Fracture incidence in England and Wales: a study based on the population of Cardiff

Fracture incidence in England and Wales: a study based on the population of Cardiff
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DOI:
10.1016/s0020-1383(97)00144-7
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发表时间:
1997-11-01
影响因子:
2.5
通讯作者:
Woodhouse, KW
Woodhouse, KW
中科院分区:
医学3区
文献类型:
--
作者:
Johansen, A;Evans, RJ;Woodhouse, KW

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尽管骨折作为一个经济和健康问题的重要性,以及随之而来的对骨质疏松症的兴趣,很少有工作者以前试图定义骨折的总发病率。这项基于人群的研究是基于卡迪夫皇家医院的急诊科,确定了所有出现任何类型骨折的患者。在一年内,共有6467骨折被确定的306600人谁住在城市的卡迪夫。由此得出的总体骨折发生率为21.1/1000/年(男性为23.5/1000/年,女性为18.8/1000/年);该结果与美国、澳大利亚和挪威的类似研究结果非常相似。这一结果是之前英国骨折发生率估计值的两倍多;自20世纪60年代以来进行的唯一一项等效研究的数字为9/1000/年。在某种程度上,这种差异似乎反映了我们对研究人群更严格的定义,以及我们对轻微骨折的更好的确定。我们相信我们的结果提供了目前英国人群骨折发生率的最准确估计。(C)1997 Elsevier Science Ltd.保留所有权利。
Despite the importance of fractures as an economic and health problem, and consequent interest in osteoporosis, few workers have previously attempted to define the overall incidence of fracture. This population based study was based in the Accident and Emergency Department of Cardiff Royal Infirmary and identified all patients presenting with fractures of any type. Over a single year a total of 6467 fractures were identified among the 306 600 people who live in the city of Cardiff. This gives an overall fracture incidence of 21.1/1000/year, (23.5/1000/year in males and 18.8/1000/year in females); a result very similar to those from similar work in the USA, Australia and Norway. This result is over twice the previous estimate of fracture incidence in the UK; the figure of 9/1000/year from the only equivalent study performed since the 1960s. In part, this discrepancy appears to reflect our more rigorous definition of the study population, and our improved ascertainment of minor fractures. We believe our result to offer the most accurate estimate of fracture incidence currently available for a UK population. (C) 1997 Elsevier Science Ltd. All rights reserved.