Abstract
To improve the knowledge of the current trends in the number and incidence of osteoporosis-related pelvic fractures, patients who were admitted to Finnish hospitals in 1970, 1975, 1980, 1985, 1988, and 1991 for primary treatment of first osteoporotic pelvic fracture were selected from the National Hospital Discharge Register.
The overall incidence (per 100,000 inhabitants) of osteoporosis-related pelvic fractures (high energy traumas were excluded) in a population aged 60 years or more was 20 in 1970 and 63 in 1991. The increase was most pronounced in the older age groups (patients aged 80 years or more) and was observed in both sexes. The proportion of these osteoporotic pelvic fractures of all pelvic fractures increased from 18% in 1970 to 52% in 1991. Similarly, the proportion of patients over 60 years of age increased from 28% in 1970 to 62% in 1991. In 1991, 78% of the patients with an osteoporotic pelvic fracture were women. Across the study period, the age-adjusted total incidence of osteoporotic pelvic fractures also increased in both women and men 60 years of age and over. The proportional increase was more pronounced in men. We conclude that the number of osteoporotic pelvic fractures in Finland is increasing more rapidly than can be accounted for by the demographic changes only and that effective preventive measures are urgently needed to control the increasing number of these age-related fractures.
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References
Melton LJ III (1988) Epidemiology of fractures. In: Riggs BL, Melton LJ III (eds) Osteoporosis: etiology, diagnosis and management. Raven Press, New York, pp 133–154
Cummings SR, Rubin SM, Black D (1990) The future of hip fractures in the United States. Clin Orthop Rel Res 252:163–166
Lüthje P (1991) The incidence of hip fracture in Finland in the year 2000. Acta Orthop Scand 62(suppl 241):35–37
Maggi S, Kelsey JL, Litvak J, Heyse SP (1991) Incidence of hip fractures in the elderly: a cross-national analysis. Osteoporosis Int 1:232–241
Anderson GH, Raymakers R, Gregg PJ (1993) The incidence of proximal femoral fractures in an English county. J Bone Joint Surg [Br] 75-B:441–444
Cooper C, Campion G, Melton LJ III (1992) Hip fractures in the elderly: a world-wide projection. Osteoporosis Int 2:285–289
Obrant KJ, Bengner U, Johneil O, Nilsson BE, Sernbo I (1989) Increasing age-adjusted risk of fragility fractures: a sign of increasing osteoporosis in successive generations? Calcif Tissue Int 44:157–167
Boereboom FTJ, Raymakers JA, de Groot RRM, Duursma SA (1992) Epidemiology of hip fractures in the Netherlands: women compared with men. Osteoporosis Int 2:279–284
Lauritzen JB, Schwarz P, Lund B, McNair P, Transbol I (1993) Changing incidence and residual lifetime risk of common osteoporosis-related fractures. Osteoporosis Int 3:127–132
Naessen T, Parker R, Persson I, Zack M, Adami HO (1989) Time trends in incidence rates of first hip fracture in the Uppsala health care region, Sweden, 1965–1983. Am J Epidemiol 130:289–299
Kanis JA (1993) The incidence of hip fracture in Europe. Osteoporosis Int (suppl 1): 10–15
Lau MC (1993) Admission rates for hip fracture in Australia in the last decade: the New South Wales scene in a world perspective. Med J Aust 158:604–606
Melton LJ III, O’Fallon WM, Riggs BL (1987) Secular trends in the incidence of hip fractures. Calcif Tissue Int 41:57–64
Parkkari J, Kannus P, Niemi S, Pasanen M, JÄrvinen M, Lüthje P, Vuori I (1994) Increasing age-adjusted incidence of hip fractures in Finland 1970–1991. Calcif Tissue Int 55:342–345
Melton LJ, Sampson JM, Morrey BF, Ilstrup DM (1981) Epidemiologic features of pelvic fractures. Clin Orthop 155:43–47
Ragnarsson B, Jacobsson B (1992) Epidemiology of pelvic fractures in a Swedish county. Acta Orthop Scand 63:297–300
Lüthje P, Nurmi I, Kataja M, Heliövaara M, Santavirta S (1995) Incidence of pelvic fractures in Finland in 1988. Acta Orthop Scand 66:245–248
Garraway WM, Stauffer RN, Kurland LT, O’Fallon WM (1979) Limb fractures in a defined population: I. Frequency and distribution. Mayo Clin Proc 54:701–707
Knowelden J, Buhr AJ, Dunbar O (1964) Incidence of fractures in persons over 35 years of age. Br J Prev Soc Med 18:130–141
Jones G, Nguyen T, Sambrook PN, Kelly PJ, Gilbert C, Eisman JA (1994) Symptomatic fracture incidence in elderly men and women: the Dubbo osteoporosis epidemiology study (DOES). Osteoporosis Int 4:277–282
Aro S, Koskinen R, KeskimÄki I (1990) Sairaalastapois-torekisterin diagnoosi-, toimenpideja tapaturmatietojen luotettavuus. (In Finnish) Duodecim 106:1443–1450
Salmela R, Koistinen V (1987) Yleissairaaloiden poistoilmoitusrekisterien kattavuus ja luotettavuus. (In Finnish) Sairaala 49:480–482
Official Statistics of Finland(1970–1991) Structure of population and vital statistics: whole country and provinces. State Presscenter, Helsinki
Official Statistics of Finland (1993) Population projections 1993–2030. State Presscenter, Helsinki
Buhr AJ, Cooke AM (1959) Fracture patterns. Lancet 1:531–536
Peltier LF (1965) Complications associated with fractures of the pelvis. J Bone Joint Surg [Am] 47:1060–1069
Huittinen VM, SlÄtis P (1972) Fractures of the pelvis. Acta Chir Scand 138:563–569
Bruce RP, Reckling FW (1982) Pelvic fractures. J Kans Med Soc 83:558–563
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Parkkari, J., Kannus, P., Niemi, S. et al. Secular Trends in Osteoporotic Pelvic Fractures in Finland: Number and Incidence of Fractures in 1970–1991 and Prediction for the Future. Calcif Tissue Int 59, 79–83 (1996). https://doi.org/10.1007/s002239900090
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DOI: https://doi.org/10.1007/s002239900090