Abstract
Summary
In Sri Lanka, the crude and standardized hip fracture rates in 2018 were 88.3 and 115.5 per 100,000 person-years, respectively. In 2018, 3824 hip fractures would have occurred in the country and this is likely to reach 12,068 in 2051
Purpose
This study was designed to calculate the current crude, standardized, and age- and sex-specific fragility hip fracture incidence in Sri Lanka and hip fracture projection for 2051. Currently such data are not available.
Methods
New fragility hip fractures (resulting from falls from standing height or less) that occurred in the Southern province of Sri Lanka from Sep 2017 to 2018 were collected prospectively by visiting and contacting all health care centers that provide care for fracture patients. Traumatic fractures, old fractures, and fractures among residents outside Southern province were excluded. We calculated current crude, standardized (US standardized population 2000), and age- and sex-specific fragility hip fracture incidence. The number of hip fractures that would occur in 2051 was estimated based on the population projections of the country.
Results
There were 554 patients admitted during 1-year period from September 2017 giving crude hip fracture incidence of 88 per 100,000 person-years (95% CI 85–90). The crude hip fracture rates among women and men were 132.2 and 35.3 per 100,000 person-years, respectively. The standardized hip fracture rate was 115.5 per 100,000 person-years. According to the data, 3824 (95% CI 3200–4583) hip fractures would have occurred island-wide during the study period. This number is likely to reach 12,068 (95% CI 10405–13,990) in 2051 when the age-specific population projections are taken into consideration.
Conclusions
Although the observed hip fracture rate was low when compared with other countries, the number of hip fracture would increase from the current 10 per day to around 33 in 2051.
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References
Braithwaite RS, Col NF, Wong JB (2003) Estimating hip fracture morbidity, mortality and costs. J Am Geriatr Soc 51:364–370
Johnell O, Kanis JA (2004) An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int 15:897–902
Gullberg B, Johnell O, Kanis JA (1997) World-wide projections for hip fracture. Osteoporos Int 7:407–413
Dhanwal DK, Dennison EM, Harvey NC et al (2011) Epidemiology of hip fracture: worldwide geographic variation. Indian J Orthop 45:15–22
Lau EM (1996) The epidemiology of hip fracture in Asia: an update. Osteoporos Int 6(Suppl 3):19–23
Johnell O, Kanis JA, Jonsson B, Oden A, Johansson H, de Laet C (2005) The burden of hospitalised fractures in Sweden. Osteoporos Int 16:222–228
Chen IJ, Chiang CY, Li YH et al (2015) Nationwide cohort study of hip fractures: time trends in the incidence rates and projections up to 2035. Osteoporos Int 26:681–688
Cheung CL, Ang SB, Chadha M, Chow ESL, Chung YS, Hew FL, Jaisamrarn U, Ng H, Takeuchi Y, Wu CH, Xia W, Yu J, Fujiwara S (2018) An updated hip fracture projection in Asia: the Asian Federation of Osteoporosis Societies study. Osteoporos Sarcopenia 4:16–21
Klotzbuecher CM, Ross PD, Landsman PB et al (2000) Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. J Bone Miner Res 15:721–739
Mohd-Tahir NA, Li SC (2017) Economic burden of osteoporosis-related hip fracture in Asia: a systematic review. Osteoporos Int 28:2035–2044
Lekamwasam S, Sabapathippillai S (2019) Mortality and physical dependence following fragility hip fracture: data from a regional hip fracture registry in Sri Lanka. Arch Osteoporos 14:97
Dhanwal DK, Cooper C, Dennison EM (2010) Geographic variation in osteoporotic hip fracture incidence: the growing importance of Asian influences in coming decades. J Osteoporos 2010:757102
Xia WB, He SL, Xu L, Liu AM, Jiang Y, Li M, Wang O, Xing XP, Sun Y, Cummings SR (2012) Rapidly increasing rates of hip fracture in Beijing, China. J Bone Miner Res 27:125–129
Koh LK, Saw SM, Lee JJ et al (2001) Hip fracture incidence rates in Singapore 1991-1998. Osteoporos Int 12:311–318
Kanis JA, Oden A, McCloskey EV et al (2012) A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int 23:2239–2256
Johnell O, Gullberg B, Allander E et al (1992) The apparent incidence of hip fracture in Europe: a study of national register sources. Osteoporos Int 2:298–302
Fielden J, Purdie G, Horne G et al (2001) Hip fracture incidence in New Zealand, revisited. N Z Med J 114:154–156
Boufous S, Finch CF, Lord SR (2004) Incidence of hip fracture in New South Wales: are our efforts having an effect? Med J Aust 180:623–626
Yan L, Zhou B, Prentice A, Wang X, Golden MHN (1999) Epidemiological study of hip fracture in Shenyang, People's Republic of China. Bone 24:151–155
Morales-Torres J, Gutierrez-Urena S (2004) Osteoporosis Committee of Pan-American League of Associations for R: the burden of osteoporosis in Latin America. Osteoporos Int 15:625–632
Cooper C, Cole ZA, Holroyd CR et al (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int 22:1277–1288
Holt G, Smith R, Duncan K, Hutchison JD, Reid D (2009) Changes in population demographics and the future incidence of hip fracture. Injury 40:722–726
Rathnayake KM, Roopasingam T, Dibley MJ (2014) High carbohydrate diet and physical inactivity associated with central obesity among premenopausal housewives in Sri Lanka. BMC Res Notes 7:564
Luo LZ, Xu L (2005) Study on direct economic-burden and its risk factors of osteoporotic hip fracture. Zhonghua Liu Xing Bing Xue Za Zhi 26:669–672
Funding
Faculty Research Grant (2016–2017), Faculty of Medicine, University of Ruhuna, Sri Lanka and University Grant Commission (UGC/VC/DRIC/PG2017(1)/RUH/01), Sri Lanka.
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Abeygunasekara, T., Lekamwasam, S., Lenora, J. et al. Current incidence and future projections of fragility hip fractures in Sri Lanka. Arch Osteoporos 15, 178 (2020). https://doi.org/10.1007/s11657-020-00848-8
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DOI: https://doi.org/10.1007/s11657-020-00848-8