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

Author

Listed:
  • Silke Andrich
  • Burkhard Haastert
  • Elke Neuhaus
  • Kathrin Neidert
  • Werner Arend
  • Christian Ohmann
  • Jürgen Grebe
  • Andreas Vogt
  • Pascal Jungbluth
  • Grit Rösler
  • Joachim Windolf
  • Andrea Icks

Abstract

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

Suggested Citation

  • Silke Andrich & Burkhard Haastert & Elke Neuhaus & Kathrin Neidert & Werner Arend & Christian Ohmann & Jürgen Grebe & Andreas Vogt & Pascal Jungbluth & Grit Rösler & Joachim Windolf & Andrea Icks, 2015. "Epidemiology of Pelvic Fractures in Germany: Considerably High Incidence Rates among Older People," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-13, September.
    • Handle: RePEc:plo:pone00:0139078
    DOI: 10.1371/journal.pone.0139078
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    1. Crystal Pike & Howard Birnbaum & Matt Schiller & Hari Sharma & Russel Burge & Eric Edgell, 2010. "Direct and Indirect Costs of Non-Vertebral Fracture Patients with Osteoporosis in the US," PharmacoEconomics, Springer, vol. 28(5), pages 395-409, May.
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