Epidemiology of hip fractures in Thailand
Issued Date
2024-01-01
Resource Type
ISSN
0937941X
eISSN
14332965
Scopus ID
2-s2.0-85195196961
Pubmed ID
38832991
Journal Title
Osteoporosis International
Rights Holder(s)
SCOPUS
Bibliographic Citation
Osteoporosis International (2024)
Suggested Citation
Charatcharoenwitthaya N., Nimitphong H., Wattanachanya L., Songpatanasilp T., Ongphiphadhanakul B., Deerochanawong C., Karaketklang K. Epidemiology of hip fractures in Thailand. Osteoporosis International (2024). doi:10.1007/s00198-024-07140-2 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/98702
Title
Epidemiology of hip fractures in Thailand
Corresponding Author(s)
Other Contributor(s)
Abstract
Summary: This retrospective study examining hip fracture incidence, hip fracture trends, and the annual hospitalization costs for hip fractures in a population aged 50 years and older within the Universal Health Coverage System revealed that the incidence of hip fractures and the annual hospitalization costs for hip fractures increased significantly from 2013 to 2022. Purpose: To examine the annual incidence of hip fractures over 10 years (2013–2022), hip fracture trends, and the annual hospitalization costs for hip fractures in a population aged 50 years and older within the Universal Health Coverage System. Methods: A retrospective study was conducted. Hip fracture hospitalizations were identified using ICD-10. Data on the number of hip fracture hospitalizations, population aged ≥ 50 years, and hospitalization costs were obtained. The primary outcome was the annual incidence of hip fractures. The secondary outcomes were hip fracture incidence by 5-year age group, the annual hospitalization costs for hip fractures, and the number of hip fractures in 6 regions of Thailand. Results: The hip fracture incidence increased annually from 2013–2019 and then plateaued from 2019–2022, with the crude incidence (per 100,000 population) increasing from 112.7 in 2013 to 146.7 in 2019 and 146.9 in 2022. The age-standardized incidence (per 100,000 population) increased from 116.3 in 2013 to 145.1 in 2019 and remained at 140.7 in 2022. Increases in the crude incidence were observed in both sexes (34% in females and 21% in males; p < 0.05). The annual hospitalization costs for hip fractures increased 2.5-fold, from 17.3 million USD in 2013 to 42.8 million USD in 2022 (p < 0.001). The number of hip fractures increased in all six regions of Thailand across the 10-year study period. Conclusion: Osteoporotic hip fractures are a significant health concern in Thailand. The incidence and the annual hospitalization costs for hip fractures increased significantly from 2013 to 2022.