Osteoporosis & bone health

Secular trend of humeral fractures incidence rates in patients ≥ 50 years requiring hospitalization: a retrospective analysis of the public health system data in Brazil from 2004 to 2013

Osteoporos IntPublished Retrospective cohort study

Authors' conclusion

Hospitalizations for humeral fractures in Brazil increased significantly from 2004 to 2013, particularly among elderly women and those living in the most densely populated Southeast region.

Study context

Population
Brazilian adults ≥ 50 years admitted to public hospitals 2004–2013 for primary treatment of low-trauma humerus fractures (ICD-10 S-42.2, S-42.3, S-42.4)
Participants
34,071 humeral fractures
Exposure
Overall vs Women vs Men
Outcome
Annual rate of humeral fractures requiring hospitalization, and its secular trend
Follow-up
2004–2013
Methodological detailsobservational, national public health system database, linear regression secular trend analysis
  • Observational
  • National public health system database
  • Linear regression secular trend analysis

Main finding

As reported in the abstract

Average annual humeral fracture rate
Secular trend: significant increase in crude humeral fracture rate among women (P = 0.024)
21.18%

Observational data: associations, not effects.

Further findings

Distribution of fractures

Women
59.21%
Age group 50-59 years
33.14%
Southeast region residents
60%

Secular trend, Southeast region, women

Significant increase (P = 0.031); Southeast had highest fracture rates
11.95%

Original publication

Secular trend of humeral fractures incidence rates in patients ≥ 50 years requiring hospitalization: a retrospective analysis of the public health system data in Brazil from 2004 to 2013. Osteoporos Int. Published 22 May 2025. doi:10.1007/s00198-025-07528-8

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