Trends in incidence, health care consumption, and costs for proximal femoral fractures in the Netherlands between 2000 and 2019: a nationwide study
Authors' conclusion
The total incidence of hip fractures in The Netherlands has increased by 22%. Although incidence in the elderly population is decreasing and HLOS is at an all-time low, the burden of medical costs and crude numbers of proximal femoral fractures are still rising in our aging population.
Study context
- Population
- Patients with acute proximal femoral (femoral neck and trochanteric) fractures, the Netherlands, January 1, 2000 to December 31, 2019
- Participants
- 357,073 patients
- Outcome
- Incidence rate and economic burden of acute femoral neck and trochanteric fractures
Methodological detailsNational Medical Registration of the Dutch Hospital Database, 2000–2019
- National Medical Registration of the Dutch Hospital Database
- 2000–2019
Main finding
As reported in the abstract
Incidence rate of proximal femoral fractures · 2000–2019
- Overall incidence rate increased by 22% over 20 years, from 16.4 to 27.1/100,000 py
- Age-specific incidence rate in elderly > 65 years decreased by 16% (from 649.1 to 547.6/100,000 py)
- Incidence rate in men aged > 90 has surpassed that in women
Observational data: associations, not effects.
Further findings
Hospital LOS, mean · 2000–2019
- Hospital length of stay (HLOS) decreased in all age groups, subtypes and sexes from a mean of 18.5 to 7.2 days
Mean health care costs, 2015-2019
- Men
- €17,723
- Women
- €23,351
- Women aged > 80
- €26,639
Annual cumulative costs
- Annual cumulative costs
- €425M
- Share spent on women
- 73%
Original publication
Trends in incidence, health care consumption, and costs for proximal femoral fractures in the Netherlands between 2000 and 2019: a nationwide study. Osteoporos Int. Published 29 April 2023. doi:10.
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