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Regional variability in changes in the incidence of hip fracture in the Spanish population (2000–2012)

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Abstract

Summary

The objective is to analyse the evolution of the incidence of hip fracture in the female population of Spain from 2000 to 2012 and to establish the possible changes which may have been seen over this period of time, including the trends in the different regions of the country.

Introduction

Fragility-related hip fractures are considered to be the fractures of greatest significance to public health due to their high degree of morbidity and mortality. The change in their incidence, both in absolute values and when adjusted for age, is the subject of debate. The objective of this article is to describe the changes in the rates of hip fracture in Spain by autonomous community between the years 2000 and 2012.

Methods

Using the data from the Spanish Minimum Basic Data Set, in which are all the recorded cases of women with a principal diagnosis of hip fracture, the incidence rates by age group and by autonomous community were obtained. Poisson distribution or negative binomial regressions were carried out to estimate the average annual change over the time period analysed.

Results

There have been statistically significant changes in the trends of rates of incidence for all age groups of women over 65 years of age. The annual reduction was 2.2 % for women of 65–74 years of age and less for those between 75 and 84. The rates of incidence for those over 85 increased annually by 0.58 %.

Conclusions

Hip fractures continue to increase in absolute numbers, although if the rates are adjusted for age, a downward trend is seen in certain age groups. These findings have various origins, although in the absence of great changes in population structure, we believe that drug treatments for osteoporosis may play a role. There is variability in the change in incidence of hip fractures in different parts of the country. Further studies are required to be able to identify the causes.

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Acknowledgments

We would like to acknowledge the editorial assistance provided by Andrew Stephens.

Conflicts of interest

Iñigo Etxebarria Foronda, Arantzazu Arróspide, Myrian Soto-Gordoa, José Ramón Caeiro, Luis Carlos Abecia and Javier Mar declare that they have no conflicts of interest.

Author information

Authors and Affiliations

  1. Department of Orthopaedic, Alto Deba Hospital, Mondragón, Gipuzkoa, Spain

    I. Etxebarria-Foronda

  2. Research Unit, Alto Deba Hospital, Mondragón, Gipuzkoa, Spain

    A. Arrospide, M. Soto-Gordoa & J. Mar

  3. Department of Orthopaedic, University Hospital Santiago de Compostela, La Coruña, Spain

    J. R. Caeiro

  4. Department of Preventive Medicine and Public Health, University of the Basque Country, Vitoria-Gasteiz, Spain

    L. C. Abecia

  5. Clinical Management Unit, Alto Deba Hospital, Mondragón, Gipuzkoa, Spain

    J. Mar

  6. Health Services Research on Chronic Patients Network (REDISSEC), Valencia, Spain

    J. Mar

Authors
  1. I. Etxebarria-Foronda
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  5. L. C. Abecia
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  6. J. Mar
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Correspondence to I. Etxebarria-Foronda.

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Etxebarria-Foronda, I., Arrospide, A., Soto-Gordoa, M. et al. Regional variability in changes in the incidence of hip fracture in the Spanish population (2000–2012). Osteoporos Int 26, 1491–1497 (2015). https://doi.org/10.1007/s00198-014-3015-8

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  • DOI: https://doi.org/10.1007/s00198-014-3015-8

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