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Epidemiology of osteoporotic hip fractures in Spain

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Abstract

We conducted a multicentre study, divided into a retrospective and a prospective portion. The retrospective study evaluated osteoporotic hip fractures that occurred during 2002. The prospective study evaluated osteoporotic hip fractures that occurred during May 2003. The study was conducted in 77 hospitals in Spain and comprised patients 60 years of age and over. In the retrospective study we registered 13,195 hip fractures. Of the patients, 74% were women and 26% were men. The mean age was 80.7±8.4 years. The average incidence was 6.94±0.44 hip fractures per 1,000 inhabitants/year (95% CI, 6.07–7.82). In the prospective study, we registered 1,399 hip fractures. This represents a monthly incidence of 0.60±0.04 hip fractures per 1,000 inhabitants/year (95% CI, 0.51–0.69). Of the subjects, 74% were women and 26% were men. The mean age was 81.4±8.1 years. Using these data, we calculated the average annual prevalence in 2003 to be 7.20 fractures per 1,000 inhabitants. Thirty-three percent had previously suffered a hip fracture. Prior to the fracture, only 18% had received medical treatment for osteoporosis. After discharge from the hospital, only 26% were receiving pharmacological treatment for osteoporosis.

Résumé

Nous avons conduit une étude multicentrique, divisée en une portion rétrospective et une portion prospective. L’étude rétrospective a étudiée les fractures de la hanche ostéoporotique qui se sont produites pendant l’année 2002. L’étude prospective transversale a évalué les fractures de la hanche ostéoporotique qui se sont produites pendant le mois de mai 2003. L’étude a été conduite dans 77 hôpitaux en Espagne et a inclus des patients de 60 ans et plus. Dans l’étude rétrospective nous avons enregistré 13195 fractures de la hanche. 74% étaient des femmes et 26% des hommes. L’âge moyen était 80,7±8,4 années. La fréquence moyenne était 6,94±0,44 fractures de la hanche par 1000 habitants/année (95% CI, 6,07–7,82). Dans l’étude prospective, nous avons enregistré 1399 fractures de la hanche. Cela représente une fréquence mensuelle de 0,60±0,04 fractures par 1000 habitants (95% CI, 0,51–0,69). 74% étaient des femmes et 26% des hommes. L’âge moyen était 81,4±8,1 ans. Utilisant ces données, nous avons calculé la prévalence annuelle moyenne en 2003 qui est de 7,20 fractures pour 1000 habitants. 33% avaient souffert d’une fracture de la hanche précédemment. Avant la fracture, seulement 18% avaient reçu un traitement médical contre l’ostéoporose. Après l’hospitalisation , seulement 26% avaient un traitement contre l’ostéoporose.

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Acknowledgements

The authors express their gratitude to the participating hospitals for their collaboration in this study and to Procter & Gamble for supporting the study financially.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Miguel Servet University Hospital, Zaragoza, Spain

    Antonio Herrera & Angel Antonio Martínez

  2. Madrid University, Madrid, Spain

    Luis Ferrandez

  3. Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain

    Enrique Gil & Alonso Moreno

Authors
  1. Antonio Herrera
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  2. Angel Antonio Martínez
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  3. Luis Ferrandez
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  4. Enrique Gil
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  5. Alonso Moreno
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Correspondence to Antonio Herrera.

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Herrera, A., Martínez, A.A., Ferrandez, L. et al. Epidemiology of osteoporotic hip fractures in Spain. International Orthopaedics (SICO 30, 11–14 (2006). https://doi.org/10.1007/s00264-005-0026-2

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