Incidence of hip fractures in Slovakia in 2000–2016

Authors: MUDr. Masaryk Pavol, CSc.
Authors‘ workplace: Národný ústav reumatických chorôb Piešťany
Published in: Clinical Osteology 2018; 23(4): 162-168


Hip fractures are the most serious complication of osteoporosis and therefore a suitable parameter of diagnostics and therapy effectiveness. The aim of this study was to analyze the secular trends of incidence of these fractures in Slovakia during years 2000–2016. According to data from NCZI (National Centrum for Health Informatics) about hospitalization incidence in all Slovak hospitals in persons over 50 years the number of femur fracture (dg. S72) increased from 6029 in year 2000 to 7415 in year 2016, i.e. more than 23 %, which is about 1.5 % per year, in women this increase was 24.2 % and in men 20.4 %. The number of hip fractures, which could be considered as osteoporotic (dg. S72.0 + S72.1 + S72.2) was 6609 (3453, 2671, 485) in year 2016. Age – specific incidence over 50 year decreased from 426 to 390/ 100 tis.(i.e. -8 %) , in men from 322 to 277 (-13 %), in women from z 503 to 476 (-5.3 %). In age 50–79 years this incidence decreased, bud increase was observed in age over 80, and that in women and much more in men. Increased attention should be paid to this age group by improving diagnosis, prevention and treatment.


incidence – hip fracture – secular trends – Slovakia

  1. Bliuc D, Nguyen ND, Milch VE et al. Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women. JAMA 2009; 301(5): 513–521. Dostupné z DOI: <>.
  2. Giversen IM.Time trends of mortality after first hip fractures. Osteoporos Int 2007; 18(6):721–732. Dostupné z DOI: <–006–0300–1>.
  3. Haleem S, Lutchman L, Mayahi R et al. Mortality following hip fracture: trends and geographical variations over the last 40 years. Injury 2008; 39(10): 1157–1163. Dostupné z DOI: <>.
  4. Cooper C, Cole ZA, Holroyd CR el al. Secular trends in the incidence of hip and other osteoporotic fractures. Osteop Int 2011; 22(5):1277–1288. Dostupné z DOI: <–011–1601–6>.
  5. Samelson EJ, Zhang Y, Kiel DP el al. Effect of birth cohort on risk of hip fracture: age-specific incidence rates in the Framingham Study. Am J Public Health 2002; 92(5):858–862.
  6. Hernandez JL, Olmos JM, Alonso MA el al. Trend in hip fracture epidemiology over a 14-year period in a Spanish population. Osteoporos Int 2006; 17(3):464–470. Dostupné z DOI: <–005–0008–7>.
  7. Rogmark C, Sernbo I, Johnell O el al. Incidence of hip fractures in Malmo, Sweden, 1992–1995. A trend-break . Acta Orthop Scand 1999; 70(1):19–22.
  8. Brauer CA, Coca-Perraillon M, Cutler DM el al. Incidence and mortality of hip fractures in the United States. JAMA 2009; 302(14):1573–1579. Dostupné z DOI: <>.
  9. Leslie WD, O‘Donnell S, Jean S el al. Trends in hip fracture rates in Canada. JAMA 2009; 302(8):883–889. Dostupné z DOI: <>.
  10. Orces CH. Trends in hip fracture rates in Ecuador and projections for the future. Rev Panam Salud Publica 2011; 29(1): 27–31.
  11. Chau PH, Wong M, Lee A el al. Trends in hip fracture incidence and mortality in Chinese population from Hong Kong 2001–09. Age Ageing 2013; 42(2):229–233. Dostupné z DOI: <>.
  12. Masaryk P. Epidemiology of osteoporosis, Brat Lek Listy 2000; 101(3): 178–179.
  13. Masaryk P. Epidemiológia osteoporózy. Via Pract 2005; 2(11): 439–441.
  14. Tomková S, Varga M, Šašala M. Mortalita pacientov po zlomenine proximálneho konca stehnovej kosti. Osteolog Bull 2009; 14(1): 3–6.
  15. Melton LJ 3rd, O'Fallon WM, Riggs BL. Secular trends in the incidence of hip fractures. Calcif Tissue Int 1987; 41(2):57–64.
  16. Melton LJ, 3rd, Kearns AE, Atkinson EJ. Secular trends in hip fracture incidence and recurrence. Osteoporos Int 2009; 20(5):687–694. Dostupné z DOI: <http://doi: 10.1007/s00198-008-0742-8>.
  17. Brauer CA, Coca-Perraillon M, Cutler DM el al. Incidence and Mortality of Hip Fractures in the United States . JAMA 2009; 302(14): 1573–1579. Dostupné z DOI: <>.
  18. Spector TD, Cooper C, Lewis AF. Trends in admissions for hip fracture in England and Wales 1968–85. BMJ 1990; 300(6733): 1173–1174.
  19. Van der Velde RY, Wyers CE, Curtis EM el al. Secular trends in fracture incidence in the United Kingdom between 1990 and 2012. Osteoporos Int 2016; 27(11): 3197–3206. Dostupné z DOI: <–016–3650–3.
  20. Briot K, Maravic M, Roux CH. Changes in number and incidence of hip fractures over 12 years in France. Bone 2015; 81: 131–137. Dostupné z DOI: <>.
  21. Icks A, Haastert B, Wildner M el al. Trend of hip fracture incidence in Germany 1995–2004: a populatioin – based study. Osteoporos Int 2008; 19(8): 1139–45. Dostupné z DOI: <–007–0534–6>.
  22. Icks A, Arend W, Becker C el al. Incidence of hip fractures in Germany, 1995–2010. Arch Osteoporos 2013; 8:140. Dostupné z DOI: <–013–0140–5>.
  23. Mann E, Icks A, Haastert B el al. Hip fracture incidence in the elderly in Austria: An epidemiological study covering the years 1994 to 2006. BMC Geriatrics 2008; 8: 35. Dostupné z DOI: <–2318–8-35>.
  24. Dimai HP, Svedbom A, Fahrleitner-Pammer A et al. Epidemiology of hip fractures in Austria: evidence for a change in the secular trend. Osteoporos Int 2011; 22(2): 685–692. Dostupné z DOI: <–010–1271–9>.
  25. Štepan JJ, Vaculik J, Pavelka K. Hip Fracture Incidence from 1981 to 2009 in the Czech Republic as a Basis of the Country-Specific FRAX Model. Calcif Tissue Int 2012; 90(5): 365–372. Dostupné z DOI: <–012–9582–9>.
  26. Wu CH, Tu ST, Chang YF et al. Fracture liaison services improve outcomes of patients with osteoporosis-related fractures: A systematic literature review and meta-analysis. Bone 2018; 111: 92–100. Dostupné z DOI: <>.
  27. Odborné usmernenie MZ SR pre diagnostiku a liečbu glukokortikoidmi indukovanej osteoporózy, Vestník MZSR, ročník 57, čiastka 51–53, zo dňa 13. novembra 2009. Dostupné z WWW: <>.
  28. Kanis JA, Harvey NC, Johansson H. FRAX update. J Clin Densitom 2017; 20(3): 360–367. Dostupné z DOI: <>.
  29. Kanis JA, Cooper C, Rizzoli R et al. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int 2019; 30(1): 3–44. Dostupné z DOI: <–018–4704–5>.
Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account