Continuously rising problem of osteoporotic knee fractures in elderly women: nationwide statistics in Finland in 1970-1999 and predictions until the year 2030.
Continuously rising problem of osteoporotic knee fractures in elderly women: nationwide statistics in Finland in 1970-1999 and predictions until the year 2030.
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老年女性骨质疏松性膝盖骨折问题不断加剧：芬兰 1970-1999 年全国统计数据和到 2030 年的预测。
DOI：
10.1016/s8756-3282(01)00602-0
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发表时间：
2001
期刊：
影响因子：
4.1
通讯作者：
I. Vuori
中科院分区：
文献类型：
--
作者：
P. Kannus;S. Niemi;M. Palvanen;J. Parkkari;M. Pasanen;M. Järvinen;I. Vuori
我们通过收集1970-1999年间在芬兰医院接受骨质疏松性膝关节骨折初级治疗的所有≥60岁患者的国家出院登记数据，评估了芬兰骨质疏松性膝关节骨折的数量和发病率的当前趋势。如果膝关节骨折仅由低能损伤引起，则定义为“骨质疏松性”；也就是说，从站着的高度或更低的地方摔下来。我们还通过一个回归模型预测了到2030年的骨折发展情况，该模型考虑了骨折发生率和高危人群的预测变化。在研究期间，芬兰≥60岁女性骨质疏松性膝关节骨折的数量和发生率（每10万人）明显上升，从1970年的218例（数量）和55例（发生率）上升到1999年的685例和113例。即使在年龄调整后，女性骨折的发生率也明显增加，从1970年的59例增加到1999年的105例。如果这一趋势继续下去，到2030年，芬兰女性骨质疏松性膝关节骨折的数量将是1999年的2.5倍。芬兰≥60岁男性的年骨折数量及其变化明显较小（1970年为77例，1999年为138例），骨折发生率随时间变化趋势不一致（1970年为30例，1999年为34例）。我们的结论是，芬兰老年妇女骨质疏松性膝关节骨折的数量上升，其速度不能仅仅用人口变化来解释，因此，需要采取有力的预防措施来控制这一发展。
We assessed the current trends in the number and incidence of osteoporotic knee fractures in Finland by collecting data from the National Hospital Discharge Register for all patients ≥60 years of age who were admitted to Finnish hospitals in 1970–1999 for primary treatment of such fractures. The knee fracture was defined “osteoporotic” if it was caused by a low-energy trauma only; that is, a fall from standing height or less. We also predicted fracture development until the year 2030 by a regression model, which took into account the predicted changes in the fracture incidences and population at risk. The number and incidence (per 100,000 persons) of osteoporotic knee fractures in Finnish women aged ≥60 years clearly rose during the study period, from 218 (number) and 55 (incidence) in 1970 to 685 and 113 in 1999. Even after age adjustment, the incidence of women’s fractures showed a clear increase, from 59 in 1970 to 105 in 1999. If this trend continues, there will be about 2.5 times more osteoporotic knee fractures in Finnish women in the year 2030 than there were in 1999. In Finnish men aged ≥60 years, the annual number of fractures and its changes were clearly smaller (77 in 1970 vs. 138 in 1999), and the fracture incidence did not show consistent trend changes over time (30 in 1970 vs. 34 in 1999). We conclude that in elderly Finnish women the number of osteoporotic knee fractures shows a rise with a rate that cannot be explained merely by demographic changes and, therefore, vigorous preventive measures are needed to control this development.
影响因子：
4.1
作者：
Melton, LJ
通讯作者：
Melton, LJ
肱骨骨折的流行病学特征。
影响因子：
4.2
作者：
Rose,SH;Melton3rd,LJ;Morrey,BF;Ilstrup,DM;Riggs,BL
通讯作者：
Riggs,BL