Observational studyOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2021
Regional and gender-specific analyses give new perspectives for secular trend in hip fracture incidence.
Observational study in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Frailty Assessment in Total Hip Arthroplasty for Femoral Neck Fracture.Hip & pelvis · 2026Article
- Midlife risk factors predict long-term hip fracture risk in women: a 35-yr follow-up.JBMR plus · 2026Article
- Trends, disease burden, and cause patterns of hip fracture among older adults from 1990 to 2023 in mainland China.Archives of osteoporosis · 2026Article
- Geographic and seasonal variations in hip fracture incidence in Sweden: a nationwide population-based study.Archives of osteoporosis · 2026Article
- What Is the Value of DXA in Predicting Fracture Risk in Postmenopausal Women? A 10-Year Follow-Up Study in the Małopolska Region.Biomedicines · 2025Article
- The global burden of fractures and its underlying etiologies: results from and further analysis of the Global Burden of Disease Study 2021.Archives of osteoporosis · 2025Article
- Observational
- Safety of In-hospital Parenteral Antiosteoporosis Therapy Following a Hip Fracture: A Retrospective Cohort.Journal of the Endocrine Society · 2024Article
- Cost-effectiveness analysis of proximal femoral nail versus bipolar hemiarthroplasty for femoral neck fracture.Journal of orthopaedic surgery and research · 2024Article
- Predictors of and predictive nomogram for cut-out of proximal femur nail anti-rotation device in intertrochanteric fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Combining Register and Radiological Visits Data Allows to Reliably Identify Incident Wrist Fractures.Clinical epidemiology · 2023Article
- Hospitalizations for major osteoporotic fractures in Switzerland: a long-term trend analysis between 1998 and 2018.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 factors affecting survival following hip fractures-a 14-year follow-up study in Finland.Archives of osteoporosis · 2022Article
- Relatively low and moderate pre-fracture serum 25-hydroxyvitamin D levels associated with the highest survival in elderly hip fracture patients in Finland: a minimum 3-year follow-up.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Where's the break? Critique of radiographic vertebral fracture diagnostic methods.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Article
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5 authors.
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Abstract
In this study, we found that regional disparity in incidence of hip fractures has converged. Also, annual hip fracture risk ratios between genders have systematically diminished over time.
introductionSeveral studies have reported secular trends in hip fracture incidence, but knowledge about the possible causes is limited. We studied potential explanations by examining spatio-temporal epidemiology of the fractures and estimating relative risks between genders.
methodsThis observational study was based on all inpatient hospital discharges in 1972-2018 in Finland. We divided the data by gender, 5-year age groups and Finnish sub-regions and estimated gender and age standardized spatio-temporal rates of hip fractures by using a Bayesian age-period-cohort model.
resultsIn 1972, women's hip fracture incidence was 1.2-1.3 times higher in western and coastal Finland compared to eastern and inland areas. Also, women had approximately 1.7 times higher average risk to get a hip fracture compared to men. Today, the hip fracture differences between the areas have converged to insignificant and the relative risk between genders has diminished to 1.2. Age-specific relative risks indicate greater hip fracture risk for younger men and older women, and the women's risk increases beyond the risk of men at age 65 which is ten years later than in the beginning of the study period.
conclusionIncidence of hip fracture has converged significantly between regions and genders. Especially factors related with socioeconomic development and increased frailty and longevity seem to be important. The hip fracture incidence rate ratio between women and men has systematically decreased in time, and more attention should be paid to hip fracture risk in men in the future.
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