American Journal of Epidemiology Vol. 143, No. 7: 677-682
Copyright © 1996 by The Johns Hopkins University School of Hygiene and Public Health
other |
Heterogeneity of Hip Fracture: Age, Race, Sex, and Geographic Patterns of Femoral Neck and Trochanteric Fractures among the US Elderly
1Department of Community and Family Medicine, Dartmouth Medical School Hanover, NH
2Health Care Financing Administration Baltimore, MD
3Department of Anesthesia, Dartmouth Medical School Hanover, NH
4Department of Medicine, Dartmouth Medical School Hanover, NH
Reprint requests to Dr. Margaret Karagas, Department of Community and Family Medicine, Section of Biostatistics and Epidemiology, Dartmouth Medical School, 7927 Strasenburgh Hall, Hanover, NH 03755–3861.
To explore potential etiologic differences in the two major types of hip fracture, the authors computed the incidence rates of fractures of the femoral neck and trochanteric region of the proximal femur using a 5% sample of the US Medicare population aged 65–99 years. For the period they examined, July 1, 1986, through June 30, 1990, the rates of both hip fracture types increased with age in all race and sex categories. The proportion of hip fractures that occurred in the trochanteric region rose steeply with age among white women, but not among black women, white men, or black men. Within the United States, a north-to-south gradient in rates of both fracture types was observed among women, while no clear pattern was found for men. These findings raise the possibility of etiologic differences in the two fracture types, and the results provide further evidence of sex and racial differences in the risk of osteoporotic fractures.
hip fracture; osteoporosis; race
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  J. Fanuele, K. J. Koval, J. Lurie, W. Zhou, A. Tosteson, and D. Ring Distal Radial Fracture Treatment: What You Get May Depend on Your Age and Address J. Bone Joint Surg. Am., June 1, 2009; 91(6): 1313 - 1319. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. M. Nielson, M. L. Bouxsein, S. S. Freitas, K. E. Ensrud, E. S. Orwoll, and for the Osteoporotic Fractures in Men (MrOS) Resea Trochanteric Soft Tissue Thickness and Hip Fracture in Older Men J. Clin. Endocrinol. Metab., February 1, 2009; 94(2): 491 - 496. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. P Reis, E. D Michos, D. von Muhlen, and E. R Miller III Differences in vitamin D status as a possible contributor to the racial disparity in peripheral arterial disease Am. J. Clinical Nutrition, December 1, 2008; 88(6): 1469 - 1477. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Z. Leder, A. B. Araujo, T. G. Travison, and J. B. McKinlay Racial and Ethnic Differences in Bone Turnover Markers in Men J. Clin. Endocrinol. Metab., September 1, 2007; 92(9): 3453 - 3457. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. N. Taylor and G. C. Curhan Differences in 24-Hour Urine Composition between Black and White Women J. Am. Soc. Nephrol., February 1, 2007; 18(2): 654 - 659. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. E. Ensrud, L.-Y. Lui, B. C. Taylor, A. Ishani, M. G. Shlipak, K. L. Stone, J. A. Cauley, S. A. Jamal, D. M. Antoniucci, S. R. Cummings, et al. Renal Function and Risk of Hip and Vertebral Fractures in Older Women Arch Intern Med, January 22, 2007; 167(2): 133 - 139. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. K. Wagner, D. Ross-Degnan, J. H. Gurwitz, F. Zhang, D. B. Gilden, L. Cosler, and S. B. Soumerai Effect of New York State Regulatory Action on Benzodiazepine Prescribing and Hip Fracture Rates Ann Intern Med, January 16, 2007; 146(2): 96 - 103. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. T. Wilson, G. A. Chase, E. A. Chrischilles, and R. B. Wallace Hip Fracture Risk Among Community-Dwelling Elderly People in the United States: A Prospective Study of Physical, Cognitive, and Socioeconomic Indicators Am J Public Health, July 1, 2006; 96(7): 1210 - 1218. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. M. Sporer, J. N. Weinstein, and K. J. Koval The geographic incidence and treatment variation of common fractures of elderly patients. J. Am. Acad. Ortho. Surg., April 1, 2006; 14(4): 246 - 255. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. E. Clark, M. A. DeLorenzo, F.L. Lucas, and D. E. Wennberg Injuries Among Older Americans With and Without Medicare Am J Public Health, February 1, 2005; 95(2): 273 - 278. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Armstrong, J. S. Schwartz, T. Randall, S. C. Rubin, and B. Weber Hormone Replacement Therapy and Life Expectancy After Prophylactic Oophorectomy in Women With BRCA1/2 Mutations: A Decision Analysis J. Clin. Oncol., March 15, 2004; 22(6): 1045 - 1054. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Ramnemark, M. Nilsson, B. Borssen, and Y. Gustafson Stroke, a Major and Increasing Risk Factor for Femoral Neck Fracture Stroke, July 1, 2000; 31(7): 1572 - 1577. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. M. SZABO Current Concepts Review - Principles of Epidemiology for the Orthopaedic Surgeon J. Bone Joint Surg. Am., January 1, 1998; 80(1): 111 - 20. [Full Text] [PDF]
|
|