Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec 21;15(12):e0244291.
doi: 10.1371/journal.pone.0244291. eCollection 2020.

Fracture incidence in adults in relation to age and gender: A study of 27,169 fractures in the Swedish Fracture Register in a well-defined catchment area

Camilla Bergh  1   2 , David Wennergren  1   2 , Michael Möller  1   2 , Helena Brisby  1   2
Affiliations

Fracture incidence in adults in relation to age and gender: A study of 27,169 fractures in the Swedish Fracture Register in a well-defined catchment area

Camilla Bergh et al. PLoS One. .

Abstract

Studies on fracture incidence have mostly been based on retrospectively registered data from local hospital databases. The Swedish Fracture Register (SFR) is a national quality register collecting data prospectively on fractures, at the time of care-seeking. In the present study the incidence of all different fractures, regardless of location, in adults' ≥ 16 years treated at the only care provider for patients with fractures within a catchment area of approximately 550,000 inhabitants, during 2015‒2018 are described. Age, gender, and fracture location (according to AO/OTA classification) was used for the analyses and presentation of fracture incidences. During the 4-year study period, 23,917 individuals sustained 27,169 fractures. The mean age at fracture was 57.9 years (range 16‒105 years) and 64.5% of the fractures occurred in women. The five most common fractures accounted for more than 50% of all fractures: distal radius, proximal femur, ankle, proximal humerus, and metacarpal fractures. Seven fracture incidence distribution groups were created based on age- and gender-specific incidence curves, providing visual and easily accessible information on fracture distribution. This paper reports on incidence of all fracture locations based on prospectively collected data in a quality register. The knowledge on fracture incidence related to age and gender may be of importance for the planning of orthopaedic care, involving both in- and out-patients as well as allocating surgical resources. Further, this might be useful for organizing preventive measures, especially in countries with similar socioeconomic structure and fracture burden.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Age- and gender-specific incidence with 95% confidence interval of all fractures registered in the SFR over 4 years, 2015‒2018.
Black line represents the total population; red line represents females and blue line represents males.
Fig 2
Fig 2. Fractures in group A.
Age- and gender-specific incidence with 95% confidence interval. Black line represents the total population; red line represents females and blue line represents males.
Fig 3
Fig 3. Fractures in group B.
Age- and gender-specific incidence with 95% confidence interval. Black line represents the total population; red line represents females and blue line represents males.
Fig 4
Fig 4. Fractures in group C.
Age- and gender-specific incidence with 95% confidence interval. Black line represents the total population; red line represents females and blue line represents males.
Fig 5
Fig 5. Fractures in group D.
Age- and gender-specific incidence with 95% confidence interval. Black line represents the total population; red line represents females and blue line represents males.
Fig 6
Fig 6. Fractures in group E.
Age- and gender-specific incidence with 95% confidence interval. Black line represents the total population; red line represents females and blue line represents males.
Fig 7
Fig 7. Fractures in group F.
Age- and gender-specific incidence with 95% confidence interval. Black line represents the total population; red line represents females and blue line represents males.
Fig 8
Fig 8. Fractures in group G.
Age- and gender-specific incidence with 95% confidence interval. Black line represents the total population; red line represents females and blue line represents males.
See this image and copyright information in PMC

References

    1. Kamin ST, Beyer A, Lang FR. Outdoor motivation moderates the effects of accessibility on mobility in old age. Zeitschrift fur Gerontologie und Geriatrie. 2016;49(5):372–8. 10.1007/s00391-015-0946-4 - DOI - PubMed
    1. Portegijs E, Keskinen KE, Tsai LT, Rantanen T, Rantakokko M. Physical Limitations, Walkability, Perceived Environmental Facilitators and Physical Activity of Older Adults in Finland. International journal of environmental research and public health. 2017;14(3). 10.3390/ijerph14030333 - DOI - PMC - PubMed
    1. Alsnih RH D. The mobility and accessibility expectations of seniors in an aging population. Transportation Research Part A: Policy and Practice. 2003;37(10):903–16.
    1. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. World Health Organization technical report series. 1994;843:1–129. - PubMed
    1. Beerekamp MSH, de Muinck Keizer RJO, Schep NWL, Ubbink DT, Panneman MJM, Goslings JC. Epidemiology of extremity fractures in the Netherlands. Injury. 2017;48(7):1355–62. 10.1016/j.injury.2017.04.047 - DOI - PubMed

Publication types