The hip fracture incidence curve is shifting to the right.

Acta Orthopaedica
Ulrica BergströmOlle Svensson

Abstract

The number of hip fractures has doubled in the last 30-40 years in many countries. Age-adjusted incidence has been reported to be decreasing in Europe and North America, but is there a decreasing trend in all age groups? This population-based study included all hip-fracture patients over 50 years of age (a total of 2,919 individuals, 31% of whom were men) admitted to Umeå University Hospital, Sweden, from 1993 through 2005. The incidence of hip fracture declined between the periods 1993-1996 and 2001-2005: from 706 to 625 hip fractures per 10(5) women and from 390 to 317 hip fractures per 10(5) men. However, there was a 114% increase in the number of fractures in women aged 90 or older (12 and 25 hip fractures/year, respectively, in the two time periods). For the period 2001-05, women > or = 90 years of age accounted for almost the same numbers of hip fractures as women aged 75-79 (27 fractures/year). The rate increased during this period, from 2,700 per 10(5) women to 3,900 per 10(5) women > 90 years. In men there were declining trends for both relative and absolute numbers. Although age-adjusted incidence declined in the population > 50 years of age, absolute fracture rate and incidence increased in the very old. Women over 9...Continue Reading

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