Journal article
Recurrent Fragility Fractures: A Cross-sectional Analysis
Journal of the American Academy of Orthopaedic Surgeons, Vol.27(2), pp.E85-E91
01/15/2019
DOI: 10.5435/JAAOS-D-17-00103
PMID: 30169444
Abstract
Introduction: Despite growing rates of fragility fractures, there has been a lack of research investigating the risk and characteristics of recurrent fragility fractures.
Methods: The Medicare Standard Analytic Files database was used to identify patients from 2005 to 2009 who were older than 65 years, had a diagnosis of osteoporosis or osteopenia, and sustained a fragility fracture of the proximal humerus, distal radius, hip, ankle, or vertebral column. The incidence and type of recurrent fragility fracture were tracked over a 36-month period.
Results: A total of 1,059,212 patients had an initial fragility fracture from 2005 to 2009. Of these patients, 5.8% had a subsequent fragility fracture within 1 year for their initial fracture, 8.8% within 2 years, and 11.3% within 3 years. At 3-year follow-up, hip fractures were the most common type of subsequent fracture, regardless of the initial fracture type (6.5%, P < 0.001). Vertebral compression and proximal humerus fractures (13.8% and 13.2%, respectively) were most likely to be associated with a recurrent fragility fracture.
Conclusion: Patients who have any type of fragility fracture have a notable risk of subsequent fractures within 3 years, especially hip fractures. These patients should be evaluated and treated for underlying risks factors, including osteoporosis and/or osteopenia.
Details
- Title: Subtitle
- Recurrent Fragility Fractures: A Cross-sectional Analysis
- Creators
- Debbie Y. Dang - University of California, San FranciscoSamuel Zetumer - University of California, San FranciscoAlan L. Zhang - University of California, San Francisco
- Resource Type
- Journal article
- Publication Details
- Journal of the American Academy of Orthopaedic Surgeons, Vol.27(2), pp.E85-E91
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.5435/JAAOS-D-17-00103
- PMID
- 30169444
- ISSN
- 1067-151X
- eISSN
- 1940-5480
- Number of pages
- 7
- Language
- English
- Date published
- 01/15/2019
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984695830602771
Metrics
2 Record Views