ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2008
Trend of hip fracture incidence in Germany 1995-2004: a population-based study.
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 1 of them a synthesis that pooled it.
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Who cites it
101 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical Practice Guideline: Comprehensive Geriatric Assessment in the Hospital.Deutsches Arzteblatt international · 2025Guideline
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- Fall Prevention in a Primary Care Setting.Deutsches Arzteblatt international · 2016Trial
- [Anticoagulation medication for proximal femoral fractures: prospective validation study of new institutional guidelines].Der Unfallchirurg · 2013Trial
- Trends in hip fracture rates in Canada: an age-period-cohort analysis.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2013Trial
- An interdisciplinary intervention to prevent falls in community-dwelling elderly persons: protocol of a cluster-randomized trial [PreFalls].BMC geriatrics · 2011Trial
- Osteoporosis Assessment Using Bone Density Measurement in Hounsfield Units in the Femoral Native CT Cross-Section: A Comparison with Computed Tomography X-Ray Absorptiometry of the Hip.Diagnostics (Basel, Switzerland) · 2025Article
- Incidence of hip fractures in Mexico 2006-2019: increasing numbers but decreasing rates.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- Trend and Seasonality of Hip Fractures in Catalonia, Spain: Exploring the Influence of Climate.Calcified tissue international · 2024Article
- Biomechanical comparison of screw vs. cerclage refixation in orthogeriatric lesser trochanteric fractures: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Biomechanical stability of short versus long proximal femoral nails in osteoporotic subtrochanteric A3 reverse-oblique femoral fractures: a cadaveric study.Archives of orthopaedic and trauma surgery · 2023Article
- Single-stage total hip arthroplasty after failed fixation of proximal femoral fractures: an increased risk for periprosthetic joint infections?Archives of orthopaedic and trauma surgery · 2022Article
- Differences of hemiarthroplasty and total hip replacement in orthogeriatric treated elderly patients: a retrospective analysis of the Registry for Geriatric Trauma DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- German Society of Rheumatology recommendations for management of glucocorticoid-induced osteoporosis.Zeitschrift fur Rheumatologie · 2021Review
- [German Society of Rheumatology Recommendations for the management of glucocorticoid-induced Osteoporosis. German version].Zeitschrift fur Rheumatologie · 2021Review
- Changing epidemiology of lower extremity fractures in adults over a 15-year period - a National Hospital Discharge Registry study.BMC musculoskeletal disorders · 2021Article
- Reduced complication rates for unstable trochanteric fractures managed with third-generation nails: Gamma 3 nail versus PFNA.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Observational
- [120-day follow-up after proximal femoral fractures-first results from the Geriatric Trauma Registry DGU®].Der Unfallchirurg · 2020Article
- [Online survey for assessment of geriatric early rehabilitation complex treatment in geriatric trauma centers of the DGU by the medical services of the health funds].Der Unfallchirurg · 2020Article
- Trends in fracture development of the upper extremity in Germany-a population-based description of the past 15 years.Journal of orthopaedic surgery and research · 2020Article
41 more citing papers are in PubMed but not listed here.
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Abstract
unlabelledWe analyzed hip fracture incidence trends in Germany 1995-2004, using national hospital discharge register. Crude incidences per 100,000 increased from 121.2 (95% CI 120.5-121.9) in 1995 to 140.9 (140.2-141.7) in 2004. Age-sex-adjusted annual incidence ratios showed a statistically significant, but only slight increase (1.01, p<0.01), compared to higher rises in the past. Trends differed markedly with sex, age, and regions.
introductionData concerning actual trends of the hip fracture incidence and differences for sex, age, and region are limited. We analyzed hip fracture incidence trends in Germany 1995-2004, using the national hospital discharge register. Crude incidences per 100,000 increased from 121.2 (95% CI 120.5-121.9) in 1995 to 140.9 (140.2-141.7) in 2004. Age-sex-adjusted annual incidence ratios showed a statistically significant, but only slight increase (1.01, p<0.01), compared to higher rises in the past. Trends differed markedly with sex, age, and regions.
methodsAnalysis of annual hip fracture incidences using the national hospital discharge register. Estimate of age-sex-adjusted changes was found by using Poisson regression (incidence rate ratios, IRR).
resultsThe number of patients with at least one hospital admission for hip fracture increased (1995: n=99,141; 2004: n=116,281). Crude incidences per 100,000 were 121.2 (95% confidence interval 120.5-121,9) and 140.9 (140.2-141.7), respectively. The age-sex-adjusted hip fracture incidence increased statistically significantly, but only slightly (IRR per year: 1.01; 1.00-1.01; IRR 1995-2004: 1.05, p<0.01). In men aged 40 years or older, incidences increased. In women, there was a tendency of a decrease up to 74 years of age, but also a significant increase in higher age groups. In people 0-39 years, the incidence declined markedly (IRR 1995-2004, men 0.74; 0.69-0.79, women 0.62; 0.55-0.69, both p<0.01). The increase was significantly higher in Eastern compared to Western Germany (interaction: p=0.002), and differences between East and West decreased.
conclusionsIn contrast to earlier years, the hip fracture incidence in Germany 1995-2004 increased only slightly, with a decline in younger people, but increases in older ages, particularly in men. Regional differences decreased.
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