Evidence map›Paper›PMID 34622302›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2022

Epidemiology and economic burden of fragility fractures in Austria.

C Muschitz, M Hummer, J Grillari, A Hlava, A H Birner, M Hemetsberger, H P Dimai

Open access · hybridAbstract read
In one paragraph

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, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  4. Article
  5. Review
  6. Novel CT-based simulation reveals anterolateral surgical approach avoids acromial collision in antegrade humeral nailing.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  7. Review
  8. Article
  9. Review
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  11. Bone Health, Fragility Fractures, and the Hand Surgeon.Journal of hand surgery global online · 2025
    Review
  12. Article
  13. Article
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  15. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

C MuschitzMedical Department II-VINFORCE, St. Vincent Hospital, Vienna, Austria.ORCID http://orcid.org/0000-0002-4105-5361
M HummerThe Austrian National Public Health Institute, Vienna, Austria.ORCID http://orcid.org/0000-0001-7487-9773
J GrillariLudwig Boltzmann Institute for Experimental and Clinical Traumatology, AUVA Research Center, Donaueschingenstraße 13, A-1200, Vienna, Austria. johannes.grillari@trauma.lbg.ac.at.ORCID http://orcid.org/0000-0001-5474-6332
A HlavaThe Austrian National Public Health Institute, Vienna, Austria.
A H BirnerThe Austrian National Public Health Institute, Vienna, Austria.
M HemetsbergerHemetsberger Medical Services, Vienna, Austria.ORCID http://orcid.org/0000-0003-1877-6838
H P DimaiDivision of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0001-8155-8265
Ludwig Boltzmann Institute for Traumatology, The Research Center in Cooperation with AUVA · ATMedical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fragility fractures are a frequent and costly event. In Austria, 92,835 fragility fractures occurred in patients aged ≥ 50 years in 2018, accruing direct costs of > 157 million €. Due to demographic aging, the number of fragility fractures and their associated costs are expected to increase even further.

introductionFragility fractures are frequently associated with long hospital stays, loss of independence, and increased need for care in the elderly, with consequences often leading to premature death. The aim of this study was to estimate the number of fragility fractures and associated healthcare costs in Austria in 2018.

methodsThe number of in-patient cases with relevant ICD-10 diagnoses in all Austrian public hospitals was derived from discharge documentation of diagnoses and procedures covering all public hospitals in Austria. Fractures resulting from falls from standing height in patients aged ≥ 50 years were used as a proxy for fragility fractures, and the number of in-patient and out-patient cases was estimated. The direct costs of these cases were calculated using the average cost of the corresponding in-patient hospital stay and the average cost for the out-patient stay.

resultsThe present study estimated the number of fragility fractures (pelvis, thoracic and lumbar vertebra, hip, humerus, rib, forearm, and tibia) for 2018 at 92,835 or just over half of all fractures in patients aged ≥ 50 years, corresponding to a prevalence of 2,600 per 100,000 inhabitants of this age group. A constant increase in the proportion of fragility fractures among all fractures was observed with increasing age in both men and women. These fractures amounted to direct costs of > 157 million €.

conclusionFragility fractures are a frequent and costly event in Austria. Due to the aging of the population, the number of fragility fractures and their associated costs is expected to increase even further.

Indexed as

Fractures, BoneHip FracturesOsteoporosisOsteoporotic FracturesAgedAustriaFemaleFinancial StressHealth Care CostsHumansMaleMiddle AgedBurden of diseaseFragility fracturesHealthcare costsLow-trauma fracturesOsteoporosis

Identifiers

PMID34622302
PMCPMC8497183
OpenAlexW3204160673

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.