Epidemiology and time trends of distal forearm fractures in adults - a study of 11.2 million person-years in Sweden

BMC Musculoskeletal Disorders

Research Article

Bjorn E. Rosengren¹  Magnus K. Karlsson¹  Daniel Jerrhag¹  Martin Englund² 

[1] Clinical and Molecular Osteoporosis Research Unit, Departments of Clinical Sciences and Orthopedics Malmö, Skåne University Hospital, Lund University, SE 20502, Malmo, Sweden;Department of Clinical Sciences Lund, Orthopedics, Clinical Epidemiology Unit, Lund University, Faculty of Medicine, Lund, Sweden;Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, USA;

关键词: Epidemiology;    Time-trends;    Wrist fracture;    Distal radius fracture;    Forecast;   

DOI  :  10.1186/s12891-017-1596-z

 received in 2017-02-16, accepted in 2017-05-22,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundA distal forearm fracture is a very common injury causing both suffering and substantial health care costs. The incidence of this fracture type seemed to increase worldwide until the middle 1980’s, but thereafter most reports have shown stable or decreasing rates. As few large studies have been presented lately we aimed to describe recent epidemiology and time trends of distal forearm fractures in adults. We paid special attention to fractures in working ages as they present challenges in terms of treatment and costs for sick-leave, and have not previously been thoroughly investigated.MethodsBy use of population data from Statistics Sweden and official in- and out-patient register data of men and women (≥17 years) in Sweden (Skåne region), we ascertained distal forearm fractures and estimated age- and sex-specific rates and time-trends from year 1999 to 2010 (11.2 million person-years (py)).ResultsThe total incidence rate was 278 per 100,000 py (31,233 fractures) with 23% higher annual numbers 2010 compared with 1999. An increase in the annual age standardized incidence was found in men, +0.7% per annum (95% confidence interval (CI) 0.1, 1.4), and women, +0.9% (95% CI 0.5, 1.3), driven mainly by an increasing incidence in working ages (17–64 years). Also, expected demographic changes including a 25% population increase may result in 38% more fractures until 2050, compared to 2017.ConclusionsThe incidence of distal forearm fractures in adults in southern Sweden is increasing, mainly driven by an increase in working ages. In combination with expected demographic changes these findings may present substantial challenges for the future.

【 授权许可】

CC BY   
© The Author(s). 2017