作者
Sumi Sukumaran Nair, Aya A Mitani, Benjamin A Goldstein, Glenn M Chertow, David W Lowenberg, Wolfgang C Winkelmayer
发表日期
2013/8/1
期刊
Clinical Journal of the American Society of Nephrology
卷号
8
期号
8
页码范围
1336-1342
出版商
LWW
简介
Results
This study followed 409,040 patients over 607,059 person-years, during which time 17,887 hip fracture events were recorded (29.3 events/1000 person-years). Compared with patients incident for ESRD in 1996, adjusted hip fracture rates increased until the 2004 cohort (+ 41%) and declined thereafter. Surgical treatment included internal fixation in 56%, partial hip replacement in 29%, and total hip replacement in 2%, which remained essentially unchanged over time; 30-day mortality after hip fracture declined from 20%(1996) to 16%(2009).
Conclusions
Hip fracture incidence rates remain higher today than in patients reaching ESRD in 1996, despite multiple purported improvements in the management of CKD mineral bone disorder. Although recent declines in incidence and steady declines in associated short-term mortality are encouraging, hip fractures remain among the most common and consequential …
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SS Nair, AA Mitani, BA Goldstein, GM Chertow… - Clinical Journal of the American Society of Nephrology, 2013