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Secular trends in the incidence of hip and other osteoporotic fractures

Secular trends in the incidence of hip and other osteoporotic fractures
Secular trends in the incidence of hip and other osteoporotic fractures
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.
epidemiology, hip fracture, incidence, osteoporosis, temporal trend
0937-941X
1277-1288
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Cole, Z. A.
6802e58a-59b3-4518-bb7d-6f721732cd61
Holroyd, C.
d08021f2-c96e-45b0-83b7-b5ce6a497a19
Earl, S. C.
0afb707c-e6a6-42af-8957-c65d8dcc321c
Harvey, N. C.
ce487fb4-d360-4aac-9d17-9466d6cba145
Dennison, E. M.
ee647287-edb4-4392-8361-e59fd505b1d1
Melton, L. J.
8e3b083c-28ea-4330-b9dd-2fb9557d0a00
Cummings, S. R.
02bcb959-5d3e-404f-85c9-a4491e110e81
Kanis, J. A.
ec5ad011-1ed5-43e9-acac-b0d4f535f5b1
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Cole, Z. A.
6802e58a-59b3-4518-bb7d-6f721732cd61
Holroyd, C.
d08021f2-c96e-45b0-83b7-b5ce6a497a19
Earl, S. C.
0afb707c-e6a6-42af-8957-c65d8dcc321c
Harvey, N. C.
ce487fb4-d360-4aac-9d17-9466d6cba145
Dennison, E. M.
ee647287-edb4-4392-8361-e59fd505b1d1
Melton, L. J.
8e3b083c-28ea-4330-b9dd-2fb9557d0a00
Cummings, S. R.
02bcb959-5d3e-404f-85c9-a4491e110e81
Kanis, J. A.
ec5ad011-1ed5-43e9-acac-b0d4f535f5b1

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)

Record type: Article

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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More information

Published date: May 2011
Keywords: epidemiology, hip fracture, incidence, osteoporosis, temporal trend

Identifiers

Local EPrints ID: 180993
URI: http://eprints.soton.ac.uk/id/eprint/180993
ISSN: 0937-941X
PURE UUID: 0824efea-f1f7-4010-a5ee-9d29d421baba
ORCID for C. Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for N. C. Harvey: ORCID iD orcid.org/0000-0002-8194-2512
ORCID for E. M. Dennison: ORCID iD orcid.org/0000-0002-3048-4961

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Date deposited: 13 Apr 2011 09:24
Last modified: 18 Mar 2024 02:58

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Contributors

Author: C. Cooper ORCID iD
Author: Z. A. Cole
Author: C. Holroyd
Author: S. C. Earl
Author: N. C. Harvey ORCID iD
Author: E. M. Dennison ORCID iD
Author: L. J. Melton
Author: S. R. Cummings
Author: J. A. Kanis

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