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Epidemiology of hip fractures: Systematic literature review of German data and an overview of the international literature

  • Background Hip fractures are regarded as a worldwide epidemic and a major public health concern. Changing risk factors, local differences and temporal trends contribute to the particular epidemiology of hip fractures. This overview gives a comprehensive insight into the epidemiology of hip fractures and reviews where German data have contributed to the literature. Methods The review of the epidemiology of hip fractures in Germany is based on a systematic literature search in PubMed. Information about the global epidemiology of hip fractures was provided by a selective literature review focusing on specific aspects of the epidemiology of hip fractures. Results Hip fracture rates vary more than 100-fold between different countries. In most high-income countries, a rise in agestandardized hip fracture rates was observed until the 1980s and 1990s and a decrease thereafter. Such a decrease has not been observed for Germany so far. Many factors,diseases and drugs have been found to be associated with hip fractures and there isBackground Hip fractures are regarded as a worldwide epidemic and a major public health concern. Changing risk factors, local differences and temporal trends contribute to the particular epidemiology of hip fractures. This overview gives a comprehensive insight into the epidemiology of hip fractures and reviews where German data have contributed to the literature. Methods The review of the epidemiology of hip fractures in Germany is based on a systematic literature search in PubMed. Information about the global epidemiology of hip fractures was provided by a selective literature review focusing on specific aspects of the epidemiology of hip fractures. Results Hip fracture rates vary more than 100-fold between different countries. In most high-income countries, a rise in agestandardized hip fracture rates was observed until the 1980s and 1990s and a decrease thereafter. Such a decrease has not been observed for Germany so far. Many factors,diseases and drugs have been found to be associated with hip fractures and there is some evidence that fracture risk in later life is already programmed during fetal life and early childhood. Of the hip fracture burden 50% occur in people with disability and in need of care. In nursing homes approximately 4 fractures can be expected in 100 women per year. In people with intellectual or developmental disabilities comparable risks of hip fracture occur 10–40 years earlier than in the general population. Incidence of disability, institutionalization and death are frequent consequences of hip fractures. Conclusion The epidemiology of hip fractures is characterizedby a high burden of disease, local differences, temporal trends, well-defined high-risk populations and many established risk factors.show moreshow less

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Metadaten
Author:Petra BenzingerORCiDGND, Kilian RappORCiD, Gisela Büchele, Clemens Becker, Karsten Dreinhöfer, Benjamin Bücking
DOI:https://doi.org/10.1007/s00391-018-1382-z
Identifier:0948-6704 OPAC HS OPAC extern
Identifier:1435-1269 OPAC HS OPAC extern
Parent Title (Multiple languages):Zeitschrift für Gerontologie und Geriatrie
Publisher:Springer Medizin Verlag
Place of publication:Heidelberg
Document Type:Article
Language:English
Date of Publication (online):2018/03/28
Year of first Publication:2019
Tag:Risk factors · Mortality · Intellectual disability · Institutionalization · Prevention
Volume:52
Issue:1
Number of pages:7 Seiten
First Page:10
Last Page:16
Institutes:Fakultät Soziales und Gesundheit
Open Access:open_access
Research focus:FSP4: Soziale Innovationen
Publication Lists:Benzinger, Petra
Publication reviewed:begutachtet
Licence (German):Creative Commons - CC BY - Namensnennung 4.0 International
Release Date:2021/01/26
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