BACKGROUND: Fracture epidemiology in adults is changing but there is very little information about the rate of change or whether the change affects males and females equally. METHODS: We have compared fracture incidence in two similar populations 50-60 years apart. A study of fractures in Dundee, Scotland and Oxford, England, in 1954-1958, was compared with a similar cohort of fractures in Edinburgh, Scotland, in 2010-2011. Fracture incidence in patients >35 years was recorded in both time periods. RESULTS: The incidence of fractures increased by 50% between the two time periods, although the increase in males was only 5% compared with 85% in females. The spectrum of fractures has changed considerably, and there has been an increase in the incidence of both fragility and non-fragility fractures. Analysis showed an increased incidence of fall-related fractures in all age groups in both males and females. INTERPRETATION: There has been a substantial change in the incidence of fractures in the last 50-60 years. These have been caused by greater longevity and by considerable social and economic changes.
BACKGROUND:Fracture epidemiology in adults is changing but there is very little information about the rate of change or whether the change affects males and females equally. METHODS: We have compared fracture incidence in two similar populations 50-60 years apart. A study of fractures in Dundee, Scotland and Oxford, England, in 1954-1958, was compared with a similar cohort of fractures in Edinburgh, Scotland, in 2010-2011. Fracture incidence in patients >35 years was recorded in both time periods. RESULTS: The incidence of fractures increased by 50% between the two time periods, although the increase in males was only 5% compared with 85% in females. The spectrum of fractures has changed considerably, and there has been an increase in the incidence of both fragility and non-fragility fractures. Analysis showed an increased incidence of fall-related fractures in all age groups in both males and females. INTERPRETATION: There has been a substantial change in the incidence of fractures in the last 50-60 years. These have been caused by greater longevity and by considerable social and economic changes.
Authors: Marna R Greenberg; Bryan G Kane; Vicken Y Totten; Neha P Raukar; Elizabeth C Moore; Tracy Sanson; Robert D Barraco; Michael C Nguyen; Federico E Vaca Journal: Acad Emerg Med Date: 2014-12 Impact factor: 3.451
Authors: B J F Dean; L D Jones; A J R Palmer; R D Macnair; P E Brewer; C Jayadev; A N Wheelton; D E J Ball; R S Nandra; R S Aujla; A E Sykes; A J Carr Journal: Bone Joint Res Date: 2016-05 Impact factor: 5.853
Authors: Vili Palola; Ville Ponkilainen; Tuomas Huttunen; Antti Launonen; Ville M Mattila Journal: Arch Orthop Trauma Surg Date: 2020-08-30 Impact factor: 3.067