Epidemiology of Hip Fractures in Two Regions of Ukraine.

V V Povoroznyuk,V S Forosenko,H Johansson,F V Klymovytsky,E V Mccloskey,R O Vlasenko,J A Kanis,S S Strafun,M O Korzh,N V Grygorieva,V M Vaida

doi:10.1155/2018/7182873

Abstract

Worldwide, the number of hip fractures, the most important osteoporotic complication in the elderly, continues to increase in line with the ageing of the population. In some countries, however, including the Ukraine, data on the incidence of hip fracture are limited. This article describes the first analysis to characterize the incidence of hip fracture in the Ukrainian population from the age of 40 years. It is based on data from two regional studies, namely, the Vinnitsa city study and the STOP study, which were performed during 1997–2002 and 2011-2012 years, respectively. Hip fracture incidence rates were demonstrated to increase with increasing age. The rates were higher among younger men than women, however, with a female preponderance from the age of 65 years upwards. The incidence of hip fractures in Ukraine is 255.5 per 100,000 for women aged 50 years and older and 197.8 per 100,000 for men of the corresponding age. Overall, the incidence of hip fracture was comparable with data from neighboring countries, such as Poland and Romania. Hip fractures constitute a serious healthcare problem in Ukraine, and changes in healthcare are required to improve the management and long-term care of osteoporosis and its complications.

Highlights

Vertebral body, proximal humerus, and distal forearm are commonly termed “major osteoporosis fractures,” with hip fracture in particular associated with a high impact on morbidity, mortality, and health expenditure worldwide [2,3,4]
90% of all hip fractures occur in people older than years [8], and as older age groups are the most rapidly expanding in the population, the number of hip fractures can be expected to increase, even if the age-related incidence of hip fractures remains unchanged
Incidence rates were estimated as the number of men and women in 10-year age intervals with at least one hip fracture in the study year divided by the

Summary

Introduction

The incidence of hip fracture progressively increases with age, approximately doubling for each subsequent decade after age 50, and is 2-3 times higher in women than in men [5,6,7]. 90% of all hip fractures occur in people older than years [8], and as older age groups are the most rapidly expanding in the population, the number of hip fractures can be expected to increase, even if the age-related incidence of hip fractures remains unchanged. The number of hip fractures worldwide is expected to increase from 1.7 million in 1990 to 6.3 million in 2050. Assuming that the age-related incidence might increase by only 1% per year, the number of hip fractures around the world would reach 8.2 million in 2050 [8]

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