Using vital statistics to estimate the population-level impact of osteoporotic fractures on mortality based on death certificates, with an application to France 2000-2004Reportar como inadecuado




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BMC Public Health

, 9:344

First Online: 17 September 2009Received: 09 February 2009Accepted: 17 September 2009DOI: 10.1186-1471-2458-9-344

Cite this article as: Ziadé, N., Jougla, E. & Coste, J. BMC Public Health 2009 9: 344. doi:10.1186-1471-2458-9-344

Abstract

BackgroundWe developed a methodology using vital statistics to estimate the impact of osteoporotic fractures on the mortality of an entire population, and applied it to France for the period 2000-2004.

MethodsCurrent definitions of osteoporotic fractures were reviewed and their components identified. We used the International Classification of Diseases with national vital statistics data for the French adult population and performed cross-classifications between various components: age, sex, I-code site and E-code mechanism of fracture. This methodology allowed identification of appropriate thresholds and categorization for each pertinent component.

Results2,625,743 death certificates were analyzed, 2.2% of which carried a mention of fracture. Hip fractures represented 55% of all deaths from fracture. Both sexes showed a similar pattern of mortality rates for all fracture sites, the rate increased with age from the age of 70 years. The E-high-energy code present in 12% of death certificates with fractures was found to be useful to rule-out non-osteoporotic fractures, and to correct the overestimation of mortality rates. Using this methodology, the crude number of deaths associated with fractures was estimated to be 57,753 and the number associated with osteoporotic fractures 46,849 1.85% and 1.78% of all deaths, respectively.

ConclusionOsteoporotic fractures have a significant impact on overall population mortality.

AbbreviationsBMDBone mineral density

CepiDcEpidemiology Center for Medical Causes of Death

ICD-10International Classification of Diseases, 10th version

MMDSMortality Medical Data System

NCHSNational Center for Health Statistics

WHOWorld Health Organization.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-9-344 contains supplementary material, which is available to authorized users.

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Autor: Nelly Ziadé - Eric Jougla - Joël Coste

Fuente: https://link.springer.com/







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