Department of Orthopaedics and Traumatology, Medical University of Silesia in Katowice, Poland.
Department of Biostatistics, Faculty of Public Health, Medical University of Silesia, Bytom, Poland.
Maturitas. 2014 Jan;77(1):59-63. doi: 10.1016/j.maturitas.2013.09.004. Epub 2013 Sep 14.
Osteoporosis and its consequence of low trauma fracture represent a major health burden in aging population, because it results in increased morbidity, mortality and high health care costs. The number of hip fractures worldwide will approximately double by the year 2025 and more than triple by 2050. The aim of the study was to assess the incidence and trends of osteoporotic hip fracture in women and men aged over 50 years in polish population.
Hospital records in population of 32,100 men and 39,984 women between January 1st, 2002 and December 31, 2010 with ICD-10 codes S72,0, S72,1 and S72,2 (femoral neck, intertrochanteric, subtrochanteric, inter and subtrochanteric fracture) were included in analysis.
The study revealed 937 low energy hip fractures (240 in men 697 and in women). Systematic increase in rate over the study period, with the 44% in last year compared to 2002 year can be noticed. The increase was lowest in female (20.7%) than in male population (57.6%), and similarly was lowest in urban (27%) than in rural (67.7%) inhabitants.
Concluding, the incidence of osteoporotic hip fracture in Polish men and women aged over 50 years is low, but the epidemiological picture is likely to change due to apparent aging of the population. Increasing trend of hip fracture incidence together with changes in age structure will result in an increased need for specialized care including several medical branches (GP, orthopedics, geriatrics, rehabilitation). Levels of evidence - IV.
骨质疏松症及其导致的低创伤性骨折是老龄化人口的主要健康负担，因为它会导致发病率、死亡率增加和医疗保健费用增加。到 2025 年，全球髋部骨折的数量将增加近一倍，到 2050 年将增加两倍多。本研究的目的是评估波兰 50 岁以上人群中女性和男性骨质疏松性髋部骨折的发生率和趋势。
对 2002 年 1 月 1 日至 2010 年 12 月 31 日期间 ICD-10 编码为 S72.0、S72.1 和 S72.2（股骨颈、转子间、转子下、内和转子下骨折）的 32100 名男性和 39984 名女性的住院记录进行了分析。
本研究共发现 937 例低能量髋部骨折（男性 240 例，女性 697 例）。在研究期间，骨折发生率呈系统上升趋势，最后一年与 2002 年相比，可观察到 44%的增幅。女性（20.7%）的增幅低于男性（57.6%），城市居民（27%）的增幅也低于农村居民（67.7%）。
综上所述，波兰 50 岁以上男性和女性骨质疏松性髋部骨折的发生率较低，但由于人口老龄化，流行病学情况可能会发生变化。髋部骨折发生率呈上升趋势，同时年龄结构发生变化，将导致对包括全科医生、骨科、老年医学、康复等多个医学领域的专业护理的需求增加。证据水平-IV。
