Clinical Edge

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US Hip Fracture Rates Higher than Projected

Osteoporos Int; ePub 2017 Dec 27; Lewiecki, et al

A recent analysis of US Medicare claims data from 2002 to 2015 for women aged ≥65 years found that age-adjusted hip fracture rates for 2013, 2014, and 2015 were higher than projected, resulting in an estimated increase of more than 11,000 hip fractures. Previous studies reported a decrease in the annual incidence of hip fractures in the US beginning in 1995, coincident with the introduction of modern diagnostic tools and therapeutic agents for osteoporosis. In recent years, however, there has been less bone density testing and fewer prescriptions for osteoporosis treatments. The large osteoporosis treatment gap raises concern of possible adverse effects on hip fracture rates. Researchers assessed hip fracture incidence in the US to determine if the previous decline in hip fracture incidence continued. Using 2002 to 2015 Medicare Part A and Part B claims for women aged ≥65 years, they calculated age-adjusted hip fracture rates, weighting to the 2014 population. They found that hip fracture rates declined each year from 2002 to 2012 and then plateaued at levels higher than projected for years 2013, 2014, and 2015.


Lewiecki EM, Wright NC, Curtis JR, et al. Hip fracture trends in the United States, 2002 to 2015. [Published online ahead of print December 27, 2017]. Osteoporos Int. doi:10.1007/s00198-017-4345-0.