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Archives of Osteoporosis

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01-12-2021 | Forearm Fracture | Original Article

Secular trends of patients hospitalized for major osteoporotic fractures based on a national claims database

Authors: Yi-Lin Lee, Herng-Sheng Lee, Ching-Fang Tsai, Yueh-Han Hsu, Hsin-Yi Yang

Published in: Archives of Osteoporosis | Issue 1/2021

Abstract

Summary

There was a reduction in the hospitalization rate for major osteoporotic fractures. As per our analysis, hospitalization for site-specific fractures showed a declining trend for hip and vertebral fractures for both the sexes. However, an increasing trend was noted in women regarding hospitalization for forearm fracture.

Purpose

Major osteoporotic fractures (MOFs) constitute a large proportion of the total expenditures for public healthcare. Knowing the secular trends of MOF will allow for more efficient use of healthcare resources, but such data are insufficient for the current population of Taiwan. Therefore, we investigated the epidemiological data of MOF hospitalization from adults 50 years of age or older in Taiwan during the period 2000–2015.

Methods

The data analyzed were acquired from the Taiwan National Health Insurance Research Database (NHIRD) entries between 2000 and 2015. All study subjects were 50 years of age or older at the time of admission and diagnosed as having MOF.

Results

A general decline was observed in the incidence rate (IR) of MOF hospitalization for the whole population, from 74.52 per 10,000 person-years (PYs) in 2000 to 55.19 in 2015. Females aged ≥65 years had the highest rates of hospitalization for MOF among the subgroups analyzed. Apart from the wrist fracture hospitalization rates in both sexes, which remained steady, all other site-specific fracture hospitalization rates exponentially increased with age. Among men, the IRs of all MOF hospitalization were steady, except for a slight decrease in hip and vertebral fracture hospitalizations. In women, hip and vertebral fracture hospitalization rates gradually decreased, humerus and wrist fracture hospitalization remained steady, and forearm fracture hospitalization increased.

Conclusions

Hospitalization rates of MOF decreased. The trend of site-specific fracture hospitalization analysis showed that hip and vertebral fractures decreased for both sexes. However, an increasing trend in forearm fracture hospitalization was noticed among females.

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Title: Secular trends of patients hospitalized for major osteoporotic fractures based on a national claims database
Authors: Yi-Lin Lee
Herng-Sheng Lee
Ching-Fang Tsai
Yueh-Han Hsu
Hsin-Yi Yang
Publication date: 01-12-2021
Publisher: Springer London
Keyword: Forearm Fracture
Published in: Archives of Osteoporosis / Issue 1/2021
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-021-00935-4

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Secular trends of patients hospitalized for major osteoporotic fractures based on a national claims database

Abstract

Summary

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Summary

Purpose

Methods

Results

Conclusions

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