Czerwinski E, Kanis J A, Trybulec B, Johansson H, Borowy P, Osieleniec J
Department of Bone and Joint Diseases, FHS, Jagiellonian University Medical College, 31-501 Krakow, Poland.
Osteoporos Int. 2009 Aug;20(8):1363-7. doi: 10.1007/s00198-008-0787-8. Epub 2008 Nov 14.
This study determined the incidence and probability of hip fractures in Poland based on verified hospital discharge notes from all of Poland. In the over-50-year-old population, hip fracture incidence was found to be 89/100,000 for men and 156/100,000 for women. Poland is among the countries with the lowest hip fracture risk in Europe.
It is recommended that intervention thresholds should be based on an assessment of absolute fracture risk. Probability of hip fracture is calculated from the incidence of hip fracture in a given population and the incidence of death. The aim of this study was to determine the incidence and the absolute risk of hip fracture for men and women in Poland.
The study was based on National Health Fund data from all of Poland for the year 2005. Hospital discharge notes reporting an incident fracture were identified from among all those containing a matching ICD code. Lifetime and 10-year fracture probabilities were calculated taking into account the mortality risk and BMD.
In 2005, there were 17,625 hip fractures diagnosed in Poland which was 30.2% less than the number of hospital discharge notes containing such a diagnosis in that year. In the over-50-year-old population, hip fracture incidence was found to be 89/100,000 for men and 165/100,000 for women. In the 50-65-year band, hip fracture incidence was higher in men than in women. The remaining lifetime probability of hip fracture at the age of 50 years was 2.0% for men and 4.5% for women which are among the lowest in Europe.
Hip fracture incidence and thus the probability of hip fracture risk in Poland is amongst the lowest in Europe. The authors recommend establishing a standard method for determining hip fracture incidence in a given country in order to standardize data.
本研究基于波兰全国经核实的医院出院记录，确定了波兰髋部骨折的发病率和发生概率。在50岁以上人群中，男性髋部骨折发病率为每10万人89例，女性为每10万人156例。波兰是欧洲髋部骨折风险最低的国家之一。
建议干预阈值应基于对绝对骨折风险的评估。髋部骨折概率由特定人群中的髋部骨折发病率和死亡率计算得出。本研究的目的是确定波兰男性和女性髋部骨折的发病率及绝对风险。
该研究基于2005年波兰全国卫生基金的数据。从所有包含匹配国际疾病分类（ICD）代码的记录中识别出报告有新发骨折的医院出院记录。考虑到死亡风险和骨密度，计算终生及10年骨折概率。
2005年，波兰诊断出17625例髋部骨折，比当年包含此类诊断的医院出院记录数量少30.2%。在50岁以上人群中，男性髋部骨折发病率为每10万人89例，女性为每10万人165例。在50至65岁年龄段，男性髋部骨折发病率高于女性。50岁时髋部骨折的终生剩余概率男性为2.0%，女性为4.5%，这在欧洲属于最低水平。
波兰的髋部骨折发病率以及髋部骨折风险概率在欧洲处于最低水平。作者建议建立一种在特定国家确定髋部骨折发病率的标准方法，以便使数据标准化。
