Updated incidence and costs of hip fractures in elderly Italian population.


Journal

Aging clinical and experimental research
ISSN: 1720-8319
Titre abrégé: Aging Clin Exp Res
Pays: Germany
ID NLM: 101132995

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 30 09 2019
accepted: 23 01 2020
pubmed: 15 2 2020
medline: 26 11 2020
entrez: 15 2 2020
Statut: ppublish

Résumé

We aimed at updating our previous researches about the burden of hip fractures in elderly Italian population. We analyzed national hospitalizations records from 2000 to 2014 to compute age- and sex-specific standardized rates. 1,335,375 hospitalizations were recorded in people ≥ 65 (1,031,816 women: 77.27% and 303,559 men: 22.73%) over 15 years, passing from 73,493 in year 2000 to 94,525 in 2014, with an overall increase of 28.62% over the 15-year period (females: + 25.1%; males: + 41.2%). About 84.9% of total hip fractures were suffered by patients aged ≥ 75 years old. Direct hospitalization costs and rehabilitation costs increased from 343 to 457 million Euros and from 392 to 504 million Euros from year 2000 to 2014, respectively. Overall costs of hip fractures raised from 735 to 961 million Euros (+ 30.74% from 2000 to 2014). The number of hip fractures and related hospitalizations costs in Italian elderly population is still increasing due to the absolute number of fractures occurring in people ≥ 65 years old and particularly over 75 years old.

Identifiants

pubmed: 32056151
doi: 10.1007/s40520-020-01497-0
pii: 10.1007/s40520-020-01497-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2587-2593

