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A decrease in the number and incidence of osteoporotic hip fractures among elderly individuals in Niigata, Japan, from 2010 to 2015

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Abstract

We investigated the incidence of hip fracture in patients aged ≥50 years in 2015 in Niigata Prefecture, Japan. We also determined the long-term trend in hip fracture incidence from 1985 to 2015. In 2015, 3214 hip fractures occurred in Niigata Prefecture. The crude incidence rate of hip fracture was 282.7 per 100,000 persons per year (122.9 in men and 416.4 in women). The incidence of hip fracture decreased from 2010 to 2015 in all age groups except in men aged 65–69 years and women aged 60–64 years. The percentage of patients who took anti-osteoporotic medication before their hip fractures increased from 10.2% in 2010 to 14.9% in 2015. The age-specific incidence in women tended to increase until 2010, but significantly decreased from 2010 to 2015 (p < 0.001). Similarly, the incidence in men decreased from 2010 to 2015 but was not significantly different from that in 1994 (p = 0.633); this incidence had been increasing since 1999. In conclusion, a generally increasing trend was observed in the incidence of hip fractures for 30 years in both men and women in Niigata Prefecture; however, it turned into a descending trend beginning in 2010.

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Acknowledgements

We would like to thank all the hospitals in Niigata Prefecture and all the doctors and staff who contributed to this study. Without their cooperation, this study would not have been possible. We also would like to express our gratitude to Ms. Komori and Ms. Takai for their devoted assistance. This study was supported by a grant from Japan Osteoporosis Foundation (Grant number is JP16-O-C1).

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Authors and Affiliations

  1. Division of Comprehensive Geriatrics in Community, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachidori, Niigata, Niigata, 9518510, Japan

    Norio Imai

  2. Division of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachidori, Niigata, Niigata, 9518510, Japan

    Norio Imai, Naoto Endo, Shinya Ibuchi, Hayato Suzuki & Dai Miyasaka

  3. Division of International Health, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachidori, Niigata, Niigata, 9518510, Japan

    Yugo Shobugawa

  4. Department of Physical Therapy, Faculty of Medical Technology, Niigata University of Health and Welfare, 1398 Shimamicho, Niigata, Niigata, 9503198, Japan

    Mayumi Sakuma

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  1. Norio Imai
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  2. Naoto Endo
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Correspondence to Norio Imai.

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Imai, N., Endo, N., Shobugawa, Y. et al. A decrease in the number and incidence of osteoporotic hip fractures among elderly individuals in Niigata, Japan, from 2010 to 2015. J Bone Miner Metab 36, 573–579 (2018). https://doi.org/10.1007/s00774-017-0863-2

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  • DOI: https://doi.org/10.1007/s00774-017-0863-2

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