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Epidemiology of Pelvic Fractures in Germany: Considerably High Incidence Rates among Older People

Epidemiological data about pelvic fractures are limited. Until today, most studies only analyzed inpatient data. The purpose of this study was to estimate incidence rates of pelvic fractures in the German population aged 60 years or older, based on outpatient and inpatient data. We conducted a retro...

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Autores principales: Andrich, Silke, Haastert, Burkhard, Neuhaus, Elke, Neidert, Kathrin, Arend, Werner, Ohmann, Christian, Grebe, Jürgen, Vogt, Andreas, Jungbluth, Pascal, Rösler, Grit, Windolf, Joachim, Icks, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4587805/
https://www.ncbi.nlm.nih.gov/pubmed/26418971
http://dx.doi.org/10.1371/journal.pone.0139078
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author Andrich, Silke
Haastert, Burkhard
Neuhaus, Elke
Neidert, Kathrin
Arend, Werner
Ohmann, Christian
Grebe, Jürgen
Vogt, Andreas
Jungbluth, Pascal
Rösler, Grit
Windolf, Joachim
Icks, Andrea
author_facet Andrich, Silke
Haastert, Burkhard
Neuhaus, Elke
Neidert, Kathrin
Arend, Werner
Ohmann, Christian
Grebe, Jürgen
Vogt, Andreas
Jungbluth, Pascal
Rösler, Grit
Windolf, Joachim
Icks, Andrea
author_sort Andrich, Silke
collection PubMed
description Epidemiological data about pelvic fractures are limited. Until today, most studies only analyzed inpatient data. The purpose of this study was to estimate incidence rates of pelvic fractures in the German population aged 60 years or older, based on outpatient and inpatient data. We conducted a retrospective population-based observational study based on routine data from a large health insurance company in Germany. Age and sex-specific incidence rates of first fractures between 2008 and 2011 were calculated. We also standardized incidence rates with respect to age and sex in the German population. Multiple Poisson regression models were used to evaluate the association between the risk of first pelvic fracture as outcome and sex, age, calendar year and region as independent variables. The total number of patients with a first pelvic fracture corresponded to 8,041 and during the study period 5,978 insured persons needed inpatient treatment. Overall, the standardized incidence rate of all first pelvic fractures was 22.4 [95% CI 22.0–22.9] per 10,000 person-years, and the standardized incidence rate of inpatient treated fractures 16.5 [16.1–16.9]. Our adjusted regression analysis confirmed a significant sex (RR 2.38 [2.23–2.55], p < 0.001, men as reference) and age effect (higher risk with increasing age, p < 0.001) on first fracture risk. We found a slight association between calendar year (higher risk in later years compared to 2008, p = 0.0162) and first fracture risk and a further significant association with region (RR 0.92 [0.87–0.98], p = 0.006, Westfalen-Lippe as reference). The observed incidences are considerably higher than incidences described in the international literature, even if only inpatient treated pelvic fractures are regarded. Besides which, non-inclusion of outpatient data means that a relevant proportion of pelvic fractures are not taken into account. Prevention of low energy trauma among older people remains an important issue.
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spelling pubmed-45878052015-10-02 Epidemiology of Pelvic Fractures in Germany: Considerably High Incidence Rates among Older People Andrich, Silke Haastert, Burkhard Neuhaus, Elke Neidert, Kathrin Arend, Werner Ohmann, Christian Grebe, Jürgen Vogt, Andreas Jungbluth, Pascal Rösler, Grit Windolf, Joachim Icks, Andrea PLoS One Research Article Epidemiological data about pelvic fractures are limited. Until today, most studies only analyzed inpatient data. The purpose of this study was to estimate incidence rates of pelvic fractures in the German population aged 60 years or older, based on outpatient and inpatient data. We conducted a retrospective population-based observational study based on routine data from a large health insurance company in Germany. Age and sex-specific incidence rates of first fractures between 2008 and 2011 were calculated. We also standardized incidence rates with respect to age and sex in the German population. Multiple Poisson regression models were used to evaluate the association between the risk of first pelvic fracture as outcome and sex, age, calendar year and region as independent variables. The total number of patients with a first pelvic fracture corresponded to 8,041 and during the study period 5,978 insured persons needed inpatient treatment. Overall, the standardized incidence rate of all first pelvic fractures was 22.4 [95% CI 22.0–22.9] per 10,000 person-years, and the standardized incidence rate of inpatient treated fractures 16.5 [16.1–16.9]. Our adjusted regression analysis confirmed a significant sex (RR 2.38 [2.23–2.55], p < 0.001, men as reference) and age effect (higher risk with increasing age, p < 0.001) on first fracture risk. We found a slight association between calendar year (higher risk in later years compared to 2008, p = 0.0162) and first fracture risk and a further significant association with region (RR 0.92 [0.87–0.98], p = 0.006, Westfalen-Lippe as reference). The observed incidences are considerably higher than incidences described in the international literature, even if only inpatient treated pelvic fractures are regarded. Besides which, non-inclusion of outpatient data means that a relevant proportion of pelvic fractures are not taken into account. Prevention of low energy trauma among older people remains an important issue. Public Library of Science 2015-09-29 /pmc/articles/PMC4587805/ /pubmed/26418971 http://dx.doi.org/10.1371/journal.pone.0139078 Text en © 2015 Andrich et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Andrich, Silke
Haastert, Burkhard
Neuhaus, Elke
Neidert, Kathrin
Arend, Werner
Ohmann, Christian
Grebe, Jürgen
Vogt, Andreas
Jungbluth, Pascal
Rösler, Grit
Windolf, Joachim
Icks, Andrea
Epidemiology of Pelvic Fractures in Germany: Considerably High Incidence Rates among Older People
title Epidemiology of Pelvic Fractures in Germany: Considerably High Incidence Rates among Older People
title_full Epidemiology of Pelvic Fractures in Germany: Considerably High Incidence Rates among Older People
title_fullStr Epidemiology of Pelvic Fractures in Germany: Considerably High Incidence Rates among Older People
title_full_unstemmed Epidemiology of Pelvic Fractures in Germany: Considerably High Incidence Rates among Older People
title_short Epidemiology of Pelvic Fractures in Germany: Considerably High Incidence Rates among Older People
title_sort epidemiology of pelvic fractures in germany: considerably high incidence rates among older people
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4587805/
https://www.ncbi.nlm.nih.gov/pubmed/26418971
http://dx.doi.org/10.1371/journal.pone.0139078
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