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Summary: Only few studies have been published hitherto on country-specific incidence of distal forearm fracture. In the prevailing study, incidences were estimated, and trend analyses were performed for the entire Austrian population aged ≥50á. Incidence decreased significantly in women, but not in men, over the past 12 years of observation. Introduction: To estimate incidence of distal forearm fracture and assess incidence trends in the entire Austrian population aged ≥50á from 1989-2010 for inpatient fractures and from 1999 to 2010 for all fractures. Methods: The number of inpatient forearm fractures was obtained from the Austrian Hospital Discharge Register (AHDR) for the entire population aged ≥50á from 1989 to 2010. Total number of distal forearm fractures was modeled using patient-level data on 36,327 patients with distal forearm fractures. Crude and age-standardized incidence rates (cases per 100,000) were estimated in 5-year age intervals. To analyze the change in incidence over time, average annual changes expressed as incidence rate ratios (IRR) were calculated. Results: For all distal forearm fractures, age-standardized incidence in women in 1999 and 2009 were estimated at 709 (95 % CI 675-743) and 607 (578-637), respectively. The age-standardized incidences in men the same years were estimated at 171 (156-185) and 162 (151-174), respectively. IRR analyses showed a significant decrease in women (−1.1 %, p < 0.01) but not in men (−0.8 %, p > 0.05) over the last 12 years (1999-2010). Conclusion: Incidence of distal forearm fracture in the entire Austrian population is comparable to hip fracture incidence which is known to be among the highest worldwide. However, trend analyses reveal a significant decrease for all distal forearm fractures in women, but not in men, over the last 12 years. [ABSTRACT FROM AUTHOR]

Summary: Incidence rates of proximal humeral fractures in Austria over a period of twenty years (1989-2008) were estimated. Age standardized incidence rates increased until 2008, primarily driven by an increase in incidence rates in women. Introduction: The aim of the prevailing study was to estimate incidence rates of proximal humeral fractures and to assess changes in trend in the Austrian population aged 50 years and above, over a period of 20 years (1989-2008). Methods: Number of proximal humeral fractures were obtained from the Austrian Hospital Discharge Register for the entire population >50 years of age. Adjustment factors were determined for multiple registrations of the same diagnosis, and for the fact that not all patients with proximal humeral fractures are treated in an inpatient setting. To analyze the overall change in this type of fracture for the period, average annual changes expressed as incidence rate ratios were calculated. Results: The estimated age-standardized incidence (fractures per 100,000 individuals) of proximal humeral fractures among Austrians >50 years of age increased in men from 112 (95 % CI, 99-124) to 141 (129-153) and in women from 222 (202-241) to 383 (360-406). The increase appeared to be linear with no leveling off towards the end of the study period. Conclusion: While some caution is necessary when interpreting the results given the use of adjustment factors, there appears to have been a rise in the incidence of proximal humeral fractures in Austria in both men and women, with no leveling off in recent years. The reasons for this are not clear, but in the light of previously reported leveling off in the increase in the incidence of hip fractures, a change in the patterns of falls cannot be ruled out. [ABSTRACT FROM AUTHOR]

Summary: Hip fracture incidence rates in Austria over a period of 20 years (1989-2008) were assessed. Age-standardized incidence rates increased until 2005 but decreased thereafter. This change in the secular trend was primarily driven by a decrease in hip fracture incidence in women. Introduction: The aim of the prevailing study was to assess the incidence rates of hip fractures including changes in trend in the Austrian population over a period of 20 years (1989-2008). Methods: The number of hip fractures was obtained from the Austrian Hospital Discharge Register for the entire population ≥50 years of age. A correction factor for multiple registrations of the same diagnosis was determined. Incidence rates (cases per 100,000) of hip fracture were calculated in 5-year age intervals. To analyze the overall change in hip fracture for the period, average annual change expressed as incidence rate ratios (IRRs) was calculated. Results: The age-standardized incidence in women increased until 2005, from 493 to 642, and decreased thereafter. In men, it increased at a measured pace until 2006, from 192 to 280, and decreased thereafter with a slight rebound in 2008. The age-standardized incidence in the entire population increased until 2005, from 376 to 496, and decreased thereafter. The IRR for the last 3 years (2006-2008) was significantly below the IRR for the first 17 years (0.94, ρ < 0.01), driven by a lower IRR in women (0.91, ρ < 0.01) and to a lesser extent by a lower IRR (not statistically significant) in men (0.96, ρ < 0.15). Conclusion: The present study indicates that since 2006, age-standardized incidence of hip fractures has been declining in the Austrian population aged 50 years and above. This reversal in the secular trend has primarily been driven by a decrease in hip fracture incidence in women. [ABSTRACT FROM AUTHOR]

Summary: Hip fractures are the most important type of fracture. Trends in their incidence and a possible relationship with treatments for osteoporosis are subject of debate. Our objective is to analyse changes in the incidence of hip fractures in women in the Basque Country population and the relationship with osteoporosis treatment. Objective: Hip fractures are the most important type of fracture due to the associated high mortality and morbidity. Our objective is to analyse changes in the incidence of hip fractures in women in the Basque Country population and the relationship with osteoporosis treatment. Methods: An observational study of hip fracture rates was carried out based on data taken from the Minimum Basic Data Set. Generalised linear models were used to assess the trends in annual rates of hip fractures for each age group. In addition, the total annual use of osteoporosis treatments was analysed. Results: The total number of hip fractures increased by 38% from 1994 to 2009. However, the general linear regression models indicated that the changes in the rates were only statistically significant for the 65- to 74- and 75- to 84-year-old age groups. In these groups, there were annual decreases by 2.30% (CI 1.00, 3.59) and 1.32% (CI 0.47; 2.18), respectively. The use of osteoporosis treatments has quadrupled during that time. Conclusions: The main finding of our study is that from 1994 to 2008, there is a downwards trend in hip fracture rates in the Basque Country for the 65- to 84-year-old age bracket. Given the characteristics of the design of this study, we are not able to infer a relationship between these findings and any specific factor. Nevertheless, the fact that the change has occurred in the age groups which have received the most treatment for osteoporosis may suggest the existence of some kind of association. [ABSTRACT FROM AUTHOR]