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The online version of this article (https://doi.org/10.1007/s00391-018-1382-z) contains supplementary material, which is available to authorized users.
Informationen zu spezifischen Teilaspekten der globalen Hüftfrakturepidemiologie beruhen auf einer selektiven Literatursuche.
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.
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.
Hip fracture rates vary more than 100-fold between different countries. In most high-income countries, a rise in age-standardized 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.
The epidemiology of hip fractures is characterized by a high burden of disease, local differences, temporal trends, well-defined high-risk populations and many established risk factors.
Hip fracture epidemiology based on German data391_2018_1382_MOESM1_ESM.docx
Rapp K, Becker C, Cameron ID, König H‑H, Büchele G (2012) Epidemiology of falls in residential aged care: analysis of more than 70,000 falls from residents of bavarian nursing homes. J Am Med Dir Assoc 13(2):187.e1 CrossRef
Defèr A, Schober H‑C, Möhrke W, Abendroth K, Hofbauer LC, Task Group for Treatment Research at German Society of Osteology, Federal Association of German Osteologists (Bundesverband der Osteologen Deutschland e. V.) et al (2014) Are there still east-to-west differences in the incidence of hip fractures in Germany? Arch Osteoporos 9:195 CrossRefPubMed
Icks AIA, Arend WAW, Becker CBC, Rapp KRK, Haastert BHB (2013) Incidence of hip fractures in Germany, 1995–2010. Arch Osteoporos 8(1–2):1–7
Rapp K, Cameron ID, Becker C, Kleiner A, Eckardt M, König H‑H et al (2012) Femoral fracture rates after discharge from hospital to the community. J Bone Miner Res. https://doi.org/10.1002/jbmr.1809
Youm T, Koval KJ, Kummer FJ, Zuckerman JD (1999) Do all hip fractures result from a fall? Am J Orthop (Belle Mead, NJ) 28(3):190–194
Benzinger P, Becker C, Todd C, Bleibler F, Rothenbacher D, König H‑H et al (2016) The impact of preventive measures on the burden of femoral fractures—a modelling approach to estimating the impact of fall prevention exercises and oral bisphosphonate treatment for the years 2014 and 2025. BMC Geriatr 16:75 CrossRefPubMedPubMedCentral
Bohlken J, Jacob L, Schaum P, Rapp MA, Kostev K (2017) Hip fracture risk in patients with dementia in German primary care practices. Dementia (London) 16(7):853–864 CrossRef
Rapp K, Rothenbacher D, Magaziner J, Becker C, Benzinger P, König H‑H et al (2015) Risk of nursing home admission after femoral fracture compared with stroke, myocardial infarction, and pneumonia. J Am Med Dir Assoc 16(8):715.e7–715.e12 CrossRef
McClure R, Turner C, Peel N, Spinks A, Eakin E, Hughes K (2005) Population-based interventions for the prevention of fall-related injuries in older people. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.cd004441.pub2
Epidemiology of hip fractures
Systematic literature review of German data and an overview of the international literature
MD Prof. Kilian Rapp
Dr. Gisela Büchele
Prof. Karsten Dreinhöfer
Prof. Benjamin Bücking
Prof. Clemens Becker
Dr. Petra Benzinger
- Springer Medizin
Zeitschrift für Gerontologie und Geriatrie
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269