Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: need for a concerted public health strategy

OBJECTIVE: To determine the incidence of hip fractures (at the proximal end of the femur) in Belgium from 1984 to 1996. METHODS: Use was made of information from the national database on hospital bills, which fully covers the annual hospital stays in the whole of the country. FINDINGS: The mean annu...

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Main Authors: Reginster Jean-Yves, Gillet Pierre, Gosset Christiane
Format: Article
Language:English
Published: The World Health Organization 2001-01-01
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001001000007
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author Reginster Jean-Yves
Gillet Pierre
Gosset Christiane
author_facet Reginster Jean-Yves
Gillet Pierre
Gosset Christiane
author_sort Reginster Jean-Yves
collection DOAJ
description OBJECTIVE: To determine the incidence of hip fractures (at the proximal end of the femur) in Belgium from 1984 to 1996. METHODS: Use was made of information from the national database on hospital bills, which fully covers the annual hospital stays in the whole of the country. FINDINGS: The mean annual incidence of hip fractures increased from 107.8 to 140.5 per 100 000 inhabitants between 1984 and 1996. The incidence of fractures of the femoral shaft (diaphysis), taken as a control, remained stable. The female to male ratio of these hip fractures was 2.3:1. Although the incidence by age group was identical for males and females, the fractures occurred approximately seven years earlier in women than in men. The demographic changes observed in Belgium during this period accounted for only 10% of the observed increase in the number of hip fractures. CONCLUSION: If no comprehensive preventive policy is set up promptly, there will be a sevenfold increase in the incidence of hip fractures between now and the year 2050 in Belgium.
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spelling doaj.art-ec944d60d395404fbda3a34bd89414f12024-03-03T01:13:10ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862001-01-017910942946Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: need for a concerted public health strategyReginster Jean-YvesGillet PierreGosset ChristianeOBJECTIVE: To determine the incidence of hip fractures (at the proximal end of the femur) in Belgium from 1984 to 1996. METHODS: Use was made of information from the national database on hospital bills, which fully covers the annual hospital stays in the whole of the country. FINDINGS: The mean annual incidence of hip fractures increased from 107.8 to 140.5 per 100 000 inhabitants between 1984 and 1996. The incidence of fractures of the femoral shaft (diaphysis), taken as a control, remained stable. The female to male ratio of these hip fractures was 2.3:1. Although the incidence by age group was identical for males and females, the fractures occurred approximately seven years earlier in women than in men. The demographic changes observed in Belgium during this period accounted for only 10% of the observed increase in the number of hip fractures. CONCLUSION: If no comprehensive preventive policy is set up promptly, there will be a sevenfold increase in the incidence of hip fractures between now and the year 2050 in Belgium.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001001000007Hip fractures/epidemiologyAge factorsLongitudinal studiesForecastingBelgium
spellingShingle Reginster Jean-Yves
Gillet Pierre
Gosset Christiane
Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: need for a concerted public health strategy
Bulletin of the World Health Organization
Hip fractures/epidemiology
Age factors
Longitudinal studies
Forecasting
Belgium
title Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: need for a concerted public health strategy
title_full Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: need for a concerted public health strategy
title_fullStr Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: need for a concerted public health strategy
title_full_unstemmed Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: need for a concerted public health strategy
title_short Secular increase in the incidence of hip fractures in Belgium between 1984 and 1996: need for a concerted public health strategy
title_sort secular increase in the incidence of hip fractures in belgium between 1984 and 1996 need for a concerted public health strategy
topic Hip fractures/epidemiology
Age factors
Longitudinal studies
Forecasting
Belgium
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001001000007
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