Secular trends in the incidence of hip and other osteoporotic fractures

Cooper, C., Cole, Z. A., Holroyd, C., Earl, S. C., Harvey, N. C., Dennison, E. M., Melton, L. J., Cummings, S. R. and Kanis, J. A. (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporosis International, 22 (5), 1277-1288. (doi:10.1007/s00198-011-1601-6). (PMID:21461721)

Abstract

Osteoporosis constitutes a major public health problem through its association with age-related fractures,
most notably those of the proximal femur. Substantial
geographic variation has been noted in the incidence of hip
fracture throughout the world, and estimates of recent
incidence trends have varied widely. Studies in the published literature have reported an increase, plateau, and
decrease in age-adjusted incidence rates for hip fracture
among both men and women. Accurate characterisation of
these temporal trends is important in predicting the health
care burden attributable to hip fracture in future decades.
We therefore conducted a review of studies worldwide,
addressing secular trends in the incidence of hip and other
fractures. Studies in western populations, whether in North
America, Europe or Oceania, have generally reported
increases in hip fracture incidence through the second half
of the last century, but those continuing to follow trends
over the last two decades have found that rates stabilise
with age-adjusted decreases being observed in certain
centres. In contrast, some studies suggest that the rate is
rising in Asia. This synthesis of temporal trends in the
published literature will provide an important resource for
preventing fractures. Understanding the reasons for the
recent declines in rates of hip fracture may help understand
ways to reduce rates of hip fracture worldwide.

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Contributors

Author: C. Cooper

Author: N. C. Harvey

Author: E. M. Dennison

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