Epidemiology of hip fractures in Lebanon: A nationwide survey

G. Maalouf, F. Bachour, S. Hlais, N. M. Maalouf, P. Yazbeck, Y. Yaghi, K. Yaghi, R. El Hage, M. Issa

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Introduction: Hip fractures are a reliable indicator of osteoporosis. Despite their importance, few studies have assessed their epidemiology in Lebanon and the Middle East. Hypotheses: Hip fracture incidence rates in Lebanon approximate those of Northern countries, and show the same characteristics, particularly the exponential increase with age, higher incidence in women, and a recent trend of rate leveling in women but not in men. Materials and methods: A national database of hip fracture cases admitted to hospitals in Lebanon in 2007 was created. Crude and age-adjusted incidence rates were calculated at 5-year intervals for individuals over age 50. These rates were also standardized to the 2000 United States population, and compared to those of other countries. Projected incidence rates in Lebanon in 2020 and 2050 were also calculated. Results: A total of 1199 patients were included in the study. The crude annual incidence rate in individuals over 50 was 147 per 100,000 individuals, 132 per 100,000 males and 160 per 100,000 females, with a female-to-male ratio of 1.2. The age-standardized annual incidence rates (per 100,000) were 180 in males and 256 in females. Assuming unchanged healthcare parameters, the projected crude incidence rates for people over 50 are expected to reach 174 and 284 per 100,000 in 2020 and 2050 respectively. Conclusions: Lebanese hip fracture rates are lower than Northern countries, but show many similar characteristics such as an exponential increase with age, a higher incidence in women, and clues of a leveling of rates in women but not in men. Numbers are expected to increase substantially in the coming decades. Level of evidence: Level IV. Epidemiological study.

Original languageEnglish (US)
Pages (from-to)675-680
Number of pages6
JournalOrthopaedics and Traumatology: Surgery and Research
Volume99
Issue number6
DOIs
StatePublished - Oct 2013

Fingerprint

Lebanon
Hip Fractures
Epidemiology
Incidence
Middle East
Surveys and Questionnaires
Osteoporosis
Epidemiologic Studies
Databases
Delivery of Health Care

Keywords

  • Epidemiology
  • Hip fracture
  • Incidence
  • Lebanon

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Epidemiology of hip fractures in Lebanon : A nationwide survey. / Maalouf, G.; Bachour, F.; Hlais, S.; Maalouf, N. M.; Yazbeck, P.; Yaghi, Y.; Yaghi, K.; El Hage, R.; Issa, M.

In: Orthopaedics and Traumatology: Surgery and Research, Vol. 99, No. 6, 10.2013, p. 675-680.

Research output: Contribution to journalArticle

Maalouf, G, Bachour, F, Hlais, S, Maalouf, NM, Yazbeck, P, Yaghi, Y, Yaghi, K, El Hage, R & Issa, M 2013, 'Epidemiology of hip fractures in Lebanon: A nationwide survey', Orthopaedics and Traumatology: Surgery and Research, vol. 99, no. 6, pp. 675-680. https://doi.org/10.1016/j.otsr.2013.04.009
Maalouf, G. ; Bachour, F. ; Hlais, S. ; Maalouf, N. M. ; Yazbeck, P. ; Yaghi, Y. ; Yaghi, K. ; El Hage, R. ; Issa, M. / Epidemiology of hip fractures in Lebanon : A nationwide survey. In: Orthopaedics and Traumatology: Surgery and Research. 2013 ; Vol. 99, No. 6. pp. 675-680.
@article{75da83eee045446c9746ddaca41b3f68,
title = "Epidemiology of hip fractures in Lebanon: A nationwide survey",
abstract = "Introduction: Hip fractures are a reliable indicator of osteoporosis. Despite their importance, few studies have assessed their epidemiology in Lebanon and the Middle East. Hypotheses: Hip fracture incidence rates in Lebanon approximate those of Northern countries, and show the same characteristics, particularly the exponential increase with age, higher incidence in women, and a recent trend of rate leveling in women but not in men. Materials and methods: A national database of hip fracture cases admitted to hospitals in Lebanon in 2007 was created. Crude and age-adjusted incidence rates were calculated at 5-year intervals for individuals over age 50. These rates were also standardized to the 2000 United States population, and compared to those of other countries. Projected incidence rates in Lebanon in 2020 and 2050 were also calculated. Results: A total of 1199 patients were included in the study. The crude annual incidence rate in individuals over 50 was 147 per 100,000 individuals, 132 per 100,000 males and 160 per 100,000 females, with a female-to-male ratio of 1.2. The age-standardized annual incidence rates (per 100,000) were 180 in males and 256 in females. Assuming unchanged healthcare parameters, the projected crude incidence rates for people over 50 are expected to reach 174 and 284 per 100,000 in 2020 and 2050 respectively. Conclusions: Lebanese hip fracture rates are lower than Northern countries, but show many similar characteristics such as an exponential increase with age, a higher incidence in women, and clues of a leveling of rates in women but not in men. Numbers are expected to increase substantially in the coming decades. Level of evidence: Level IV. Epidemiological study.",
keywords = "Epidemiology, Hip fracture, Incidence, Lebanon",
author = "G. Maalouf and F. Bachour and S. Hlais and Maalouf, {N. M.} and P. Yazbeck and Y. Yaghi and K. Yaghi and {El Hage}, R. and M. Issa",
year = "2013",
month = "10",
doi = "10.1016/j.otsr.2013.04.009",
language = "English (US)",
volume = "99",
pages = "675--680",
journal = "Orthopaedics and Traumatology: Surgery and Research",
issn = "1877-0568",
publisher = "Elsevier Masson",
number = "6",

