ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2014
Gender-specific hip fracture risk in community-dwelling and institutionalized seniors age 65 years and older.
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, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Modifiable lifestyle factors associated with fragility hip fracture: a systematic review and meta-analysis.Journal of bone and mineral metabolism · 2021Pooled it
- Multivitamins and risk of fragility hip fracture: a systematic review and meta-analysis.Archives of osteoporosis · 2021Pooled it
- Hip protectors are cost-effective in the prevention of hip fractures in patients with high fracture risk.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Pooled it
- Inpatient mortality following hip fracture in the United States: an updated analysis of over one million cases.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Focal bone defects in type 2 diabetes mellitus patients with acute hip fractures.Quantitative imaging in medicine and surgery · 2025Article
- Sports injuries in patients over 70 years of age. Survey in a regional hospital in an Alpine tourist region : DKOU science slam 2024.Orthopadie (Heidelberg, Germany) · 2025Article
- Effect Modification on Death by Age and Sex in Elderly Hip Fracture.Journal of bone metabolism · 2022Article
- Incidence of hip fracture in underweight individuals: a nationwide population-based cohort study in Korea.Journal of cachexia, sarcopenia and muscle · 2022Article
- Prognosis and institutionalization of frail community-dwelling older patients following a proximal femoral fracture: a multicenter retrospective cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Patient-specific risk factors for adverse outcomes following geriatric proximal femur fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Review
- The Effects of Exergaming on Sensory Reweighting and Mediolateral Stability of Women Aged Over 60: Usability Study.JMIR serious games · 2021Article
- Characteristics of incidence hip fracture cases in older adults participating in the longitudinal AGES-Reykjavik study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Article
- Diabetes and Risk of Post-Fragility Hip Fracture Outcomes in Elderly Patients.International journal of endocrinology · 2020Article
- Analysis of kyphosis, vertebral fracture and bone mineral density measurement in women living in nursing homes.Saudi medical journal · 2018Article
- Incidence Rates of and Mortality after Hip Fracture among German Nursing Home Residents.International journal of environmental research and public health · 2018Article
- The Effect of an In-Hospital Comprehensive Geriatric Assessment on Short-Term Mortality During Orthogeriatric Hip Fracture Program-Which Patients Benefit the Most?Geriatric orthopaedic surgery & rehabilitation · 2017Article
- Cost-effectiveness of hip protector use on a geriatric ward in Germany: a Markov model.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2015Article
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Authors and funding
13 authors at 6 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
unlabelledIn this study of acute hip fracture patients, we show that hip fracture rates differ by gender between community-dwelling seniors and seniors residing in nursing homes. While women have a significantly higher rate of hip fracture among the community-dwelling seniors, men have a significantly higher rate among nursing home residents.
introductionDifferences in gender-specific hip fracture risk between community-dwelling and institutionalized seniors have not been well established, and seasonality of hip fracture risk has been controversial.
methodsWe analyzed detailed data from 1,084 hip fracture patients age 65 years and older admitted to one large hospital center in Zurich, Switzerland. In a sensitivity analysis, we extend to de-personalized data from 1,265 hip fracture patients from the other two large hospital centers in Zurich within the same time frame (total n = 2,349). The denominators were person-times accumulated by the Zurich population in the corresponding age/gender/type of dwelling stratum in each calendar season for the period of the study.
resultsIn the primary analysis of 1,084 hip fracture patients (mean age 85.1 years; 78% women): Among community-dwelling seniors, the risk of hip fracture was twofold higher among women compared with men (RR = 2.16; 95% CI, 1.74-2.69) independent of age, season, number of comorbidities, and cognitive function; among institutionalized seniors, the risk of hip fracture was 26% lower among women compared with men (RR = 0.77; 95% CI: 0.63-0.95) adjusting for the same confounders. In the sensitivity analysis of 2,349 hip fracture patients (mean age 85.0 years, 76% women), this pattern remained largely unchanged. There is no seasonal swing in hip fracture incidence.
conclusionWe confirm for seniors living in the community that women have a higher risk of hip fracture than men. However, among institutionalized seniors, men are at higher risk for hip fracture.
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