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Evaluation of Hip Fracture Frequency in Patients with Osteoporosis

Year 2020, Volume: 42 Issue: 4, 392 - 397, 13.07.2020
https://doi.org/10.20515/otd.515615

Abstract

Osteoporosis is a
common health problem in the world. Hip fractures due to osteoporosis are an
important cause of mortality and morbidity. 
The aim of this study was to determine the frequency of hip fracture in
patients with osteoporosis. The files of patients with osteoporosis who
admitted to our clinic between January 2009 and December 2010 were analyzed
retrospectively. Between January 2009- December 2018, the patients who had hip
fracture were determined by patient file and by telephone. Their sociodemographic
features (age, sex), diagnoses (postmenopausal osteoporosis, premenopausal
osteoporosis, male osteoporosis, secondary osteoporosis) and other fractures
except hip were recorded. Osteoporotic hip fracture-related deaths were
evaluated. 286 patients with osteoporosis were evaluated. 147 patients were
included in the study. Hip fracture was detected in 8,84 % (n = 13) of the
patients. The mortality rate related to hip fracture in patients with
osteoporosis was 2.04% (n = 3). In 10 out of 13 patients who had hip fracture,
fracture was observed in different areas except hip fracture (vertebra, arm, forearm).
The frequency of hip fracture and related mortality in osteoporosis patients
followed by our clinic were determined.It is thought that our results will
contribute to existing database and increase the awareness.

References

  • Kaynaklar1) Cosman F, de Beur S J, LeBoff M S, Lewiecki EM, Tanner B, Randall S, Lindsay R. Clinician’s guide to prevention and treatment of osteoporosis. Osteoporos Int 2014; 25: 2359–81. DOI:10.1007/s00198-014-2794-2
  • 2) Cooper C, Campion G, Melton LJ 3rd. Hip fractures in the elderly: a world-wide projection. Osteoporosis Int. 1992 Nov;2(6):285-9. PMID:1421796
  • 3) Cummings S, Melton L. Epidemiology and outcomes of osteoporotic fractures. Lancet. 2002 May 18;359(9319):1761-7. DOI:10.1016/S0140-6736(02)08657-94) Osteoporosis: Assessing the risk of fragility fracture Short clinical guideline - CG146 Evidence and recommendations Nice Clinical Guideline August 2012.
  • 5) Watts NB, Bilezikian JP, Camacho PM, Greenspan SL, Harris ST, Hodgson SF, Kleerekoper M, Luckey MM, McClung MR, Pollack RP, Petak SM.American association of clinical endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of postmenopausal osteoporosis. Endocr Practice 2010;16: Suppl 3:1-37. PMID: 21224201
  • 6) Hansen L, Mathiesen AS, Vestergaard P, Ehlers LH, Petersen KD. A health economic analysis of osteoporotic fractures: who carries the burden? Arch Osteoporos. 2013;8: 126. DOI:10.1007/s11657-013-0126-3
  • 7) Poor G, Atkinson EJ, O’Fallon WM, Melton III LJ. Determinants of reduced survival following hip fractures in men. Clin Orthop Relat Res. 1995;319(October):260 5. PMID:7554638
  • 8) Kaya T. Kemikte yoğunluk azlığı, metabolik ve hormonal kemik hastalıkları. İçinde. Kaya T, editör. Kas iskelet-yumuşak doku radyolojisi. Nobel Güneş Tıp Kitabevi, Bursa; 2008:193-214.
  • 9) Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture. Osteoporos Int. 1997;7(5):407–13. PMID:9425497
  • 10) Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H, et al. Incidence of fracture and prevalance of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int. 2012;23: 949-55. DOI:10.1007/s00198-011-1655-5
  • 11) Kanis JA, Johnell O, Oden A, Johansson H, McCloskey EV. FRAX™ and the assessment of fracture probability in men and women from the UK. Osteoporos Int. 2008 Apr;19(4):385-97. DOI:10.1007/s00198-007-0543-5
  • 12) Kanis JA, Johnell O, De Laet C, Jonsson B, Oden A, Ogelsby AK.International variations in hip fracture probabilities: implications for risk assessment. J Bone Miner Res. 2002 Jul;17(7):1237-44. DOI:10.1359/jbmr.
  • 13) Meray J, Peker Ö. Osteoporozda Tanı ve Tedavi. İstanbul: Gelanos Yayınevi; 2012. p.7-147.
  • 14) Elffors I, Allander E, Kanis JA, Gullberg B, Johnell O, Dequeker J et al. The variable incidence of hip fracture in Southern Europe: the MEDOS Study. Osteoporos Int .1994 Sep;4(5):253–263. PMID:7812073
  • 15) Duman AE, Güven GS, Gürlek A. Erkek osteoporozu. Hacettepe Tıp Dergisi 2005; 36: 175-83.
  • 16) Tanriover MD, Oz SG, Tanriover A, Kilicarslan A, Turkmen E, Guven GS, Saracbasi O, Tokgozoglu M, Sozen T. Hip fractures in a developing country: osteoporosis frequency, predisposing factors and treatment costs. Arch Gerontol Geriatr. 2010 May-Jun;50(3):e13-8. DOI:10.1016/j.archger.2009.04.010
  • 17) Sucuoğlu H, Koyuncu H. Erkek osteoporoz hastalarının yaş, sınıflandırma ve kırık varlığına göre dağılımı. İstanbul Med J.2017; 18: 13-7. DOI: 10.5152/imj.2016.26234
  • 18) Ha YC, Baek JH, Ko YB, Park SM, Song SH. High mortality and poor morbidity after hip fracture in patients with previous vertebral fractures. J Bone Miner Metab. 2015 Sep;33(5):547-52. DOI:10.1007/s00774-014-0616-4
  • 19) Imai N, Endo N, Hoshino T, Suda K, Miyasaka D, Ito T. Mortality after hip fracture with vertebral compression fracture is poor. J Bone Miner Metab. 2016 Jan;34(1):51-4. DOI:10.1007/s00774-014-0640-4

