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Inicio Medicina Clínica (English Edition) Epidemiology of osteoporotic fractures in Andalusia, Spain, from 2000-2010
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Vol. 150. Issue 8.
Pages 297-302 (April 2018)
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Vol. 150. Issue 8.
Pages 297-302 (April 2018)
Original article
Epidemiology of osteoporotic fractures in Andalusia, Spain, from 2000-2010
Epidemiología de las fracturas osteoporóticas en Andalucía en el período 2000-2010
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Francisco Javier Aguilar del Reya,
Corresponding author
fjaguilarrey@gmail.com

Corresponding author.
, Olga Pérez Gonzálezb
a Servicio de Reumatología, Hospital Clínico Virgen de la Victoria, Málaga, Spain
b Fundación Pública Andaluza para la Investigación de Málaga en Medicina y Salud (FIMABIS), Málaga, Spain
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Figures (2)
Tables (4)
Table 1. Number of total and hip fractures and incidence rates in the Andalusian population ≥50 years in the period 2000–2010. p and 95% CI values compare the values of each province with the total of fractures in Andalusia.
Table 2. Incidence rates of hip fractures in the Andalusian population and in each of the provinces ≥50 years according to age groups for the period 2000–2010.
Table 3. Number of total fractures and main locations (which required hospital admission) according to year and sex in population ≥50 years of age.
Table 4. Total hip fractures and incidence rates by age and sex groups.
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Abstract
Background and objective

The aim of this study was to examine the epidemiological data on osteoporotic fractures in Andalusia in the period 2000–2010. In view of the lack of epidemiological studies of fractures in Andalusia, we set out to ascertain the number and incidence rates of osteoporotic fractures and their distribution by gender and age, location, comorbidity, seasonality and secular trend.

Methods

Cohort study observed over a period of 11 years analysing the data provided by the Minimum Basic Data Set register for the period 2000–2010.

Results

There were a total of 96,458 osteoporotic fractures, with a crude incidence rate of 374.18 fractures per 100,000 population. Fractures increased in this period by 27% (p<0.01, IC 95%, 0.71; 0.73). We found a trend change in female/male ratio, from 3.4 to 3.2, and in the reduction in fractures in the last two years, especially in the past year, with a decrease of 11.2% in hip fractures (p<0.001, IC 95%, 0.88; 0.895).

Conclusions

In this period, there has been an increase in fractures as a consequence of the ageing of the population, but also a change in trend, with fractures decreasing in some age groups. The incidence rate of fractures varies between different countries and regions of Spain, and between different provinces of Andalusia.

Keywords:
Fragility fractures
Osteoporosis
Secular trend
Andalusia
Resumen
Fundamento y objetivo

El objetivo de este estudio es conocer diferentes datos epidemiológicos de las fracturas osteoporóticas en Andalucía en el período 2000-2010. Ante la falta de estudios epidemiológicos de fracturas en Andalucía nos propusimos conocer el número y tasas de incidencia de las fracturas osteoporóticas, su distribución por sexo y edad, localización, estacionalidad y tendencia secular.

Métodos

Estudio de cohorte observada durante un periodo de 11 años analizando los datos suministrados por el registro del Conjunto Mínimo Básico de Datos durante el período 2000-2010.

Resultados

El total de fracturas osteoporóticas fueron 96.458 con una tasa de incidencia bruta de 374,18 fracturas por 100.000 habitantes. Las fracturas aumentaron en este período un 27% (p<0,01, IC 95%, 0,71; 0,73). Hemos encontrado un cambio de tendencia en la relación mujer/hombre pasando de 3,4 a 3,2 y en la disminución de fracturas en los dos últimos años, sobre todo en el último, con una disminución del 11,2% en las fracturas de cadera (p<0,001, IC 95%, 0,88; 0,895).

Conclusiones

En este periodo se ha producido un aumento de fracturas por el envejecimiento de la población pero también un cambio de tendencia con la disminución de fracturas en algunos grupos de edad. La tasa de incidencia de fracturas es variable entre los diferentes países y regiones de España y entre las diferentes provincias de Andalucía.

Palabras clave:
Fracturas por fragilidad
Osteoporosis
Tendencia secular
Andalucía

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