Éric Lespessailles
Département de rhumatologie, centre hospitalier régional d'Orléans, université d'Orléans, EA 4708 - I3MTO Orléans, France.
Rev Prat. 2020 Nov;70(9):1018-1022.
Epidemiology of osteoporosis. Fragility fractures associated with osteoporosis have become increasingly common in women as early as age 55 and in men after age 65. These fractures cause substantial morbidity but also excess mortality and increasing health costs. The number of people aged 50 and over at high risk of fracture worldwide was estimated in 2010 at 158 million, and this number could double by 2040. In Europe, the total number of fragility fractures was 2.7 million in 2017 and could reach 3.3 million in 2030. Osteoporosis management is not optimal. There is a growing gap between the percentage of patients eligible for treatment and the percentage of patients treated. In France, even among patients who have had a fracture, the percentage of patients receiving treatment in the following year is less than 20%.
骨质疏松症的流行病学。与骨质疏松症相关的脆性骨折在女性中早在55岁时就越来越普遍，在男性中65岁以后也越来越常见。这些骨折不仅会导致严重的发病率，还会导致额外的死亡率和不断增加的医疗成本。2010年估计全球50岁及以上骨折高风险人群数量为1.58亿，到2040年这一数字可能会翻倍。在欧洲，2017年脆性骨折总数为270万，到2030年可能达到330万。骨质疏松症的管理并不理想。符合治疗条件的患者百分比与接受治疗的患者百分比之间的差距越来越大。在法国，即使在发生过骨折的患者中，次年接受治疗的患者百分比也不到20%。