Références

Kanis JA, Burlet N, Cooper C et al (2008) European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int 19:399–428. https://doi.org/10.1007/s00198-008-0560-z
doi: 10.1007/s00198-008-0560-z pubmed: 18266020 pmcid: 2613968
Piscitelli P, Iolascon G, Gimigliano F et al (2007) Incidence and costs of hip fractures compared to acute myocardial infarction in the Italian population: a 4-year survey. Osteoporos Int 18:211–219. https://doi.org/10.1007/s00198-006-0224-9
doi: 10.1007/s00198-006-0224-9 pubmed: 17061152
Bouee S, Lafuma A, Fagnani F et al (2006) Estimation of direct unit costs associated with non-vertebral osteoporotic fractures in five European countries. Rheumatol Int 26:1063–1072. https://doi.org/10.1007/s00296-006-0180-x
doi: 10.1007/s00296-006-0180-x pubmed: 16953395
Cooper C (1997) The crippling consequences of fractures and their impact on quality of life. Am J Med 103:12S–17S
doi: 10.1016/S0002-9343(97)90022-X
Piscitelli P, Brandi ML, Tarantino U et al (2010) Incidence and socioeconomic burden of hip fractures in Italy: extension study 2003–2005. Reumatismo 62:113–118
pubmed: 20657888
Piscitelli P, Chitano G, Johannson H et al (2013) Updated fracture incidence rates for the Italian version of FRAX(R). Osteoporos Int 24:859–866. https://doi.org/10.1007/s00198-012-2021-y
doi: 10.1007/s00198-012-2021-y pubmed: 22638710
Piscitelli P, Gimigliano F, Gatto S et al (2010) Hip fractures in Italy: 2000–2005 extension study. Osteoporos Int 21:1323–1330. https://doi.org/10.1007/s00198-009-1084-x
doi: 10.1007/s00198-009-1084-x pubmed: 19809775
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. https://doi.org/10.1007/s00198-012-1964-3
doi: 10.1007/s00198-012-1964-3 pubmed: 22419370 pmcid: 22419370
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. https://doi.org/10.1007/s00198-011-1601-6
doi: 10.1007/s00198-011-1601-6 pubmed: 21461721 pmcid: 3546313
Piscitelli P, Feola M, Rao C et al (2014) Ten years of hip fractures in Italy: For the first time a decreasing trend in elderly women. World J Orthop 5:386–391. https://doi.org/10.5312/wjo.v5.i3.386
doi: 10.5312/wjo.v5.i3.386 pubmed: 25035844 pmcid: 4095034
Piscitelli P, Camboa P, Forcina B et al (2006) Incidence and costs of hip fractures vs acute myocardial infarction among population of Local Health Authorities Lecce/1 and Lecce/2: a two years survey. Ital J Public Health 3:75–77
Tediosi F, Bartolacci S, Roti L et al (2003) La valutazione economica dei percorsi assistenziali dei soggetti con Ictus e Frattura del femore in Toscana: risultati di uno studio pilota. Mecosan 48:21–32
Tediosi F, Bartolacci S, Roti L et al (2004) L’assistenza ospedaliera e riabilitativa per le fratture osteoporotiche in Toscana. Politiche sanitarie 5:61–69
Visentin P, Ciravegna R, Fabris F (1997) Estimating the cost per avoided hip fracture by osteoporosis treatment in Italy. Maturitas 26:185–192
doi: 10.1016/S0378-5122(96)01099-7
Tarantino U, Piscitelli P, Feola M et al (2018) Decreasing trend of hip fractures incidence in Italy between 2007 and 2014: epidemiological changes due to population aging. Arch Osteoporos 13:23. https://doi.org/10.1007/s11657-018-0423-y
doi: 10.1007/s11657-018-0423-y pubmed: 29523987
Compston J (2004) Action plan for the prevention of osteoporotic fractures in the European community. Springer, Berlin
doi: 10.1007/s00198-004-1605-6
Piscitelli P, Brandi M, Cawston H et al (2014) Epidemiological burden of postmenopausal osteoporosis in Italy from 2010 to 2020: estimations from a disease model. Calcif Tissue Int 95:419–427. https://doi.org/10.1007/s00223-014-9910-3
doi: 10.1007/s00223-014-9910-3 pubmed: 25200337
Autier P, Haentjens P, Bentin J et al (2000) Costs induced by hip fractures: a prospective controlled study in Belgium. Belgian Hip Fracture Study Group. Osteoporos Int 11:373–380
doi: 10.1007/s001980070102
Dolan P, Torgerson DJ (1998) The cost of treating osteoporotic fractures in the United Kingdom female population. Osteoporos Int 8:611–617. https://doi.org/10.1007/s001980050107
doi: 10.1007/s001980050107 pubmed: 10326069
Hernandez JL, Olmos JM, Alonso MA et al (2006) Trend in hip fracture epidemiology over a 14-year period in a Spanish population. Osteoporos Int 17:464–470. https://doi.org/10.1007/s00198-005-0008-7
doi: 10.1007/s00198-005-0008-7 pubmed: 16283063
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
doi: 10.1007/BF01623186
Mann E, Icks A, Haastert B et al (2008) Hip fracture incidence in the elderly in Austria: an epidemiological study covering the years 1994 to 2006. BMC Geriatr 8:35. https://doi.org/10.1186/1471-2318-8-35
doi: 10.1186/1471-2318-8-35 pubmed: 19105814 pmcid: 2629766
Ray NF, Chan JK, Thamer M et al (1997) Medical expenditures for the treatment of osteoporotic fractures in the United States in 1995: report from the National Osteoporosis Foundation. J Bone Miner Res 12:24–35. https://doi.org/10.1359/jbmr.1997.12.1.24
doi: 10.1359/jbmr.1997.12.1.24 pubmed: 9240722
Vestergaard P, Rejnmark L, Mosekilde L (2008) Strongly increasing incidence of hip fractures in Denmark from 1977 to 1999]. Ugeskr Laeger 170:621–623
pubmed: 18367043

Auteurs

Prisco Piscitelli (P)

Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy. priscofreedom@hotmail.com.

Cosimo Neglia (C)

Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy.
University of Perugia, Perugia, Italy.

Maurizio Feola (M)

Division of Orthopaedics and Traumatology, University of Tor Vergata, Rome, Italy.

Emanuele Rizzo (E)

Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy.

Alberto Argentiero (A)

Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy.
University of Perugia, Perugia, Italy.

Mario Ascolese (M)

Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy.

Matteo Rivezzi (M)

Health Economics Laboratory, University of Foggia, Foggia, Italy.

Cecilia Rao (C)

Division of Orthopaedics and Traumatology, University of Tor Vergata, Rome, Italy.

Alessandro Miani (A)

University of Milan, Milan, Italy.

Alessandro Distante (A)

Euro Mediterranean Scientific Biomedical Institute-ISBEM Research Centre, via Reali di Bulgaria, Mesagne, 72023, Brindisi, Italy.

Susanna Esposito (S)

University of Perugia, Perugia, Italy.

Giovanni Iolascon (G)

Department of Medical and Surgical Specialties and Dentistry, University of Campania "L. Vanvitelli", Naples, Italy.

Umberto Tarantino (U)

Division of Orthopaedics and Traumatology, University of Tor Vergata, Rome, Italy.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH