ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2023
Trends in incidence, health care consumption, and costs for proximal femoral fractures in the Netherlands between 2000 and 2019: a nationwide 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- High-versus conventional-volume pericapsular nerve group (PENG) block for total hip arthroplasty: A randomized, controlled trial.PloS one · 2026Trial
- Augmented reality enhanced physical simulation for femoral nailing training.International journal of computer assisted radiology and surgery · 2026Article
- Salvage total hip arthroplasty after internal fixation compared with acute total hip arthroplasty for fracture: a cohort study based on 32,960 cases from the Dutch Arthroplasty Register.Acta orthopaedica · 2026Article
- Femoral neck fracture increases 30-day mortality 16-fold and elevates mortality risk for up to 4 years: a matched cohort study of 3,246 patients.European geriatric medicine · 2026Article
- Management and optimisation in the preoperative phase for patients with a fractured hip.EFORT open reviews · 2026Review
- Cement Augmentation of the Blade in Proximal Femoral Nailing for Trochanteric Fractures in Elderly Patients: A Retrospective Comparison of Mechanical Stability and Complications.Journal of clinical medicine · 2025Article
- Femoral Neck Fracture Management in Elderly Patients: Surgeons' Practice Through a Registry Analysis.Life (Basel, Switzerland) · 2025Article
- Real-life effectiveness of a Fracture Liaison Service in reducing short-term mortality and second fractures after hip fracture: a five-year prospective study.Archives of osteoporosis · 2025Article
- Malnutrition in Older Hip Fracture Patients: Prevalence, Pathophysiology, Clinical Outcomes, and Treatment-A Systematic Review.Journal of clinical medicine · 2025Review
- FPG Score: A Rapid Admission-Based Tool for Predicting In-Hospital Mortality in Elderly Hip Fracture Patients.Orthopaedic surgery · 2025Observational
- Age-stratified analysis of delayed fixation outcomes of femoral neck fracture among adults: A retrospective study at a tertiary care trauma center.The Journal of international medical research · 2025Article
- Epidemiology and trends of hip fracture in centenarians: changes in clinical profile and in-hospital outcomes from a nationwide register study in Spain across 2004-2020.Aging clinical and experimental research · 2025Observational
- Mobility and living status at discharge and after three-months for extramedullary versus intramedullary fixation of AO type 31-A1 trochanteric fractures; an analysis of Dutch hip fracture audit data.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- The hemoglobin, albumin, lymphocyte, and platelet score as a useful predictor for mortality in older patients with hip fracture.Frontiers in medicine · 2025Article
- Global Trends in the Incidence and Primary Causes of Femoral Fractures, Excluding Femoral Neck Fractures: A Global Epidemiological Study.Risk management and healthcare policy · 2025Article
- Societal costs before and up to 1 year after the first fracture liaison service visit in patients requiring anti-osteoporosis treatments.Archives of osteoporosis · 2024Article
- Meta-analysis of the clinical efficacy of the Gamma3 nailWorld journal of orthopedics · 2024Article
- Cost and time of hospitalization for elderly people with bone fractures in a reference hospital.Einstein (Sao Paulo, Brazil) · 2024Article
- Completion of the Emergency Department "Big 6" in Patients with an Acute Hip Fracture Is Associated with a Lower Mortality Risk and Shorter Length of Hospital Stay.Journal of clinical medicine · 2023Article
- Epidemiology of Hip Fractures Due to Falls.Medicina (Kaunas, Lithuania) · 2023Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
This study evaluated the incidence rates and societal burden of hip fractures in The Netherlands. Although incidence in the elderly population is decreasing and hospital stay is at an all-time low, the burden of medical costs and crude numbers of proximal femoral fractures are still rising in our aging population. PURPOSE: The aim of this nationwide study was to provide an overview of the incidence rate and economic burden of acute femoral neck and trochanteric fractures in The Netherlands.
methodsData of patients who sustained acute proximal femoral fractures in the period January 1, 2000, to December 31, 2019, were extracted from the National Medical Registration of the Dutch Hospital Database. The incidence rate, hospital length of stay (HLOS), health care and lost productivity costs, and years lived with disability (YLD) were calculated for age- and sex-specific groups.
resultsA total of 357,073 patients were included. The overall incidence rate increased by 22% over the 20-year study period from 16.4 to 27.1/100,000 person-years (py). The age-specific incidence rate in elderly > 65 years decreased by 16% (from 649.1 to 547.6/100,000 py). The incidence rate in men aged > 90 has surpassed the incidence rate in women. HLOS decreased in all age groups, hip fracture subtypes, and sexes from a mean of 18.5 to 7.2 days. The mean health care costs, over the 2015-2019 period, were lower for men (€17,723) than for women (€23,351) and increased with age to €26,639 in women aged > 80. Annual cumulative costs reached €425M, of which 73% was spent on women.
conclusionThe total incidence of hip fractures in The Netherlands has increased by 22%. Although incidence in the elderly population is decreasing and HLOS is at an all-time low, the burden of medical costs and crude numbers of proximal femoral fractures are still rising in our aging population.
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