Osteoporoz ile Takipli Hastalarda Gelişen Kalça Kırığı Sıklığının Değerlendirilmesi

Year 2020, Volume: 42 Issue: 4, 392 - 397, 13.07.2020
https://doi.org/10.20515/otd.515615

Abstract

Osteoporoz dünyada yaygın görülen önemli
bir sağlık sorunudur. Osteoporoza bağlı kalça kırıkları önemli bir mortalite ve
morbidite sebebidir. Bu çalışmanın amacı; 
kliniğimizde takipli osteoporoz hastalarındaki kalça kırığı sıklığını
belirlemektir. Ocak 2009 – Aralık 2010 tarihleri arasında polikliniğimize
başvuran osteoporoz tanısı ile takipli hastaların dosyaları retrospektif olarak
tarandı. Aralık 2018’e kadar geçen sürede kalça kırığı geçiren hastaların
sosyodemografik özellikleri (yaşı, cinsiyeti), tanıları (postmenopozal
osteoporoz, premenopozal osteoporoz, erkek osteoporozu, sekonder osteoporoz),
kalça kırığı dışında başka kırık geçirip geçirmedikleri dosya bilgilerinden ve
telefonla sorgulanarak elde edildi. Osteoporotik kalça kırığı ile ilişkili ölümler
değerlendirildi. Osteoporoz tanısı olan 286 hasta dosyası incelendi. Hastaların
147’si çalışmaya dâhil edildi. Hastaların % 8,84 (n=13)’ünde kalça kırığı
tespit edildi. Osteoporoz hastalarında kalça kırığına bağlı ölüm oranı % 2,04
(n=3) ’dü. On üç hastanın 10’unda kalça kırığı haricinde farklı bölgede
(vertebra, kol, ön kol) kırık mevcuttu. Takipli osteoporoz hastalarındaki kalça
kırığı sıklığı ve buna bağlı ölümlerin oranı belirlenmiştir. Sonuçlarımızın
mevcut veri tabanına katkı sağlayacağı ve farkındalığı arttıracağı
düşünülmüştür.

