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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Dimai, HP; Reichardt, B; Zitt, E; Concin, H; Malle, O; Fahrleitner-Pammer, A; Svedbom, A; Brozek, W.
Thirty years of hip fracture incidence in Austria: is the worst over?
Osteoporos Int. 2022; 33(1):97-104
Doi: 10.1007/s00198-021-06086-z
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- Leading authors Med Uni Graz
- Dimai Hans Peter
- Co-authors Med Uni Graz
- Fahrleitner-Pammer Astrid
- Malle Oliver
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- Abstract:
- Nationwide hip fracture incidence in the Austrian population was assessed over a period of 30 years (1989-2018), including 20 years data from a previous study and a recent 10 years follow-up. While absolute numbers in men continued to increase, absolute numbers in women and age-standardized incidences in both men and women decreased. PURPOSE: In the Austrian population ≥ 50 years, nationwide hip fracture incidences over a period of 20 years (1989-2008) have shown an initial steep increase, followed by a leveling-off during the last few years of observation. The purpose of the present study was to follow up on hip fracture incidences for another 10 years (2009-2018) and to analyze trends over the entire period of 30 years. METHODS: ICD-10 code classes S72.0, S72.1, and S72.2 were applied. All data were retrieved from the Statistics Austria database and its hospital discharge register. Annual absolute numbers, crude and age-standardized incidences, and incidence rate ratios (IRR) were stratified by sex and 5-year age intervals, and calculated by using a correction factor for multiple registrations. RESULTS: Total number of hip fracture cases increased from 13,984 (2009) to 14,640 (2015), and decreased thereafter to 14,457 (2018), despite a persistent increase in men. Age-standardized incidences peaked at 476/100,000 (2010), followed by a decrease to 408/100,000 (2018). The observed overall decrease was mainly driven by the female population. Incidence rate ratios (IRRs) yielded a statistically significant average annual decrease of age-standardized incidences in both women and men (∆IRR 0.984; 0.981-0.987). CONCLUSION: While absolute numbers of hip fracture in women showed a slight decrease during the last 10 years of observation, numbers in men continued to increase. Age-standardized incidences nevertheless decreased in both men and women, which may be interpreted as a trend in the right direction. However, due to the rapid aging of the population, it cannot be precluded that this trend will be compromised during the next few decades.
- Find related publications in this database (using NLM MeSH Indexing)
- Age Distribution - administration & dosage
- Aging - administration & dosage
- Austria - epidemiology
- Female - administration & dosage
- Hip Fractures - epidemiology
- Humans - administration & dosage
- Incidence - administration & dosage
- Male - administration & dosage
- Patient Discharge - administration & dosage
- Sex Distribution - administration & dosage
- Find related publications in this database (Keywords)
- Epidemiology
- Hip fracture
- Austria
- Incidence trend