Secular trends in the incidence of hip and other osteoporotic fractures.
Secular trends in the incidence of hip and other osteoporotic fractures.
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DOI：
10.1007/s00198-011-1601-6
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发表时间：
2011-05
影响因子：
4
通讯作者：
Kanis, J. A.
中科院分区：
文献类型：
--
作者：
Cooper, C.;Cole, Z. A.;Holroyd, C. R.;Earl, S. C.;Harvey, N. C.;Dennison, E. M.;Melton, L. J.;Cummings, S. R.;Kanis, J. A.
骨质疏松症是一个主要的公共卫生问题，因为它与年龄相关的骨折有关，最明显的是股骨近端骨折。世界各地髋部骨折的发病率存在很大的地域差异，对近期发病率趋势的估计也有很大差异；已发表的文献中的研究报告称，男性和女性髋部骨折的年龄调整发病率有上升、停滞和下降的趋势。对这些时间趋势的准确描述对于预测未来几十年髋部骨折造成的医疗负担非常重要。因此，我们对世界范围内的研究进行了回顾，探讨了髋部和其他骨折发生率的长期趋势。在西方人群中进行的研究，无论是在北美、欧洲还是大洋洲，普遍报告了上个世纪后半叶髋部骨折发病率的上升，但那些在过去20年继续跟踪趋势的研究发现，髋部骨折发病率稳定下来，某些中心观察到年龄调整后的下降。相比之下，一些研究表明，亚洲的这一比例正在上升。这一已发表文献中的时间趋势的综合将为预防骨折提供重要的资源；了解最近髋部骨折发生率下降的原因可能有助于理解如何在全球范围内降低髋部骨折的发生率。
Osteoporosis constitutes a major public health problem through its association with age-related fractures, most notably those of the proximal femur. Substantial geographic variation has been noted in the incidence of hip fracture throughout the world, and estimates of recent incidence trends have varied widely; studies in the published literature have reported an increase, plateau, and decrease, in age-adjusted incidence rates for hip fracture among both men and women. Accurate characterisation of these temporal trends is important in predicting the health care burden attributable to hip fracture in future decades. We therefore conducted a review of studies worldwide, addressing secular trends in the incidence of hip and other fractures. Studies in western populations, whether in North America, Europe or Oceania, have generally reported increases in hip fracture incidence through the second half of the last century, but those continuing to follow trends over the last two decades have found that rates stabilise, with age-adjusted decreases being observed in certain centres. In contrast, some studies suggest that the rate is rising in Asia. This synthesis of temporal trends in the published literature will provide an important resource for preventing fractures; understanding the reasons for the recent declines in rates of hip fracture may help understand ways to reduce rates of hip fracture worldwide.
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DOI：
10.1016/j.injury.2005.02.008
发表时间：
2005-11-01
影响因子：
2.5
作者：
Boufous, S;Finch, C;Close, J
通讯作者：
Close, J
影响因子：
2.6
作者：
Goettsch, Wim G.;de Jong, Romy B.;Herings, Ron M. C.
通讯作者：
Herings, Ron M. C.
影响因子：
4
作者：
Hagino, H;Katagiri, H;Teshima, R
通讯作者：
Teshima, R
影响因子：
4
作者：
COOPER, C;CAMPION, G;MELTON, LJ
通讯作者：
MELTON, LJ
DOI：
10.1007/bf01880413
发表时间：
1990-10-01
期刊：
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
影响因子：
--
作者：
Hui, S L;Slemenda, C W;Johnston, C C Jr
通讯作者：
Johnston, C C Jr