Comparative trends in incident fracture rates for all long-term care and community-dwelling seniors in Ontario, Canada, 2002-2012

Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
Alexandra PapaioannouSusan B Jaglal

Abstract

In this population-based study, we compared incident fracture rates in long-term care (LTC) versus community seniors between 2002 and 2012. Hip fracture rates declined more rapidly in LTC than in the community. An excess burden of fractures occurred in LTC for hip, pelvis, and humerus fractures in men and hip fractures only in women. This study compares trends in incident fracture rates between long-term care (LTC) and community-dwelling seniors ≥65 years, 2002-2012. This is a population-based cohort study using administrative data. Measurements were age/sex-adjusted incident fracture rates and rate ratios (RR) and annual percent change (APC). Over 11 years, hip fracture rates had a marked decline occurring more rapidly in LTC (APC, -3.49 (95% confidence interval (CI), -3.97, -3.01)) compared with the community (APC, -2.93 (95% CI, -3.28, -2.57); p < 0.05 for difference in slopes). Humerus and wrist fracture rates decreased; however, an opposite trend occurred for pelvis and spine fractures with rates increasing over time in both cohorts (all APCs, p < 0.05). In 2012, incident hip fracture rates were higher in LTC than the community (RRs: women, 1.55 (95% CI, 1.45, 1.67); men, 2.18 (95% CI, 1.93, 2.47)). Higher rates of pelvis ...Continue Reading

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Citations

Jan 19, 2018·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·N C WrightUNKNOWN Osteoporotic Fractures in Men (MrOS) Study Research Group
Nov 3, 2017·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Kevin W McConeghySarah D Berry
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Feb 28, 2019·Journal of the American Geriatrics Society·Kathryn SineSarah D Berry
Dec 24, 2018·Journal of the American Geriatrics Society·Andrew R ZulloSarah D Berry
Oct 4, 2020·Journal of the American Medical Directors Association·Caitlin McArthurAlexandra Papaioannou
Sep 26, 2020·Journal of the American Medical Directors Association·Caitlin McArthurAlexandra Papaioannou
Dec 24, 2019·Journal of the American Medical Directors Association·Caitlin McArthurAlexandra Papaioannou
Jun 22, 2021·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Marlene ChakhtouraGhada El Hajj Fuleihan

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