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. 2024 Dec;35(12):2137-2144.
doi: 10.1007/s00198-024-07236-9. Epub 2024 Sep 3.

Trends in hip fracture rates in US male veterans

Amna N Khan  1 , Robert B Jones Jr  2 , Nabeel Khan  3 , Yu-Xiao Yang  3 , Robert A Adler  4
Affiliations

Trends in hip fracture rates in US male veterans

Amna N Khan et al. Osteoporos Int. 2024 Dec.

Abstract

Osteoporotic fracture has been understudied in men. In US male veterans aged 50 years and older between 2002 and 2019, hip fracture incidence increased between 2006 and 2019, fewer than 6% of men underwent DXA, and fewer than 0.5% of men were treated. Investigation of low screening and treatment rates is warranted.

Purpose: In the United States, the annual incidence of osteoporotic hip fracture is estimated to be 250,000 to 300,000; the one-year mortality in some studies has been as high as 32%. Reports that hip fracture rates in US women 65 years and older may no longer be declining led to this investigation of hip fracture in men, a less studied population. We assessed the trends in the incidence of hip fracture in US male veterans 50 years and older of age as well as the rates of diagnosis and treatment in such men.

Methods: We assessed the recent trends of hip fracture incidence in a nation-wide male veteran population 50 years and older of age. Using data from the US Veterans Affairs Informatics and Computing Infrastructure (VINCI) 2002-2019, we calculated the annual age-standardized hip fracture incidence. Secondary objectives included evaluating the annual proportion of hip fracture patients who underwent dual-energy X-ray absorptiometry (DXA) before or after the fracture and/or received osteoporosis medication after the hip fracture over the study period.

Results: Hip fracture incidence increased in male veterans from 2006 to 2019. Fewer than 6% of men underwent a DXA scan and fewer than 0.5% received osteoporosis medications up to two years after a hip fracture.

Conclusions: Despite available screening methods such as DXAs and medications for primary and secondary prevention of osteoporotic fractures, hip fracture incidence is not decreasing in older male veterans. Our study highlights a need for closer attention to fracture risk in men.

Keywords: Dual-energy X-ray absorptiometry; Hip fracture; Male osteoporosis; US veterans.

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Conflict of interest statement

Declarations. Disclaimer: The authors, Khan AN, Jones RB, Khan N, Yang YX, and Adler RA report no pertinent financial disclosures. The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the US government. Conflicts of interest: None.

References

    1. Kanis JA, Cooper C, Rizzoli R et al (2017) Identification and management of patients at increased risk of osteoporotic fracture: outcomes of an ESCEO expert consensus meeting. Osteoporos Int 28(7):2023–2034. https://doi.org/10.1007/s00198-017-4009-0 - DOI - PubMed - PMC
    1. Harvey NC, McCloskey EV, Mitchell PJ et al (2017) Mind the (treatment) gap: a global perspective on current and future strategies for prevention of fragility fractures. Osteoporos Int 28(5):1507–1529. https://doi.org/10.1007/s00198-016-3894-y - DOI - PubMed - PMC
    1. Hansen D, Pellizari, P and Pyenson B (2021) Medicare cost of osteoporotic fractures-2021 updated report. Milliman Research Report. Commissioned by National Osteoporosis Foundation. https://www.milliman.com/en/insight/medicare-cost-of-osteoporotic-fractu... . Accessed 3 March 2022
    1. Office of the Surgeon General (US) (2004) Bone health and osteoporosis: a report of the surgeon general. US Department of Health and Human Services, Office of the Surgeon General, Rockville. Available from: https://www.ncbi.nlm.nih.gov/books/NBK45513 . Accessed 5 Mar 2022
    1. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. J Bone Miner Res 22(3):465–475. https://doi.org/10.1359/jbmr.061113 - DOI - PubMed

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