Hip Fractures In The Elderly: A World-wide Projection
C. Cooper, G. Campion, L. J. Melton
Published 2005 · Medicine
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Hip fractures are recognized to be a major public health problem in many Western nations, most notably those in North America, Europe and Oceania. Incidence rates for hip fracture in other parts of the world are generally lower than those reported for these predominantly Caucasian populations, and this has led to the belief that osteoporosis represents less of a problem to the nations of Asia, South American and Africa. Demographic changes in the next 60 years, however, will lead to huge increases in the elderly populations of those countries. We have applied available incidence rates for hip fracture from various parts of the world to projected populations in 1990, 2025 and 2050 in order to estimate the numbers of hip fractures which might occur in each of the major continental regions. The projections indicate that the number of hip fractures occurring in the world each year will rise from 1.66 million in 1990 to 6.26 million by 2050. While Europe and North America account for about half of all hip fractures among elderly people today, this proportion will fall to around one quarter in 2050, by which time steep increases will be observed throughout Asia and Latin America. The results suggest that osteoporosis will truly become a global problem over the next half century, and that preventive strategies will be required in parts of the world where they are not currently felt to be necessary.
This paper references
Osteoporosis : etiology, diagnosis, and management
B. Riggs (1988)
Hip fracture incidence in Stockholm 1972-1981.
R. Hedlund (1986)
Hip fracture in Hong Kong and Britain.
E. Lau (1990)
Secular trends in the incidence of hip fractures
J. I. Joseph Melton (1987)
Ethnic differences in hip fracture: a reduced incidence in Mexican Americans.
R. Bauer (1988)
Epidemiology of osteoporosis in Argentina
A. Bagur (2001)
Epidemiology of hip fractures in Siena, Italy, 1975-1985.
M. Caniggia (1989)
Lifetime risks of hip, Colles', or vertebral fracture and coronary heart disease among white postmenopausal women.
S. Cummings (1989)
Differing patterns of osteoporosis across the world
Age- and sex-specific incidence of femoral neck and trochanteric fractures: an analysis based on 20 538 fractures in Stockholm County, Sweden, 19711981
R Hedlund (1987)
Race and sex differences in hip fracture incidence.
M. Farmer (1984)
Hip fracture incidence rates
LJ Melton (1990)
RISING INCIDENCE OF FRACTURE OF THE PROXIMAL FEMUR
W. Boyce (1985)
Trends in admissions for hip fracture in England and Wales, 1968-85.
T. Spector (1990)
Osteoporosis and fracture of the femoral neck in the South African Bantu.
L. Solomon (1968)
The incidence of femoral neck fractures in New Zealand.
S. Stott (1980)
Epidemiology of trochanteric fractures of the femur in Alicante, Spain, 1974-1982.
A. Lizaur-Utrilla (1987)
[Epidemiology of fractures].
M. Isnard (1995)
Hip fractures in the county of Funen, Denmark. Implications of demographic aging and changes in incidence rates.
P. A. Frandsen (1983)
Epidemiology of hip fractures in Norway.
J. Falch (1985)
Changing incidence of hip fractures in rural and urban areas of central Norway.
V. Finsen (1987)
Incidence and risk factors for hip fractures in Hong Kong Chinese
EMC Lau (1990)
Fracture Epidemiology in a Mixed Southeastern Asian Community (Singapore)
P. Wong (1966)
A model of lifetime osteoporosis impact.
E. Chrischilles (1991)
The Second Fifty Years: Promoting Health and Preventing Disability
Disease Prevention (1990)
A model of lifetime osteoporosis
EA Chrischilles (1991)
Age-and sex-specific incidence of femoral neck and trochanteric fractures: an analysis based on 20 538 fractures in Stockholm County
R Hedlund (1971)
Differing patterns of osteoporosis across the world. In: Chesnut CH, editor. New dimension in osteoporosis
Melton LJ (1991)
The epidemiology of femoral neck fractures in Jerusalem. A prospective study (1967-1971).
H. Pogrund (1977)
Geographical variations in senile osteoporosis. The association with physical activity.
