Epidemiology of osteoporosis related fractures in Hungary from the nationwide health insurance database, 1999-2003.
The Hungarian national health insurance database was screened for fractures of patients aged 50-100, 1999-2003. On average, there were 343 hip, 1,579 forearm, 342 proximal humerus, 48 inpatient vertebral and 2,459 other fractures/100,000 inhabitants/year.


BACKGROUND
The incidence of fractures differs among populations. Our aim was to study the incidence of fractures in Hungary, focusing on classical osteoporotic sites and to compare the results with those of other European countries.


METHODS
The Hungarian National Health Insurance Fund database, covering 100% of the population, was screened for fractures of patients aged 50-100, 1999-2003. The search of vertebral fractures was restricted to those admitted to hospital. A gender and age-matched comparison was performed with available data from Europe.


RESULTS
There were mean 343 hip, 1,579 forearm, 342 proximal humerus, 48 inpatient vertebral and 2,459 other fractures/100,000 inhabitants/year; the female/male ratio was between 1.2-2.4. Multiple fractures occurred in 23.1% of the cases. Hip fracture incidence in Hungary lies between the rates of northern and southern countries of Europe.


CONCLUSIONS
Our study offers nationwide epidemiological data on fractures in Hungary. The incidence of fractures increased by age, regardless of the type of fracture. Incidence of hip fractures in Hungary fits in the previously established geographic trends in Europe. Our results fulfil a need for fracture data from Central Europe.
Péntek
M
M
Rheumatology, Flór Ferenc County Hospital, Semmelweis tér 1, Kistarcsa 2143, Hungary. marta.pentek@uni-corvinus.hu
Horváth
C
C
Boncz
I
I
Falusi
Z
Z
Tóth
E
E
Sebestyén
A
A
Májer
I
I
Brodszky
V
V
Gulácsi
L
L
D000063:Accidents, Traffic / Q000706:statistics & numerical data; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D016208:Databases, Factual; D005060:Europe / Q000453:epidemiology; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D015994:Incidence; D007348:Insurance, Health; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology; D010024:Osteoporosis / Q000150:complications / Q000453:epidemiology*; D015663:Osteoporosis, Postmenopausal / Q000150:complications / Q000453:epidemiology; D012189:Retrospective Studies
Health Policy. 2006 Feb;75(3):329-37
15946761
Osteoporos Int. 2003 Jan;14(1):19-26
12577181
Osteoporos Int. 2001;12(5):417-27
11444092
J Bone Miner Res. 2002 Jul;17(7):1237-44
12096837
Osteoporos Int. 1997;7(2):138-44
9166394
Clin Orthop Relat Res. 2006 Jan;442:87-92
16394745
Osteoporos Int. 2004 Dec;15(12):998-1002
15156304
Osteoporos Int. 2004 Sep;15(9):760-5
15138664
Osteoporos Int. 1999;9(3):242-53
10450414
Health Aff (Millwood). 2003 May-Jun;22(3):61-76
12757273
Int Orthop. 2006 Feb;30(1):11-4
16328387
Clin Orthop Relat Res. 2006 Jan;442:100-8
16394747
Osteoporos Int. 2006 Dec;17(12):1726-33
16983459
Osteoporos Int. 2005 Jan;16(1):6-14
15103452
Osteoporos Int. 2007 Jan;18(1):9-23
17093892
Orv Hetil. 1997 Oct 19;138(42):2647-52
9411333
Osteoporos Int. 2005 Feb;16(2):222-8
15232678
Injury. 2001 Jun;32(5):363-72
11382420
Osteoporos Int. 2000;11(8):669-74
11095169
Osteoporos Int. 2004 Nov;15(11):897-902
15490120
Wien Klin Wochenschr. 2001 May 15;113(10):371-7
11432126
Bone. 2001 Dec;29(6):517-22
11728921
Eur J Health Econ. 2004 Oct;5(3):252-8
15714346
Osteoporos Int. 2005 Mar;16 Suppl 2:S3-7
15365697
Osteoporos Int. 1997;7(5):407-13
9425497
Eur J Health Econ. 2002;3(4):271-8
15609154
Osteoporos Int. 2003 Jun;14(5):429-36
12730759
Osteoporos Int. 2005 Dec;16(12):1475-80
16217587
Osteoporos Int. 2007 Mar;18(3):333-7
17077942
Arch Orthop Trauma Surg. 2007 Apr;127(3):179-83
17013603
J Bone Miner Res. 1996 Jul;11(7):1010-8
8797123