The epidemiology of fractures in England

The epidemiology of fractures in England
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DOI:
10.1136/jech.2006.056622
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发表时间:
2008-02-01
影响因子:
6.3
通讯作者:
Shelton, N. J.
Shelton, N. J.
中科院分区:
医学2区
文献类型:
--
作者:
Donaldson, L. J.;Reckless, I. P.;Shelton, N. J.

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简介:骨折是一个相当大的公共卫生负担,在英国,但其流行病学的信息是有限的。目的:这项研究的目的是估计真正的年度发病率和终身患病率的骨折在英格兰,在一般人群和特定群体,使用自我报告的方法。方法:自我报告调查的全国代表性的一般人口样本的45 293个人在英格兰,加上一个特殊的助推样本的10 111从少数民族人口。结果:计算的骨折发生率为每年每100人3.6例骨折。中年男性的终生骨折患病率超过50%,75岁以上的女性超过40%。骨折发生的频率降低,在非白人人口:这种效果是在大多数黑人和少数民族ethnic groups.Conclusions:这项研究表明,骨折在英格兰可能是更常见的比以前估计的,与整体骨折的年发病率为3.6%。标准化终生骨折患病率估计为38.2%。骨折在白色人群中更为常见。
Introduction: Fractures are a considerable public health burden in the United Kingdom but information on their epidemiology is limited.Objective: This study aims to estimate the true annual incidence and lifetime prevalence of fractures in England, within both the general population and specific groups, using a self-report methodology.Methods: A self-report survey of a nationally representative general population sample of 45 293 individuals in England, plus a special boost sample of 10 111 drawn from the ethnic minority population.Results: The calculated fracture incidence is 3.6 fractures per 100 people per year. Lifetime fracture prevalence exceeds 50% in middle-aged men, and 40% in women over the age of 75 years. Fractures occur with reduced frequency in the non-white population: this effect is seen across most black and minority ethnic groups.Conclusions: This study suggests that fractures in England may be more common than previously estimated, with an overall annual fracture incidence of 3.6%. Age-standardised lifetime fracture prevalence is estimated to be 38.2%. Fractures are more commonplace in the white population.