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The site‐specific epidemiology of hip fracture in the Australian Capital Territory with projections for the first half of the 21st century: Implications for clinical management and health services planning
Author(s) -
Fisher AA,
Davis MW,
Rubenach SE,
Le Couteur DG,
McLean AJ
Publication year - 2007
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/j.1741-6612.2007.00205.x
Subject(s) - epidemiology , medicine , demography , osteoporosis , hip fracture , etiology , population , gerontology , environmental health , sociology
Objectives: To analyse the site‐specific epidemiology of hip fracture (HF) for the ACT and to project HF up to 2051.Methods: Age‐ and sex‐specific rates of HF and projections of the number of HFs were calculated by applying the age‐ and sex‐specific rates to the median population projections.Results: Analysis of patterns of HF by anatomical site of fracture revealed a diverse relationship according to age and sex. Fracture rates were higher in men before age 60 (1.8 : 1), and thereafter in women (3.1 : 1). In the age group of 60–64 years, the female : male ratio was 8.2 : 1 for cervical versus 1.8 : 1 for trochanteric fractures. Treatment for osteoporosis was under‐utilised. HF in people aged > 60 years will almost double by 2011, and increase 2.5‐fold and 5.4‐fold by the years 2021 and 2051, respectively. The greatest increase will occur in older men.Conclusions: The number of HFs in the first half of the 21st century will increase dramatically. Aetiological and pathophysiological differences in HF emphasise the need to individualise preventative strategies.