Epidemiology of osteoporotic fractures in Brazil: what we have and what we need

Author:

Pinheiro Marcelo de Medeiros1,Eis Sérgio Ragi2

Affiliation:

1. Universidade Federal de São Paulo, Brasil

2. CEDOES

Abstract

The epidemiology of osteoporotic fractures varies widely among countries and is primarily related to differences in the population and utilization of public healthcare services. Since 1994, over 200 studies about osteoporosis and fractures have been conducted in Brazil, among which 60 have described the current epidemiological status. This work is a compilation of studies published in scientific journals (PubMed, MedLine, Lilacs, SciELO Database) with the respective highlights. Overall, these studies show moderate incidence of hip fracture in subjects over 50 years old. However, the prevalence of all types of bone fragility fracture is higher, ranging from 11% to 23.8%. In addition, there is a high incidence of recurrent falls, which are the main extra-skeletal factor associated with these fractures. According to the national studies, 12 months after femoral fractures, the mortality rate ranged between 21.5% and 30%, and there was also a high rate of physical impairment, deterioration of the quality of life and excessive burden to the healthcare system. Considering its high prevalence and associated mortality and physical impairment, osteoporosis and its main consequence, bone fragility fractures, must be considered a major public health problem in our country.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine,Endocrinology, Diabetes and Metabolism

Reference46 articles.

1. The burden of osteoporosis in Latin America;Morales-Torres J;Osteoporos Int,2004

2. International variation in the incidence of hip fractures: cross-national project on osteoporosis for the World Health Organization Program for Research on Aging;Schwartz AV;Osteoporos Int,1999

3. Low incidence of hip fractures in an equatorial area;Castro da Rocha FA;Osteoporos Int,2003

4. Hip fracture incidence in an urban area in Northeast Brazil;Silveira VA;Cad Saude Publica,2005

5. Incidence of proximal femur fractures in Marilia, Brazil;Komatsu RS;J Nutr Health Aging,2004

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