Clark Patricia, Lavielle Pilar, Franco-Marina Francisco, Ramírez Esperanza, Salmerón Jorge, Kanis John A, Cummings Steven R
Clinical Epidemiology Unit, CMN Siglo XXI IMSS-Faculty of Medicine, UNAM, Mexico City, Mexico.
Osteoporos Int. 2005 Dec;16(12):2025-30. doi: 10.1007/s00198-005-1991-4. Epub 2005 Aug 23.
The vast majority of hip fractures in the 21st century will occur in the developing countries. The rates and life-time hip fracture risk are not known for Mexico, and for this reason, we studied the incidence of hip fractures, and the remaining life-time probability of having a hip fracture at the age of 50 years in Mexican men and women. All hip fracture cases registered during the year 2000 were collected at all the main tertiary-care hospitals in the two major health systems in México City, Instituto Mexicano del Seguro Social (IMSS) and Ministry of Health (SS), and the diagnosis was validated by chart review in all cases. The annual rates of hip fracture were 169 in women and 98 in men per 100,000 person-years. The life-time probability of having a hip fracture at 50 years of age was 8.5% in Mexican women and 3.8% in Mexican men. We conclude that hip fractures are an important health problem in Mexico and that Mexican health authorities should consider public health programs to prevent hip fractures.
21世纪，绝大多数髋部骨折将发生在发展中国家。墨西哥的髋部骨折发生率及终生髋部骨折风险尚不清楚，因此，我们研究了墨西哥男性和女性的髋部骨折发病率以及50岁时发生髋部骨折的终生概率。收集了2000年在墨西哥城两大主要卫生系统的所有主要三级护理医院登记的所有髋部骨折病例，这两大卫生系统分别是墨西哥社会保险协会（IMSS）和卫生部（SS），并通过病历审查对所有病例的诊断进行了验证。女性髋部骨折的年发病率为每10万人年169例，男性为每10万人年98例。墨西哥女性50岁时发生髋部骨折的终生概率为8.5%，男性为3.8%。我们得出结论，髋部骨折在墨西哥是一个重要的健康问题，墨西哥卫生当局应考虑开展公共卫生项目以预防髋部骨折。