References

  • Kaynaklar1) Cosman F, de Beur S J, LeBoff M S, Lewiecki EM, Tanner B, Randall S, Lindsay R. Clinician’s guide to prevention and treatment of osteoporosis. Osteoporos Int 2014; 25: 2359–81. DOI:10.1007/s00198-014-2794-2
  • 2) Cooper C, Campion G, Melton LJ 3rd. Hip fractures in the elderly: a world-wide projection. Osteoporosis Int. 1992 Nov;2(6):285-9. PMID:1421796
  • 3) Cummings S, Melton L. Epidemiology and outcomes of osteoporotic fractures. Lancet. 2002 May 18;359(9319):1761-7. DOI:10.1016/S0140-6736(02)08657-94) Osteoporosis: Assessing the risk of fragility fracture Short clinical guideline - CG146 Evidence and recommendations Nice Clinical Guideline August 2012.
  • 5) Watts NB, Bilezikian JP, Camacho PM, Greenspan SL, Harris ST, Hodgson SF, Kleerekoper M, Luckey MM, McClung MR, Pollack RP, Petak SM.American association of clinical endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of postmenopausal osteoporosis. Endocr Practice 2010;16: Suppl 3:1-37. PMID: 21224201
  • 6) Hansen L, Mathiesen AS, Vestergaard P, Ehlers LH, Petersen KD. A health economic analysis of osteoporotic fractures: who carries the burden? Arch Osteoporos. 2013;8: 126. DOI:10.1007/s11657-013-0126-3
  • 7) Poor G, Atkinson EJ, O’Fallon WM, Melton III LJ. Determinants of reduced survival following hip fractures in men. Clin Orthop Relat Res. 1995;319(October):260 5. PMID:7554638
  • 8) Kaya T. Kemikte yoğunluk azlığı, metabolik ve hormonal kemik hastalıkları. İçinde. Kaya T, editör. Kas iskelet-yumuşak doku radyolojisi. Nobel Güneş Tıp Kitabevi, Bursa; 2008:193-214.
  • 9) Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture. Osteoporos Int. 1997;7(5):407–13. PMID:9425497
  • 10) Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H, et al. Incidence of fracture and prevalance of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int. 2012;23: 949-55. DOI:10.1007/s00198-011-1655-5
  • 11) Kanis JA, Johnell O, Oden A, Johansson H, McCloskey EV. FRAX™ and the assessment of fracture probability in men and women from the UK. Osteoporos Int. 2008 Apr;19(4):385-97. DOI:10.1007/s00198-007-0543-5
  • 12) Kanis JA, Johnell O, De Laet C, Jonsson B, Oden A, Ogelsby AK.International variations in hip fracture probabilities: implications for risk assessment. J Bone Miner Res. 2002 Jul;17(7):1237-44. DOI:10.1359/jbmr.
  • 13) Meray J, Peker Ö. Osteoporozda Tanı ve Tedavi. İstanbul: Gelanos Yayınevi; 2012. p.7-147.
  • 14) Elffors I, Allander E, Kanis JA, Gullberg B, Johnell O, Dequeker J et al. The variable incidence of hip fracture in Southern Europe: the MEDOS Study. Osteoporos Int .1994 Sep;4(5):253–263. PMID:7812073
  • 15) Duman AE, Güven GS, Gürlek A. Erkek osteoporozu. Hacettepe Tıp Dergisi 2005; 36: 175-83.
  • 16) Tanriover MD, Oz SG, Tanriover A, Kilicarslan A, Turkmen E, Guven GS, Saracbasi O, Tokgozoglu M, Sozen T. Hip fractures in a developing country: osteoporosis frequency, predisposing factors and treatment costs. Arch Gerontol Geriatr. 2010 May-Jun;50(3):e13-8. DOI:10.1016/j.archger.2009.04.010
  • 17) Sucuoğlu H, Koyuncu H. Erkek osteoporoz hastalarının yaş, sınıflandırma ve kırık varlığına göre dağılımı. İstanbul Med J.2017; 18: 13-7. DOI: 10.5152/imj.2016.26234
  • 18) Ha YC, Baek JH, Ko YB, Park SM, Song SH. High mortality and poor morbidity after hip fracture in patients with previous vertebral fractures. J Bone Miner Metab. 2015 Sep;33(5):547-52. DOI:10.1007/s00774-014-0616-4
  • 19) Imai N, Endo N, Hoshino T, Suda K, Miyasaka D, Ito T. Mortality after hip fracture with vertebral compression fracture is poor. J Bone Miner Metab. 2016 Jan;34(1):51-4. DOI:10.1007/s00774-014-0640-4
There are 18 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section ORİJİNAL MAKALE
Authors

Merih Özgen 0000-0002-8919-968X

Zeliha Atik This is me 0000-0001-7111-3529

Onur Armağan 0000-0002-5917-5839

Fezan Mutlu 0000-0002-9339-4031

Publication Date July 13, 2020
Published in Issue Year 2020 Volume: 42 Issue: 4

Cite

Vancouver Özgen M, Atik Z, Armağan O, Mutlu F. Osteoporoz ile Takipli Hastalarda Gelişen Kalça Kırığı Sıklığının Değerlendirilmesi. Osmangazi Tıp Dergisi. 2020;42(4):392-7.


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