Highlights
- •Hip fracture incidence decreased in years 2000–2011 in the Veneto Region of Italy.
- •This tendency is in contrast to that seen for Italy as a whole in the same years.
- •These findings do not seem to be justified based on a prevailing cohort effect.
Abstract
Background
The aim of this study was to explore hip fracture (HFx) incidence in the Veneto Region
of Italy, looking at potential differences with the national data.
Methods
We analyzed HFx incidence for people aged 65 years or over, in years 2000–2011, using data from the Regional Hospitalization Database.
Patients were stratified by sex, calendar year and 5-year age class. Data for the
single provinces of the Region were also obtained. Absolute number of HFx, crude incidence
for 10,000 inhabitants and age-standardized fracture rates were calculated.
Results
During the study period, there were 53,917 hospitalizations for HFx (77.7% in females).
In the whole 11 year period of observation, the absolute HFx number increased by 17.7% in males and
10.6% females, respectively. However, age-standardized incidence rates declined by
18% in the same period (IRR 0.82, 95% CI 0.78–0.87). This decreasing trend was almost
identical through all the age-cohorts up to 84 years. In the whole study period, HFx incidence was lower for Padova (IRR 0.63, 95%
CI 0.60–0.66) and Verona (IRR 0.66, 95% CI 0.63–0.70) provinces as compared to the
others. This regional profile was quite different with respect to the data published,
for the same calendar years, for Italy as a whole, in spite of an almost identical
demography of the population.
Conclusions
HFx incidence is declining in the Veneto Region of Italy. Further studies, aimed to
investigate factors involved in this figure are needed.
Keywords
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Article info
Publication history
Published online: June 27, 2016
Accepted:
June 7,
2016
Received in revised form:
May 27,
2016
Received:
March 22,
2016
Identification
Copyright
© 2016 Published by Elsevier B.V. on behalf of European Federation of Internal Medicine.
