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Epidemiology of hip fracture in Belarus: development of a country-specific FRAX model and its comparison to neighboring country models.
- Source :
-
Archives of osteoporosis [Arch Osteoporos] 2018 Apr 17; Vol. 13 (1), pp. 42. Date of Electronic Publication: 2018 Apr 17. - Publication Year :
- 2018
-
Abstract
- Fracture probabilities resulting from the newly generated FRAX model for Belarus based on regional estimates of the hip fracture incidence were compared with FRAX models of neighboring countries. Differences between the country-specific FRAX patterns and the rank orders of fracture probabilities were modest.<br />Objective: This paper describes the epidemiology of hip fractures in Belarus that was used to develop the country-specific fracture prediction FRAX® tool and illustrates its features compared to models for the neighboring countries of Poland, Russia, and Lithuania.<br />Methods: We carried out a population-based study in a region of Belarus (the city of Mozyr) representing approximately 1.2% of the country's population. We aimed to identify all hip fractures in 2011-2012 from hospital registers and primary care sources. Age- and sex-specific incidence and national mortality rates were incorporated into a FRAX model for Belarus. Fracture probabilities were compared with those derived from FRAX models in neighboring countries.<br />Results: The estimated number of hip fractures nationwide in persons over the age of 50 years for 2015 was 8250 in 2015 and is predicted to increase to 12,918 in 2050. The annual incidence of fragility hip fractures in individuals aged 50 years or more was 24.6/10,000 for women and 14.6/10,000 for men, standardized to the world population. The comparison with FRAX models in neighboring countries showed that hip fracture probabilities in men and women in Belarus were similar to those in Poland, Russia, and Lithuania. The difference in incidence rates between the surveys including or excluding data from primary care suggested that 29.1% of patients sustaining a hip fracture were not hospitalized and, therefore, did not receive specialized medical care.<br />Conclusion: A substantial proportion of hip fractures in Belarus does not come to hospital attention. The FRAX model should enhance accuracy of determining fracture probability among the Belarus population and help guide decisions about treatment.
- Subjects :
- Aged
Aged, 80 and over
Female
Hospitalization statistics & numerical data
Hospitals
Humans
Incidence
Lithuania epidemiology
Male
Middle Aged
Poland epidemiology
Probability
Reference Standards
Registries
Republic of Belarus epidemiology
Risk Assessment methods
Russia epidemiology
Hip Fractures epidemiology
Models, Statistical
Osteoporotic Fractures epidemiology
Risk Assessment standards
Subjects
Details
- Language :
- English
- ISSN :
- 1862-3514
- Volume :
- 13
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Archives of osteoporosis
- Publication Type :
- Academic Journal
- Accession number :
- 29666948
- Full Text :
- https://doi.org/10.1007/s11657-018-0454-4