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Incidences for Fractures 2017–2021: What Do We Learn from the COVID-19 Pandemic?

Purpose/Introduction: In the present study, we aimed to assess the long-term incidence of fractures and during the COVID-19 pandemic. Methods: The current cohort study included patients who had received an initial fracture diagnosis of any type documented anonymously in the Disease Analyzer database...

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Autores principales: Niemöller, Ulrich, Tanislav, Christian, Kostev, Karel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10606036/
https://www.ncbi.nlm.nih.gov/pubmed/37893878
http://dx.doi.org/10.3390/healthcare11202804
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author Niemöller, Ulrich
Tanislav, Christian
Kostev, Karel
author_facet Niemöller, Ulrich
Tanislav, Christian
Kostev, Karel
author_sort Niemöller, Ulrich
collection PubMed
description Purpose/Introduction: In the present study, we aimed to assess the long-term incidence of fractures and during the COVID-19 pandemic. Methods: The current cohort study included patients who had received an initial fracture diagnosis of any type documented anonymously in the Disease Analyzer database (IQVIA) between 2017 and 2021 by physicians in 941 general practices in Germany. We investigated the development of fracture incidence over this period. Results: A total of 196,211 patients had a fracture diagnosis between 2017 and 2021. The number of patients with fracture diagnosis was highest in 2019 (n = 50,084) and lowest in 2020 (n = 46,227). The mean age of patients increased from 60.8 years in 2017 to 63.3 years in 2021. Between 58% and 60% of patients were female. From 2017 to 2019, the number of fractures documented in the younger age categories remained constant. Between 2019 and 2020, an incidence decrease was documented in the younger age groups (age group 16–40 years: −17.17%; age group 41–60 years: −18.71%; age group 61–80 years: −6.43%). By contrast, a slight increase of 3.03% was identified in the age group >80 years of age. No relevant changes in fracture incidences were noted between 2020 and 2021. Incidence rates decreased for both sexes from 2019 to 2020 (female patients: −6.27%; male patients: −10.18%). In the youngest age group (16–40 years), the decrease observed in 2020 was due to lower incidences for fractures of the upper and lower extremities (−11.9%; −12.5%) and ribs (−50.0%). In the age group ≥80 years, fracture incidences increased for the upper extremity (+2.8%), lower extremity (+8.3%), and femur (+8.3%). Conclusions: The circumstances of the pandemic reduced the incidence of fractures in younger people, probably due to reduced recreational activities, while fracture incidence increased in older people, presumably as a result of lack of support.
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spelling pubmed-106060362023-10-28 Incidences for Fractures 2017–2021: What Do We Learn from the COVID-19 Pandemic? Niemöller, Ulrich Tanislav, Christian Kostev, Karel Healthcare (Basel) Article Purpose/Introduction: In the present study, we aimed to assess the long-term incidence of fractures and during the COVID-19 pandemic. Methods: The current cohort study included patients who had received an initial fracture diagnosis of any type documented anonymously in the Disease Analyzer database (IQVIA) between 2017 and 2021 by physicians in 941 general practices in Germany. We investigated the development of fracture incidence over this period. Results: A total of 196,211 patients had a fracture diagnosis between 2017 and 2021. The number of patients with fracture diagnosis was highest in 2019 (n = 50,084) and lowest in 2020 (n = 46,227). The mean age of patients increased from 60.8 years in 2017 to 63.3 years in 2021. Between 58% and 60% of patients were female. From 2017 to 2019, the number of fractures documented in the younger age categories remained constant. Between 2019 and 2020, an incidence decrease was documented in the younger age groups (age group 16–40 years: −17.17%; age group 41–60 years: −18.71%; age group 61–80 years: −6.43%). By contrast, a slight increase of 3.03% was identified in the age group >80 years of age. No relevant changes in fracture incidences were noted between 2020 and 2021. Incidence rates decreased for both sexes from 2019 to 2020 (female patients: −6.27%; male patients: −10.18%). In the youngest age group (16–40 years), the decrease observed in 2020 was due to lower incidences for fractures of the upper and lower extremities (−11.9%; −12.5%) and ribs (−50.0%). In the age group ≥80 years, fracture incidences increased for the upper extremity (+2.8%), lower extremity (+8.3%), and femur (+8.3%). Conclusions: The circumstances of the pandemic reduced the incidence of fractures in younger people, probably due to reduced recreational activities, while fracture incidence increased in older people, presumably as a result of lack of support. MDPI 2023-10-23 /pmc/articles/PMC10606036/ /pubmed/37893878 http://dx.doi.org/10.3390/healthcare11202804 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Niemöller, Ulrich
Tanislav, Christian
Kostev, Karel
Incidences for Fractures 2017–2021: What Do We Learn from the COVID-19 Pandemic?
title Incidences for Fractures 2017–2021: What Do We Learn from the COVID-19 Pandemic?
title_full Incidences for Fractures 2017–2021: What Do We Learn from the COVID-19 Pandemic?
title_fullStr Incidences for Fractures 2017–2021: What Do We Learn from the COVID-19 Pandemic?
title_full_unstemmed Incidences for Fractures 2017–2021: What Do We Learn from the COVID-19 Pandemic?
title_short Incidences for Fractures 2017–2021: What Do We Learn from the COVID-19 Pandemic?
title_sort incidences for fractures 2017–2021: what do we learn from the covid-19 pandemic?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10606036/
https://www.ncbi.nlm.nih.gov/pubmed/37893878
http://dx.doi.org/10.3390/healthcare11202804
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