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Hip fractures: a worldwide problem today and tomorrow
1Section of Clinical Epidemiology, Mayo Clinic and Foundation.
Bone
|January 1, 1993
Summary
Hip fractures cause significant disability and death, often linked to falls and osteoporosis. Identifying environmental factors is key to reducing incidence and the immense societal costs associated with these injuries.
Area of Science:
- Gerontology
- Orthopedics
- Public Health
Background:
- Hip fractures result in excess mortality and significant disability.
- Osteoporosis affects a substantial portion of the population, particularly post-menopausal white women.
- Global hip fracture incidence is high, with significant regional variations suggesting environmental influences.
Purpose of the Study:
- To highlight the global burden of hip fractures.
- To emphasize the economic impact of hip fractures.
- To underscore the need for effective prophylaxis strategies.
Main Methods:
- Review of global hip fracture incidence data.
- Analysis of demographic trends in aging populations.
- Examination of economic costs associated with hip fractures.
Main Results:
- Approximately 1.66 million hip fractures occurred globally in 1990, with Europe and North America accounting for half.
- Significant variations in incidence rates exist within regions, indicating potential for environmental factor manipulation.
- Projected hip fractures to reach 6.26 million by 2050, with a rapid increase in Asia, Latin America, the Middle East, and Africa.
Conclusions:
- Effective prophylaxis is crucial for alleviating the enormous social burden of hip fractures.
- Rising global populations and increasing incidence rates necessitate proactive strategies.
- Environmental factors play a significant role and offer targets for intervention to reduce hip fracture occurrence.