J. Chalmers (1970)
This paper is referenced by
Tratamiento intrahospitalario para la osteoporosis en sujetos con fracturas nuevas por fragilidad
D. M. Barreto (2016)
Knowledge, Attitude and Dietary and Lifestyle Practices on Bone Health Status among Undergraduate University Students in Health Campus, Universiti Sains Malaysia, Kelantan
Wan Arfah Nadiah (2010)
Osteoporosis: social and economic impact.
J. Compston (2010)
The relation between hip impact velocity and hip impact force differs between sideways fall techniques.
B. E. Groen (2008)
Diagnosis & treatment of osteoporosis: are we doing enough?
S. Garg (2015)
Postsurgical Displacement of Femoral Neck Fractures is Problematic
Travis Frantz (2015)
Recommendations for the diagnosis and management of osteoporosis: a local perspective.
H. Raef (2004)
Interrelationship between Androgen Levels, Ageing, and Cognitive Functions
H. Joshi (2006)
Physical activity, muscle function, falls and fractures
M. Karlsson (2008)
Polymorphisms in the estrogen receptor genes are associated with hip fractures in Chinese.
Jin-tang Wang (2008)
Evaluating bone health in women with oestrogen receptor positive breast cancer (ERBC) starting aromatase inhibitors.
G. P. R. Clunie (2009)
An Exploratory Study of Factors Influencing the Effectiveness of the Amob/vll Program for Participants in North Central Texas
Charles W. Ewing (2011)
Taking control: the osteoporosis epidemic.
Joseph Borrelli (2012)
Uneven global distribution of randomized trials in hip fracture surgery
Marco Yeung (2012)
Age-dependence of power spectral density and fractal dimension of bone mineralized matrix in atomic force microscope topography images: potential correlates of bone tissue age and bone fragility in female femoral neck trabeculae.
Petar Milovanovic (2012)
A novel method of dental panoramic tomogram analysis: a perspective tool for a screening test for osteoporosis.
Marko Božič (2013)
Physical activity and osteoporosis hip fracture in postmenopausal women EJERCICIO FÍSICO Y RIESGO DE FRACTURA OSTEOPORÓTICA DE CADERA EN MUJERES POSTMENOPAUSICAS.
L. P. Rodríguez (2010)
Personal and Societal Burden of Osteoporotic Fractures
Chris Fox (2015)
Eigenschaften des Osteozytennetzwerks in gesundem und erkranktem Knochen
Alexander Scheidt (2016)
Epidemiology and Demographics
Matthew P Sullivan (2017)
Erratum to: Osteoporosis, obesity, and sarcopenia on abdominal CT: a review of epidemiology, diagnostic criteria, and management strategies for the reporting radiologist
Timothy Eanna Murray (2017)
Comprehensive geriatric care reduces acute perioperative delirium in elderly patients with hip fractures
Y. Wang (2017)
Clinical Management of Osteoporotic Fractures
Adam Z. Khan (2018)
Proton Pump Inhibitors and Fracture Risk: A Review of Current Evidence and Mechanisms Involved
Benjamin Ka Seng Thong (2019)
New approaches for cement‐based prophylactic augmentation of the osteoporotic proximal femur provide enhanced reinforcement as predicted by non‐linear finite element simulations
Péter Varga (2017)
A retrospective comparison between delayed and early hip fracture surgery in patients taking clopidogrel: same total bleeding but different timing of blood transfusion
Claire Pailleret (2017)
Effect of bisphosphonate initiation at week 2 versus week 12 on short-term functional recovery after femoral neck fracture: a randomized controlled trial
Aasis Unnanuntana (2017)
Osteoporosis in men.
Nichole L. Korpi-Steiner (2014)
Predicting discharge location of hip fracture patients; the new discharge of hip fracture patients score
Anne Jochem Hendrik Vochteloo (2012)
Predictive factors for early hospital readmission and 1-year mortality in elder patients following surgical treatment of a hip fracture.
H. Sofu (2017)
Effect of compliance to the discharge instructions among patients with internal fixation for hip fracture
Nagwa Mohammad Ahmed (2017)
Genome-Wide Association Study Identifies ALDH7A1 as a Novel Susceptibility Gene for Osteoporosis
Y. Guo (2010)See more