Lofthus C M, Frihagen F, Meyer H E, Nordsletten L, Melhuus K, Falch J A
Centre of Endocrinology, The Hormone Laboratory, Aker University Hospital, 0514 Oslo, Norway.
Osteoporos Int. 2008 Jun;19(6):781-6. doi: 10.1007/s00198-007-0499-5.
The population of Oslo has the highest incidence of hip fracture reported. The present study shows that the overall incidence of distal forearm fractures in Oslo is higher than in other countries and has not changed significantly when comparing the incidence of 1998/99 with 1979.
The population of Oslo has the highest incidence of hip fracture reported. The present study reports the incidence of distal forearm fracture in Oslo and the fracture rates of immigrants.
Patients aged > or = 20 years resident in Oslo sustaining a distal forearm fracture in a one-year period in 1998/99 were identified using electronic diagnosis registers, patient protocols, and/or X-ray registers of the clinics in Oslo. Medical records were obtained and the diagnosis verified. The age- and sex-specific incidence rates were calculated and compared with those for 1979. Data on immigrant category and country of origin of the patients were obtained.
The age-adjusted fracture rates per 10,000 for the age group > or = 50 years were 109.8 and 25.4 in 1998/99 compared with 108.3 and 23.5 in 1979 for women and men, respectively (n.s.). The relative risk of fracture in Asians was 0.72 (95% CI 0.53-1.00) compared with ethnic Norwegians.
The overall incidence of distal forearm fractures in Oslo is higher than in other countries and has not changed significantly when comparing the incidence of 1998/99 with 1979. Furthermore, the present data suggest that Asian immigrants in Oslo have a slightly lower fracture risk than ethnic Norwegians.
据报道,奥斯陆的髋部骨折发病率在全球最高。本研究表明,奥斯陆前臂远端骨折的总体发病率高于其他国家,且与1979年相比,1998/99年的发病率并无显著变化。
据报道,奥斯陆的髋部骨折发病率在全球最高。本研究报告了奥斯陆前臂远端骨折的发病率以及移民的骨折发生率。
通过电子诊断登记册、患者病历和/或奥斯陆各诊所的X光登记册,确定了1998/99年期间在奥斯陆居住且年龄≥20岁、发生前臂远端骨折的患者。获取了医疗记录并核实了诊断。计算了年龄和性别特异性发病率,并与1979年的数据进行了比较。同时获取了患者的移民类别和原籍国数据。
1998/99年,年龄≥50岁年龄组每10,000人的年龄调整骨折率,女性为109.8,男性为25.4;而1979年女性和男性分别为108.3和23.5(无显著差异)。与挪威本地人相比,亚洲人的骨折相对风险为0.72(95%可信区间0.53 - 1.00)。
奥斯陆前臂远端骨折的总体发病率高于其他国家,且与1979年相比,1998/99年的发病率并无显著变化。此外,目前的数据表明,奥斯陆的亚洲移民骨折风险略低于挪威本地人。