Trends of clinical vertebral and hip fractures following local government involvement in fracture prevention from 2015 to 2021 in Kure, Japan
Authors' conclusion
Significant reductions in the incidence of both clinical vertebral and hip fractures among women were demonstrated after the launch of a comprehensive fracture prevention project supported by the local government.
Study context
- Population
- Residents aged ≥ 65 years in Kure, Japan, enrolled in the National Health Insurance or Senior Elderly Care System, 2015–2021
- Exposure
- Fracture incidence before and after the launch of municipality-supported Fracture Liaison Service (FLS) and osteoporosis awareness activities (2015 and 2021 vs 2017)
- Outcome
- Incidence of clinical vertebral and hip fractures
Methodological detailscommunity-wide FLS and osteoporosis awareness activities, insurance claims data, Fracture events identified using insurance claims data and ICD/treatment codes
- Community-wide FLS and osteoporosis awareness activities
- Insurance claims data
- Fracture events identified using insurance claims data and ICD/treatment codes
Main finding
As reported in the abstract
Clinical vertebral fractures, incidence ratio vs 2017
Age-sex-adjusted incidence ratio
0.76
95% CI 0.70–0.83
2015
Incidence ratio
0.89
95% CI 0.82–0.96
2021
Observational data: associations, not effects.
Further findings
| Outcome | Estimate |
|---|---|
| Hip fractures, incidence ratio vs 20172015 vs 2017 | age-sex-adjusted incidence ratio 0.87 (95% CI 0.78–0.96) |
| Hip fractures, incidence ratio vs 20172021 vs 2017 | incidence ratio 0.85 (95% CI 0.76–0.94) |
Hip fractures, incidence ratio vs 2017
- Incidence tended to decrease after 2017 in females but not in males
Osteoporosis prescriptions
- Increase in the number of prescriptions and changes in prescribing patterns
Original publication
Trends of clinical vertebral and hip fractures following local government involvement in fracture prevention from 2015 to 2021 in Kure, Japan. Osteoporos Int. Published 19 February 2026. doi:10.
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