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Health burden of hip and other fractures in Australia beyond 2000: Projections based on the Geelong Osteoporosis Study
Author(s) -
Sanders Kerrie M,
Nicholson Geoffrey C,
Pasco Julie A,
Kotowicz Mark A,
Ugoni Antony M,
Seeman Ego
Publication year - 1999
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1999.tb127845.x
Subject(s) - hip fracture , medicine , osteoporosis , radiological weapon , psychological intervention , population , demography , australian population , population ageing , gerontology , surgery , environmental health , psychiatry , sociology , endocrinology
Objective To calculate the expected increase in the number of fractures in adults attributable to the predicted increase in the number of elderly Australians. Data sources All fractures in adult residents (> 35 years) of the Barwon Statistical Division (total population, 218000) were identified from radiological reports from February 1994 to February 1996. The Australian Bureau of Statistics supplied predictions of Australia's population (1996 to 2051). Main outcome measure The projected annual number of fractures in Australian adults up to 2051 (based on stable rates of fracture in each age group). Results The number of fractures per year is projected to increase 25% from 1996 to 2006 (from 83000 fractures to 104000). Hip fractures are projected to increase 36% (from 15000 to 21000) because of a substantial rise in the number of elderly aged 85 years and over. Hip fractures are expected to double by 2026 and increase fourfold by 2051. Conclusions In contrast to Europe and North America, where numbers of hip fractures are expected to double by 2026 and then stabilise, in Australia hip fractures will continue to place a growing demand on healthcare resources for many decades. These projections can be used for setting goals and evaluating the costs and benefits of interventions in Australia.