Ramón Mazzucchelli Esteban1, Elia Pérez-Fernández2, Natalia Crespí-Villarías3, Alberto García-Vadillo4, Gil Rodriguez-Caravaca5, Angel Gil de Miguel5, Loreto Carmona6. 1. Department of Rheumatology, Hospital Universitario Fundación Alcorcón, Madrid, Spain. RMazzucchelli@fhalcorcon.es. 2. Department of Clinical Research, Hospital Universitario Fundación Alcorcón, Madrid, Spain. 3. Centro de Salud La Rivota (Alcorcón), Madrid, Spain. 4. Department of Rheumatology, Hospital Universitario de la Princesa, Madrid, Spain. 5. Department of Preventive Medicine and Public Health, Universidad Rey Juan Carlos, Madrid, Spain. 6. Instituto de Salud Musculoesquelética, Madrid, Spain.
Abstract
Our aim was to analyze trends in osteoporotic hip fracture rates in a suburban health area over a long time period. We detected a steady decrease, especially in women, that could be explained by historical, administrative, lifestyle changes as well as by medical behavior. PURPOSE: The purpose of this study was to analyze trends in osteoporotic hip fracture rates in a suburban health area over a long time period. METHODS: This is an ecological retrospective study of all discharges occurring in the Alcorcón health area and registered in the minimum basic data set (MBDS). The incidence of osteoporotic hip fracture was calculated by age and sex strata over the last 17 years. General lineal models were used to analyze trends. RESULTS: Between 1999 and 2015, 4271 osteoporotic hip fractures occurred in people over 45 (78% women; mean age 83). The annual osteoporotic hip fracture rate was 290/100,000 persons over 45 (women 428; men 134), or 767/100,000 persons over 65 (women 1087, men 364). The incidence of fractures decreased yearly by 3.6% (95% CI 2.8 to 4.5) in the 1999-2015 period (p < 0.001) and was more pronounced in women [3.9% (95% CI 3.0 to 4.8)] than in men [2.4% (95% CI 0.9 to 3.8)]. In people over 65 years, fracture incidence decreased yearly by 3.7% (95% CI 2.8 to 4.6; p < 0.001). Again, this was more pronounced in women [4% (95% CI 3.05 to 4.9)] than in men [2.4 (95% CI 0.8 to 3.9)] while the female/male ratio decreased from 4.45 in 1999 to 2.4 in 2015. These differences were similar for extracapsular and intracapsular fractures. CONCLUSIONS: These findings suggest a downward trend in the incidence of hip fracture in Alcorcón, both in men and in women. Possible explanations are discussed, including the effectiveness of osteoporosis diagnosis and treatment campaigns over the last 20 years, and the so-called "cohort effect."
Our aim was to analyze trends in osteoporotic hip fracture rates in a suburban health area over a long time period. We detected a steady decrease, especially in women, that could be explained by historical, administrative, lifestyle changes as well as by medical behavior. PURPOSE: The purpose of this study was to analyze trends in osteoporotic hip fracture rates in a suburban health area over a long time period. METHODS: This is an ecological retrospective study of all discharges occurring in the Alcorcón health area and registered in the minimum basic data set (MBDS). The incidence of osteoporotic hip fracture was calculated by age and sex strata over the last 17 years. General lineal models were used to analyze trends. RESULTS: Between 1999 and 2015, 4271 osteoporotic hip fractures occurred in people over 45 (78% women; mean age 83). The annual osteoporotic hip fracture rate was 290/100,000 persons over 45 (women 428; men 134), or 767/100,000 persons over 65 (women 1087, men 364). The incidence of fractures decreased yearly by 3.6% (95% CI 2.8 to 4.5) in the 1999-2015 period (p < 0.001) and was more pronounced in women [3.9% (95% CI 3.0 to 4.8)] than in men [2.4% (95% CI 0.9 to 3.8)]. In people over 65 years, fracture incidence decreased yearly by 3.7% (95% CI 2.8 to 4.6; p < 0.001). Again, this was more pronounced in women [4% (95% CI 3.05 to 4.9)] than in men [2.4 (95% CI 0.8 to 3.9)] while the female/male ratio decreased from 4.45 in 1999 to 2.4 in 2015. These differences were similar for extracapsular and intracapsular fractures. CONCLUSIONS: These findings suggest a downward trend in the incidence of hip fracture in Alcorcón, both in men and in women. Possible explanations are discussed, including the effectiveness of osteoporosis diagnosis and treatment campaigns over the last 20 years, and the so-called "cohort effect."
Entities:
Keywords:
Ecological; Epidemiology; Hip fracture; Incidence; Osteoporosis
Authors: Marta Galvez-Fernandez; Maria Grau-Perez; Tamara Garcia-Barrera; Sara Ramirez-Acosta; Jose L Gomez-Ariza; Beatriz Perez-Gomez; Iñaki Galan-Labaca; Ana Navas-Acien; Josep Redon; Laisa S Briongos-Figuero; Antonio Dueñas-Laita; Jose Luis Perez-Castrillon; Maria Tellez-Plaza; Juan Carlos Martin-Escudero Journal: Free Radic Biol Med Date: 2020-10-31 Impact factor: 8.101
Authors: V V Povoroznyuk; N V Grygorieva; J A Kanis; E V McCloskey; H Johansson; S S Strafun; M O Korzh; V M Vaida; F V Klymovytsky; V S Forosenko; R O Vlasenko Journal: J Osteoporos Date: 2018-06-03
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: Marta M Rey-Rodriguez; M A Vazquez-Gamez; Mercè Giner; Fernando Garrachón-Vallo; Luis Fernández-López; Miguel Angel Colmenero; María-José Montoya-García Journal: BMJ Open Date: 2020-09-24 Impact factor: 2.692