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Hip Fracture Incidence from 1981 to 2009 in the Czech Republic as a Basis of the Country-Specific FRAX Model

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Abstract

The aim of this study was to calculate rates of hospitalization for hip fracture and the incidence of hip fractures in the Czech Republic over a period of 29 years. A second aim was to use the most recent data to populate a FRAX® model for the assessment of fracture probability in individual patients. Data on hospitalizations for hip fracture (1981–2009) and number of women and men with hip fractures (2000–2009) were obtained, and incidences were computed for the entire population ≥50 years of age. Incidence of hospitalization for hip fracture in the Czech population aged ≥50 years increased progressively by calendar year. Age-standardized incidence of hip fractures increased to 2004 but leveled off thereafter and decreased after 2005. Data for hip fracture risk in 2008 and 2009 and the death hazard were used to populate a Czech-specific FRAX model for the computation of 10-year fracture probability. The customized FRAX model, using the verified epidemiological data, will be used to identify patients at increased fracture risk.

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Acknowledgement

The study was supported by grants MZd CR 0002372801 and MZd CR 0002384101. The analysis of the epidemiological data set was supported by an unrestricted educational grant from Amgen, Czech Republic.

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Authors and Affiliations

  1. Institute of Rheumatology, Prague, and Department of Rheumatology, Faculty of Medicine 1, Charles University, Na Slupi 4, 128 50, Prague 2, Czech Republic

    Jan J. Stepan & Karel Pavelka

  2. Orthopedic Department of the Bulovka Hospital, Faculty of Medicine 1, Charles University, Prague, Czech Republic

    Jan Vaculik

  3. Institute of Health Information and Statistics, Prague, Czech Republic

    Jan Zofka

  4. Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK

    Helena Johansson & John A. Kanis

Authors
  1. Jan J. Stepan
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  2. Jan Vaculik
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  3. Karel Pavelka
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  4. Jan Zofka
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  5. Helena Johansson
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  6. John A. Kanis
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Correspondence to Jan J. Stepan.

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The authors have stated that they have no conflict of interest.

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Stepan, J.J., Vaculik, J., Pavelka, K. et al. Hip Fracture Incidence from 1981 to 2009 in the Czech Republic as a Basis of the Country-Specific FRAX Model. Calcif Tissue Int 90, 365–372 (2012). https://doi.org/10.1007/s00223-012-9582-9

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  • DOI: https://doi.org/10.1007/s00223-012-9582-9

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