Decreased Rate of Hip Fracture in Patients With End-Stage Renal Disease

HealthDay News — For patients with end-stage renal disease (ESRD), the rate of hip fracture decreased from 2003 to 2011, according to a study published online June 22 in the Journal of Bone and Mineral Research.

Sun Moon Kim, MD, from the Stanford University School of Medicine in California, and colleagues used the Nationwide Inpatient Sample to identify hospitalizations for hip fracture from 2003 to 2011 among the ESRD population, and calculated population-specific rates using data from the US Renal Data System and the US census.

The researchers identified 47,510 hip fractures in the ESRD population, with an overall rate of hip fracture of 10.04/1000 person-years. The rates were 3.73 and 20.97/1000 person-years in patients aged younger than 65 years and aged 65 years or older, respectively. From 2003 to 2011 there was a 12.6% decrease in age- and sex-standardized rates (from 10.23 to 8.94/1000 person-years). Over time, hip fracture rates were virtually identical in patients aged younger than 65 years; among patients aged 65 years or older, rates decreased by 15.3%. The decline in rates was more rapid in older women versus older men. From 2003 to 2011 there was a 26.7% decrease in in-hospital mortality rate after hip fracture (from 8.6% to 6.3%).

“In ESRD, age- and sex-standardized hip fracture rates and associated in-hospital mortality have declined substantially over the last decade,” the authors wrote.

One author disclosed financial ties to Amgen.

Reference

Kim S, Liu S, Long J, Montez-Rath M, Leonard M, Chertow G. Declining Rates of Hip Fractures in Eng-stage Renal Disease: Analysis from the 2003-2011 Nationwide Inpatient Sample. J Bone Miner Res. [Published online June 22, 2017].  doi:10.1002/jbmr.3201/epdf