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Changes over time in hip fracture risk: Greater improvements in men compared to women
Author(s) -
Smith Roger,
Perera Buddhini K.,
Chan Daniela W.C.
Publication year - 2018
Publication title -
clinical endocrinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.055
H-Index - 147
eISSN - 1365-2265
pISSN - 0300-0664
DOI - 10.1111/cen.13763
Subject(s) - medicine , hip fracture , femoral neck , incidence (geometry) , population , mortality rate , osteoporosis , physics , environmental health , optics
Summary Purpose The aim of this study was to determine whether there has been a change in the mean age and age‐standardized incidence of minimal trauma hip fractures in the Newcastle and Lake Macquarie population of Australia between 1998 and 2015. Method Patients with neck of femur fractures over 50 who presented to the regional referral centre were retrospectively identified using the ICD ‐9 and ICD ‐10 coding system. Results There were 233 and 308 eligible patients in 1998 and 2015, respectively. For females, the mean age for hip fracture of 83.2 years in 1998 was not significantly different from the mean age of 84.5 years in 2015 ( P = .16). For males, the mean age for hip fracture was significantly older at 84.6 years in 2015 compared to 80.4 years in 1998 ( P = .005). For females, the decrease in the rate of hip fracture from 1998 to 2015 was 13% and was weakly statistically significant ( IRR = 0.86, P = .05). For males, there was a statistically significant decrease in the rate of hip fractures from 1998 to 2015 by 33% ( IRR = 0.67, P = .001). Conclusion Our study shows a decrease in age‐standardized rates of hip fractures for men and women and suggests that men are demonstrating a greater improvement in bone health compared to women.