[Incidence of hip fracture: reversal of a secular trend].
Hip fractures are a major cause of burden associated with osteoporosis in terms of mortality, disability, and costs. Many studies reveal an increase of the age-adjusted hip fracture incidence but long-term data on secular changes in women and men within a well-defined community are still rare. From 1991 to 2000, 4115 hip fractures were recorded in Geneva in 2981 women and 822 men 50 years and older. Over this 10-year period, the age-adjusted incidence of hip fractures, standardized to the 2000 Geneva population, decreased significantly by 1.4%/year in women (p = 0.021), but remained stable in men (+0.5%/year, p = 0.66), suggesting a reversal of the previously observed secular trend.
Chevalley
Thierry
T
Service des maladies osseuses, Centre collaborateur de I'OMS pour la prévention de l'ostéoporose, Département de réhabilitation et gériatrie, HUG, Genève. thierry.chevalley@hcuge.ch
Guilley
Edith
E
Herrmann
François R
FR
Hoffmeyer
Pierre
P
Rapin
Charles-Henri
CH
Rizzoli
René
R
D000058:Accidental Falls / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D004196:Disease Outbreaks / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000453:epidemiology; D012189:Retrospective Studies; D012737:Sex Factors; D013557:Switzerland / Q000453:epidemiology