Rafael Azagra1, Francisco López-Expósito2, Juan Carlos Martin-Sánchez3, Amada Aguyé-Batista4, Paula Gabriel-Escoda5, Marta Zwart6, Miguel Angel Díaz-Herrera7, Jesús Pujol-Salud8, Milagros Iglesias-Martínez9, Núria Puchol-Ruiz9. 1. Departamento de Medicina, Universitat Autònoma de Barcelona, Barcelona, España; Equipo de Atención Primaria de Badia del Vallès, Institut Català de la Salut, Grupo de Investigación GROIMAP, Unitat de Suport a la Recerca MN-IDIAP Jordi Gol, Badia del Vallès, Barcelona, España; Idcsalud, Hospital General de Catalunya, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España. Electronic address: rafael.azagra@uab.cat. 2. Departamento de Medicina, Universitat Autònoma de Barcelona, Barcelona, España; Equipo de Atención Primaria Bon Pastor, Institut Català de la Salut, Barcelona, España. 3. Unidad de Bioestadística, Departamento de Ciencias Básicas, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España. 4. Equipo de Atención Primaria Granollers Centre, Institut Català de la Salut, Barcelona, España. 5. Equipo de Atención Primaria Barberà del Vallès, Institut Català de la Salut, Grupo de Investigación GROIMAP, Unitat de Suport a la Recerca MN-IDIAP Jordi Gol, Barberà del Vallès , Barcelona, España. 6. Equipo de Atención Primaria Can Gibert del Pla (Girona-2), Institut Català de la Salut, Girona, España. 7. Equipo de Atención Primaria Cornellà-2 (Sant Ildefons), Cornellà, Barcelona, España. 8. Equipo de Atención Primaria Balaguer, Institut Català de la Salut, Universitat de Lleida, Balaguer, Lleida, España. 9. Equipo de Atención Primaria de Badia del Vallès, Institut Català de la Salut, Grupo de Investigación GROIMAP, Unitat de Suport a la Recerca MN-IDIAP Jordi Gol, Badia del Vallès, Barcelona, España.
Abstract
BACKGROUND AND OBJECTIVE: To analyse differences in the incidence of hip fracture in people older than 65 years in the 17 autonomous communities (AA. CC.) (regions) of the Spanish state in the 1997-2010 period. MATERIAL AND METHODS: Ecological, observational and retrospective study that includes people≥65 year old who have suffered a hip fracture in Spain over 14 years. These records are taken from the minimum basic data set of patients treated in all hospitals of Spain. RESULTS: The analysis include 534,043 hip fractures in≥65 year olds (414,518 women and 119,525 men). A percentage of 85.4 of hip fractures occurred in people≥75 years (86.7% women; 80.7% men). The adjusted hip fracture rate/100,000/year was 722.6 in women and 284.8 in men. AA. CC. with women above the average of the country were 7, including Catalonia, Comunidad Valenciana and Castilla-La Mancha. Six AA. CC. had patients below the average, including Canary Islands and Galicia. In AA. CC. with highest and lowest adjusted hip fracture rate/100,000/year, the difference was 44% lower in women (Canary vs. Castilla-La Mancha) and 50% lower in men (Galicia vs. Catalonia). CONCLUSIONS: The analysis of the incidence of hip fracture in Spain in people≥65 year old shows a significant variability between AA. CC. Except in Canary Islands, this variability is difficult to explain only by factors such as population age, sun exposure or north-south gradient. Additional studies are needed to analyse the causes of these important differences between Spanish AA. CC.
BACKGROUND AND OBJECTIVE: To analyse differences in the incidence of hip fracture in people older than 65 years in the 17 autonomous communities (AA. CC.) (regions) of the Spanish state in the 1997-2010 period. MATERIAL AND METHODS: Ecological, observational and retrospective study that includes people≥65 year old who have suffered a hip fracture in Spain over 14 years. These records are taken from the minimum basic data set of patients treated in all hospitals of Spain. RESULTS: The analysis include 534,043 hip fractures in≥65 year olds (414,518 women and 119,525 men). A percentage of 85.4 of hip fractures occurred in people≥75 years (86.7% women; 80.7% men). The adjusted hip fracture rate/100,000/year was 722.6 in women and 284.8 in men. AA. CC. with women above the average of the country were 7, including Catalonia, Comunidad Valenciana and Castilla-La Mancha. Six AA. CC. had patients below the average, including Canary Islands and Galicia. In AA. CC. with highest and lowest adjusted hip fracture rate/100,000/year, the difference was 44% lower in women (Canary vs. Castilla-La Mancha) and 50% lower in men (Galicia vs. Catalonia). CONCLUSIONS: The analysis of the incidence of hip fracture in Spain in people≥65 year old shows a significant variability between AA. CC. Except in Canary Islands, this variability is difficult to explain only by factors such as population age, sun exposure or north-south gradient. Additional studies are needed to analyse the causes of these important differences between Spanish AA. CC.
Authors: Aníbal García-Sempere; Isabel Hurtado; José Sanfélix-Genovés; Clara L Rodríguez-Bernal; Rafael Gil Orozco; Salvador Peiró; Gabriel Sanfélix-Gimeno Journal: Sci Rep Date: 2017-09-18 Impact factor: 4.379
Authors: Tim J S Chesser; Dominic Inman; Antony Johansen; Alberto Belluati; Carlotta Pari; Achille Contini; Stijn C Voeten; Johannes H Hegeman; Kornelis J Ponsen; Nuria Montero-Fernández; Alberto Delgado-Martínez; Francisco Chana-Rodríguez Journal: OTA Int Date: 2020-03-23
Authors: Ramón Mazzucchelli; Elia Pérez Fernandez; Natalia Crespí-Villarías; Javier Quirós-Donate; Alberto García Vadillo; María Espinosa; Marina Peña; Cristina Macía-Villa; Jose Luis Morell-Hita; Cristina Martinez-Prada; Virginia Villaverde; Inmaculada Morado Quiroga; Olalla Guzón-Illescas; Carmen Barbadillo; Manuel Fernández Prada; Hilda Godoy; Angela Herranz Varela; María Galindo Izquierdo; Gil Rodriguez Caravaca Journal: RMD Open Date: 2018-06-04
Authors: Antonio Juan; Guillem Frontera; Ana Paula Cacheda; Inmaculada Ros; Javier Narváez; Bartolomé Marí; Joan Miquel Nolla Journal: Mediterr J Rheumatol Date: 2020-03-31