Journal ArticleDOI
Hip fractures in the elderly: A world-wide projection
TLDR
In this article, the authors applied available incidence rates for hip fracture from various parts of the world to projected populations in 1990, 2025 and 2050 in order to estimate the numbers of hip fractures which might occur in each of the major continental regions.Abstract:
Hip fractures are recognized to be a major public health problem in many Western nations, most notably those in North America, Europe and Oceania. Incidence rates for hip fracture in other parts of the world are generally lower than those reported for these predominantly Caucasian populations, and this has led to the belief that osteoporosis represents less of a problem to the nations of Asia, South American and Africa. Demographic changes in the next 60 years, however, will lead to huge increases in the elderly populations of those countries. We have applied available incidence rates for hip fracture from various parts of the world to projected populations in 1990, 2025 and 2050 in order to estimate the numbers of hip fractures which might occur in each of the major continental regions. The projections indicate that the number of hip fractures occurring in the world each year will rise from 1.66 million in 1990 to 6.26 million by 2050. While Europe and North America account for about half of all hip fractures among elderly people today, this proportion will fall to around one quarter in 2050, by which time steep increases will be observed throughout Asia and Latin America. The results suggest that osteoporosis will truly become a global problem over the next half century, and that preventive strategies will be required in parts of the world where they are not currently felt to be necessary.read more
Citations
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Journal ArticleDOI
An estimate of the worldwide prevalence and disability associated with osteoporotic fractures.
Olof Johnell,John A. Kanis +1 more
TL;DR: It is concluded that osteoporotic fractures are a significant cause of morbidity and mortality, particularly in the developed countries.
Journal ArticleDOI
Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures
Dennis M. Black,Steven R. Cummings,David B. Karpf,Jane A. Cauley,Desmond E. Thompson,Michael C. Nevitt,Douglas C. Bauer,Harry K. Genant,William L. Haskell,Robert Marcus,Susan M. Ott,James C. Torner,Sara A. Quandt,Theodore F. Reiss,Kristine E. Ensrud +14 more
TL;DR: Among women with low bone mass and existing vertebral fractures, alendronate is well tolerated and substantially reduces the frequency of morphometric and clinical vertebra fractures, as well as other clinical fractures.
Journal ArticleDOI
Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures
TL;DR: Measurements of bone mineral density can predict fracture risk but cannot identify individuals who will have a fracture, and a programme of screening menopausal women for osteoporosis by measuring bone density cannot be recommended.
Journal ArticleDOI
Burden of major musculoskeletal conditions
TL;DR: The burden of four major musculoskeletal conditions: osteoarthritis, rheumatoid arthritis, osteoporosis, and low back pain, which affects nearly everyone at some point in time and about 4-33% of the population at any given point is described.
Journal ArticleDOI
Epidemiology and outcomes of osteoporotic fractures.
TL;DR: In this paper, epidemiological research was done and used to identify individuals at high risk of disabling fractures, thereby allowing careful allocation of expensive treatments to individuals most in need, which could potentially be as expensive as medical treatment of fractures.
References
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Journal ArticleDOI
Lifetime Risks of Hip, Colles', or Vertebral Fracture and Coronary Heart Disease Among White Postmenopausal Women
TL;DR: This work used population-based data to estimate a woman's lifetime risk of suffering a hip, Colles', or vertebral fracture and her risk of dying of coronary heart disease.
Journal ArticleDOI
A model of lifetime osteoporosis impact.
TL;DR: The model estimates that 54% of 50-year-old women will sustain osteoporosis-related fractures during their remaining lifetimes, which is estimated to cause 6.7% of women to become dependent in basic activities of daily living.
Journal ArticleDOI
Race and sex differences in hip fracture incidence.
TL;DR: Analysis based on an independent data source of non-federal hospital discharges in Washington, DC confirmed that White women were at twice the risk for hip fracture compared with Black women and at 2.7 times the risk compared to White men.
Journal ArticleDOI
Secular trends in the incidence of hip fractures
TL;DR: The results for women conflict with estimates from a number of other studies, but these differences may provide a basis for hypothesis development, and no significant trends were noted for women within various age groups.
Journal ArticleDOI
Rising incidence of fracture of the proximal femur.
W.J. Boyce,Martin Vessey +1 more
TL;DR: The study shows that the often-noted rise in numbers of fractures of the proximal femur is more than just a consequence of demographic change and increases in the age-specific incidence must be due to changes in the aetiology of the fracture.
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