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Updated incidence and costs of hip fractures in elderly Italian population

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Abstract

Purpose

We aimed at updating our previous researches about the burden of hip fractures in elderly Italian population.

Methods

We analyzed national hospitalizations records from 2000 to 2014 to compute age- and sex-specific standardized rates.

Results

1,335,375 hospitalizations were recorded in people ≥ 65 (1,031,816 women: 77.27% and 303,559 men: 22.73%) over 15 years, passing from 73,493 in year 2000 to 94,525 in 2014, with an overall increase of 28.62% over the 15-year period (females: + 25.1%; males: + 41.2%). About 84.9% of total hip fractures were suffered by patients aged ≥ 75 years old. Direct hospitalization costs and rehabilitation costs increased from 343 to 457 million Euros and from 392 to 504 million Euros from year 2000 to 2014, respectively. Overall costs of hip fractures raised from 735 to 961 million Euros (+ 30.74% from 2000 to 2014).

Conclusion

The number of hip fractures and related hospitalizations costs in Italian elderly population is still increasing due to the absolute number of fractures occurring in people ≥ 65 years old and particularly over 75 years old.

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Acknowledgements

The authors are grateful to the Department of Studies and Documentation of the Italian Ministry of Health (Direzione Generale del Sistema Informativo-Coordinamento e Sviluppo NSIS) for having provided the data from the National Hospitalizations Database (SDO). The authors are also grateful to the Laboratory of Health Economics of Foggia University, to the ISBEM Research Centre and to the Division of Orthopaedics and Traumatology, Tor Vergata Foundation University Hospital, University of Rome Tor Vergata (Rome, Italy) for the medical writing and editorial work.

Author information

UT, PP, MF, CN, ER, AA, CR, have conceived the study and participated in its designed coordination and helped to draft the manuscript. UT, PP, MF, CN, AM, ER, AA, CR, MR, AD, SE all participated to draft the manuscript and performed all the analyses and statistics of the paper. All authors read and approved the final manuscript.

Correspondence to Prisco Piscitelli.

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Conflict of interest

UT and GI has received research grant and funding for consulting/speaking by Merck, Sanofi-Aventis, Novartis, Stroder-Servier, Ely Lilly, Roche, Glaxo; Nicomed; PP, CN, MF, ER, AA, MA, MR, CR, AM, AD, SE: no disclosures.

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No animal or human rights were addressed for the purpose of this study.

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No informed consent was needed, as this is a mere observational and statistical research.

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Piscitelli, P., Neglia, C., Feola, M. et al. Updated incidence and costs of hip fractures in elderly Italian population. Aging Clin Exp Res (2020). https://doi.org/10.1007/s40520-020-01497-0

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Keywords

  • Hip fractures
  • Osteoporosis
  • Hospitalizations
  • Incidence
  • Costs