Abstract
Hip fracture is an important and debilitating condition in older people, particularly
in women. The epidemiological data varies between countries, but it is globally estimated
that hip fractures will affect around 18% of women and 6% of men. Although the age-standardised
incidence is gradually falling in many countries, this is far outweighed by the ageing
of the population. Thus, the global number of hip fractures is expected to increase
from 1.26 million in 1990 to 4.5 million by the year 2050. The direct costs associated
with this condition are enormous since it requires a long period of hospitalisation
and subsequent rehabilitation. Furthermore, hip fracture is associated with the development
of other negative consequences, such as disability, depression, and cardiovascular
diseases, with additional costs for society.
In this review, we show the most recent epidemiological data regarding hip fracture,
indicating the well-known risk factors and conditions that seem relevant for determining
this condition. A specific part is dedicated to the social costs due to hip fracture.
Although the costs of hip fracture are probably comparable to other common diseases
with a high hospitalisation rate (e.g. cardiovascular disease), the other social costs
(due to onset of new co-morbidities, sarcopenia, poor quality of life, disability
and mortality) are probably greater.
Keywords
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Article info
Publication history
Published online: April 19, 2018
Accepted:
April 16,
2018
Identification
Copyright
© 2018 Elsevier Ltd. All rights reserved.
