z ◽

2020 ◽

Vol 15 (1) ◽

Cited By ~ 6

Author(s):

Alla Zakroyeva ◽

Olga Lesnyak ◽

Victor Cazac ◽

Liliana Groppa ◽

Eugen Russu ◽

...

Keyword(s):

Hip Fracture ◽

Osteoporotic Fractures ◽

Population Based ◽

Fracture Probability ◽

Republic Of Moldova ◽

National Mortality ◽

The Republic ◽

Specific Fracture ◽

Country Specific ◽

Population Based Survey

Abstract Summary Retrospective population-based survey in 2 regions of the Republic of Moldova determined the incidence of fractures at the hip, proximal humerus and distal forearm. The estimated number of such fractures nationwide for 2015 was 11,271 and is predicted to increase to 15,863 in 2050. The hip fracture rates were used to create a FRAX model to help guide decisions about treatment. Objective This paper describes the epidemiology of osteoporotic fractures in Republic of Moldova that was used to develop the country-specific fracture prediction FRAX® tool. Methods We carried out a retrospective population-based survey in 2 regions of the Republic of Moldova (Anenii Noi district and Orhei district) representing approximately 6% of the country’s population. We identified hip, forearm and humerus fractures in 2011 and 2012 from hospital registers and primary care sources. Age- and sex-specific incidence of hip fracture and national mortality rates were incorporated into a FRAX model for Moldova. Fracture probabilities were compared with those from neighbouring countries having FRAX models. Results The incidence of hip fracture applied nationally suggested that the estimated number of hip fractures nationwide in persons over the age of 50 years for 2015 was 3911 and is predicted to increase by 60% to 6492 in 2050. Hip fracture incidence was a good predictor of forearm and humeral fractures. FRAX-based probabilities were higher in Moldova than neighbouring countries (Ukraine and Romania). Conclusion The FRAX model should enhance accuracy of determining fracture probability among the Moldavan population and help guide decisions about treatment.

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Epidemiology of hip fracture and the development of a FRAX model for Uzbekistan

Archives of Osteoporosis ◽

10.1007/s11657-020-00792-7 ◽

2020 ◽

Vol 15 (1) ◽

Cited By ~ 1

Author(s):

O Lesnyak ◽

S Ismailov ◽

M Shakirova ◽

N Alikhanova ◽

A Zakroyeva ◽

...

Keyword(s):

Hip Fracture ◽

Hip Fractures ◽

Mortality Rates ◽

Population Based ◽

Fracture Probability ◽

Medical Attention ◽

National Mortality ◽

The Republic ◽

Country Specific ◽

Population Based Survey

Abstract Summary A prospective population-based survey in a region of the Republic of Uzbekistan determined the incidence of fractures at the hip. The hip fracture rates were used to create a FRAX® model to facilitate fracture risk assessment in Uzbekistan. Objective This paper describes the epidemiology of hip fracture in the Republic of Uzbekistan that was used to develop a country-specific FRAX® tool for fracture prediction. Methods During a 1-year (2016/17) prospective population-based survey in the Pap district of the Republic of Uzbekistan, hip fractures were prospectively identified from hospital registers, trauma centres and primary care and community sources. Age- and sex-specific incidence of hip fracture and national mortality rates were incorporated into a FRAX model for Uzbekistan. Fracture probabilities were compared with those from neighbouring Kazakhstan and Kyrgystan. Results Approximately 41% of hip fracture cases did not come to medical attention, and two thirds of patients overall were not admitted to hospital. The incidence of hip fracture applied nationally suggested that the estimated number of hip fractures nationwide in persons over the age of 50 years for 2015 was 16,764 and is predicted to increase more than three-fold to 60,272 in 2050. FRAX-based probabilities were higher in Uzbekistan than Kazakhstan or Kyrgystan. Conclusion The FRAX model should enhance accuracy of determining fracture probability among the Uzbek population and help guide decisions about treatment.

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The relationship between temperature and hip and wrist fracture incidence

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2020.0030 ◽

2020 ◽

Vol 102 (5) ◽

pp. 348-354

Author(s):

NA Johnson ◽

ERB Stirling ◽

M Alexander ◽

JJ Dias

Keyword(s):

Hip Fracture ◽

Incidence Rates ◽

Wrist Fracture ◽

Fracture Incidence ◽

Fracture Rate ◽

Wrist Fractures ◽

Hip Fracture Incidence ◽

Bed Days ◽

The Relationship ◽

Reduced Temperature

Introduction Predicting when fracture incidence will rise assists in healthcare planning and delivery of preventative strategies. The aim of this study was to investigate the relationship between temperature and the incidence of hip and wrist fractures. Methods Data for adults presenting to our unit with a hip or wrist fracture over a seven and eight-year period respectively were analysed. Incidence rates were calculated and compared with meteorological records. A Poisson regression model was used to quantify the relationship between temperature and fracture rate. Results During the respective study periods, 8,380 patients presented with wrist fractures and 5,279 patients were admitted with hip fractures. All women (≥50 years: p<0.001; <50 years: p<0.001) and men aged ≥50 years (p=0.046) demonstrated an increased wrist fracture rate with reduced temperature. Men aged <50 years also had an increased wrist fracture rate with increased temperature (p<0.001). The hip fracture rate was highest in women aged ≥50 years but was not associated with temperature (p=0.22). In men aged ≥50 years, there was a significant relationship between reduced temperature and increased fracture rate (p<0.001). Conclusions Fragility fracture of the wrist is associated with temperature. Compared with an average summer, an additional 840 procedures are performed for wrist fractures during an average winter in our trust with an additional 798 bed days taken up at a cost of £3.2 million. The winter increase seen in male hip fracture incidence requires approximately 888 surgical procedures, with 18,026 bed days, and costs £7.1 million. Hip fracture incidence in older women is not related to temperature.

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