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The hospital burden of vertebral fracture in Europe: A study of national register sources

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Abstract

The aims of this study were to quantify the hospital burden of vertebral fracture in Europe and to compare this with that of hip fracture. Information on hospital discharges was sought by age and sex from Ministries of Health in Europe. Discharge rates for vertebral fracture, available from 12 countries, varied by more than 4-fold between countries, which was greater than the differences between sexes. Where the discharge rate was high for vertebral fracture the incidence of hip fracture was also high. Since nearly all cases of hip fracture are hospitalized, this suggests a relationship between hip and vertebral fracture risk that is not explained by different admission policies for vertebral fracture in different European countries.

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References

  1. Cooper C, Campion G, Melton LJ. Hip fracture in the elderly: a world-wide projection. Osteoporosis Int 1992;2:285–9.

    Google Scholar 

  2. Johnell O, Gullberg B, Allander E, Kanis JA, and the MEDOS study group. The apparent incidence of hip fracture in Europe: a study of national register sources. Osteoporosis Int 1992;2:298–302.

    Google Scholar 

  3. Elffors L, Allander E, Kanis JA, Gullberg B, Johnell O, Dequeker J, et al. The variable incidence of hip fracture in Southern Europe: the MEDOS study. Osteoporosis Int 1994;4:253–63.

    Google Scholar 

  4. World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. WHO technical report series, 843. Geneva: WHO, 1994.

    Google Scholar 

  5. Sernbo I, Andersson T, Johnell O. Differences in the incidence of hip fractures: comparison of an urban and a rural population in Southern Sweden. Acta Orthop Scand 1988;59:382–5.

    Google Scholar 

  6. Jacobson SJ, Goldberg J, Miles TP, Brody JA, Stiers W, Rimm AA. Regional variation in the incidence of hip fractures: US white women aged 65 years and older. JAMA 1990;264:500–2.

    Google Scholar 

  7. Cooper C. Epidemiology of vertebral fractures in Western populations. Spine 1995;8:1–11.

    Google Scholar 

  8. Kanis JA, McCloskey EV. The epidemiology of vertebral osteoporosis. Bone 1992;13(Suppl 2):1–10.

    Google Scholar 

  9. National Osteoporosis Foundation Working Group on Vertebral Fractures. Assessing vertebral fractures. J Bone Miner Res 1995;10:518–23.

    Google Scholar 

  10. O'Neill TW, Felsenberg D, Varlow J, Cooper C, Kanis JA, Silman AJ, and the EVOS Study Group. The prevalence of vertebral deformity in European men and women. J Bone Miner Res 1996; in press.

  11. Bengner U, Johnell O, Redlund-Johnell I. Changes in incidence and prevalence of vertebral fracture during 30 years. Calcif Tissue Int 1988;42:293–6.

    Google Scholar 

  12. Jacobsen SJ, Cooper C, Gottlieb MS, Goldberg J, Yahuka DP, Melton LJ. Hospitalization with vertebral fracture among the aged: a national population-based study, 1986–1989. Epidemiology 1992;3:515–8.

    Google Scholar 

  13. McCullagh P, Nelder JA. Generalized linear models. London: Chapman Hall, 1991.

    Google Scholar 

  14. Day NE. A new measure of age standardised incidence: the cumulate rate. In: Waterhouse JAH, Muir CS, Correa P, Powell J, editors. Cancer incidence in five continents, vol III. Lyon: IARC Scientific Publications, 1976:443–52.

    Google Scholar 

  15. Cooper C, Atkinson EJ, O'Fallon WM, Melton LJ. Incidence of clinically diagnosed vertebral fractures: a population-based study in Rochester, Minnesota, 1985–1989. J Bone Miner Res 1992;7:221–7.

    Google Scholar 

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Johnell, O., Gullberg, B. & Kanis, J.A. The hospital burden of vertebral fracture in Europe: A study of national register sources. Osteoporosis Int 7, 138–141 (1997). https://doi.org/10.1007/BF01623689

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  • DOI: https://doi.org/10.1007/BF01623689

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