Long-term trends in the incidence of distal forearm fractures
Long-term trends in the incidence of distal forearm fractures
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DOI：
10.1007/s001980050073
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发表时间：
1998-01-01
影响因子：
4
通讯作者：
O'Fallon, WM
中科院分区：
文献类型：
--
作者：
Melton, LJ;Amadio, PC;O'Fallon, WM
在这项以人群为基础的描述性研究中，涵盖了1945- 1994年的50年时间段，在女性和男性中，由于严重创伤导致的前臂远端骨折在统计学上显著增加（p < 0.001），但由于中度创伤（类似于骨质疏松症）导致的骨折没有长期增加。由于严重创伤导致的骨折在男性中所占比例（52%）高于女性（21%），因此，1945年至1994年间，男性经年龄调整的前臂骨折发病率总体上增加了一倍，具有统计学意义（p < 0.001），但女性经年龄调整的前臂骨折发病率增加7%则没有统计学意义（p = 0.90）。虽然罗切斯特前臂远端骨折发病率的流行病学模式与其他地方相似，但总发病率为287.4/10万人-年，（95%CI 267.7-307.1）低于瑞典目前的发生率，可能是因为前臂远端骨折发生率的大幅增加，例如，在马尔莫1953-57年和1980-81年之间，在罗切斯特没有观察到。罗切斯特男性和女性在过去50年中前臂远端骨折发生率的趋势与该社区在同一时间跨度内髋部骨折发生率的趋势大致一致。
In this population-based descriptive study covering the 50-year period, 1945-94, there was a statistically significant increase in distal forearm fractures due to severe trauma in both women and men (p < 0.001) but no secular increase in fractures due to moderate trauma (similar to osteoporosis). Since fractures attributed to severe trauma comprised a greater proportion of the total in men (52%) than women (21%), an overall doubling of age-adjusted forearm fracture incidence in men between 1945 and 1994 was statistically significant (p < 0.001), but the 7% increase in age-adjusted rates among women was not (p = 0.90). While the epidemiological pattern of distal forearm fracture incidence in Rochester was similar to that seen elsewhere, the overall incidence rate of 287.4 per 100000 person-years (95% CI 267.7-307.1) in 1985-94 was less than current rates in Sweden, presumably because the great increase in distal forearm fracture incidence seen, for example, in Malmo between 1953-57 and 1980-81 was not observed in Rochester. The trends in distal forearm fracture rates in Rochester men and women over the past 50 years are broadly consistent with trends in hip fracture incidence in this community over the same time span.