}

TY - JOUR

T1 - Epidemiology of hip fractures in Lebanon

T2 - A nationwide survey

AU - Maalouf, G.

AU - Bachour, F.

AU - Hlais, S.

AU - Maalouf, N. M.

AU - Yazbeck, P.

AU - Yaghi, Y.

AU - Yaghi, K.

AU - El Hage, R.

AU - Issa, M.

PY - 2013/10

Y1 - 2013/10

N2 - Introduction: Hip fractures are a reliable indicator of osteoporosis. Despite their importance, few studies have assessed their epidemiology in Lebanon and the Middle East. Hypotheses: Hip fracture incidence rates in Lebanon approximate those of Northern countries, and show the same characteristics, particularly the exponential increase with age, higher incidence in women, and a recent trend of rate leveling in women but not in men. Materials and methods: A national database of hip fracture cases admitted to hospitals in Lebanon in 2007 was created. Crude and age-adjusted incidence rates were calculated at 5-year intervals for individuals over age 50. These rates were also standardized to the 2000 United States population, and compared to those of other countries. Projected incidence rates in Lebanon in 2020 and 2050 were also calculated. Results: A total of 1199 patients were included in the study. The crude annual incidence rate in individuals over 50 was 147 per 100,000 individuals, 132 per 100,000 males and 160 per 100,000 females, with a female-to-male ratio of 1.2. The age-standardized annual incidence rates (per 100,000) were 180 in males and 256 in females. Assuming unchanged healthcare parameters, the projected crude incidence rates for people over 50 are expected to reach 174 and 284 per 100,000 in 2020 and 2050 respectively. Conclusions: Lebanese hip fracture rates are lower than Northern countries, but show many similar characteristics such as an exponential increase with age, a higher incidence in women, and clues of a leveling of rates in women but not in men. Numbers are expected to increase substantially in the coming decades. Level of evidence: Level IV. Epidemiological study.

AB - Introduction: Hip fractures are a reliable indicator of osteoporosis. Despite their importance, few studies have assessed their epidemiology in Lebanon and the Middle East. Hypotheses: Hip fracture incidence rates in Lebanon approximate those of Northern countries, and show the same characteristics, particularly the exponential increase with age, higher incidence in women, and a recent trend of rate leveling in women but not in men. Materials and methods: A national database of hip fracture cases admitted to hospitals in Lebanon in 2007 was created. Crude and age-adjusted incidence rates were calculated at 5-year intervals for individuals over age 50. These rates were also standardized to the 2000 United States population, and compared to those of other countries. Projected incidence rates in Lebanon in 2020 and 2050 were also calculated. Results: A total of 1199 patients were included in the study. The crude annual incidence rate in individuals over 50 was 147 per 100,000 individuals, 132 per 100,000 males and 160 per 100,000 females, with a female-to-male ratio of 1.2. The age-standardized annual incidence rates (per 100,000) were 180 in males and 256 in females. Assuming unchanged healthcare parameters, the projected crude incidence rates for people over 50 are expected to reach 174 and 284 per 100,000 in 2020 and 2050 respectively. Conclusions: Lebanese hip fracture rates are lower than Northern countries, but show many similar characteristics such as an exponential increase with age, a higher incidence in women, and clues of a leveling of rates in women but not in men. Numbers are expected to increase substantially in the coming decades. Level of evidence: Level IV. Epidemiological study.

KW - Epidemiology

KW - Hip fracture

KW - Incidence

KW - Lebanon

UR - http://www.scopus.com/inward/record.url?scp=84884911963&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884911963&partnerID=8YFLogxK

U2 - 10.1016/j.otsr.2013.04.009

DO - 10.1016/j.otsr.2013.04.009

M3 - Article

C2 - 24007698

AN - SCOPUS:84884911963

VL - 99

SP - 675

EP - 680

JO - Orthopaedics and Traumatology: Surgery and Research

JF - Orthopaedics and Traumatology: Surgery and Research

SN - 1877-0568

IS - 6

ER -