Does the Association of Comorbidity with 1‐Year Mortality After Hip Fracture Differ According to Gender? The Norwegian Epidemiologic Osteoporosis Studies (NOREPOS)

Does the Association of Comorbidity with 1‐Year Mortality After Hip Fracture Differ According... Norway has one of the highest incidence rates of hip fracture in the world. Older age and female gender are strong risk factors. Men account for 30% of hip fractures. Men and women have excess mortality after hip fracture, but there is evidence to suggest that men who fracture their hip are in worse health. Male gender is a strong and consistent predictor of death after hip fracture. Also when taking into account the shorter life expectancy of men, men have higher excess mortality after hip fracture.Comorbidity can be defined as the total burden of illness. Illnesses vary in their nature, extent, and severity. Comorbidity is associated with greater mortality in individuals with hip fracture, but the contribution of preexisting illness to mortality after hip fracture is unresolved. In register data from Sweden, post‐hip fracture mortality was largely related to comorbidity. In contrast, a Danish study concluded that only a minor proportion of mortality could be attributed to preexisting comorbidity. In a metaanalysis of 8 population‐based European cohorts, the effect of hip fracture on mortality was only slightly attenuated when taking major chronic diseases into account.Few studies have examined in detail the contribution of gender differences in comorbidity to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of American Geriatrics Society Wiley

Does the Association of Comorbidity with 1‐Year Mortality After Hip Fracture Differ According to Gender? The Norwegian Epidemiologic Osteoporosis Studies (NOREPOS)

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 American Geriatrics Society and Wiley Periodicals, Inc.
ISSN
0002-8614
eISSN
1532-5415
D.O.I.
10.1111/jgs.15207
Publisher site
See Article on Publisher Site

Abstract

Norway has one of the highest incidence rates of hip fracture in the world. Older age and female gender are strong risk factors. Men account for 30% of hip fractures. Men and women have excess mortality after hip fracture, but there is evidence to suggest that men who fracture their hip are in worse health. Male gender is a strong and consistent predictor of death after hip fracture. Also when taking into account the shorter life expectancy of men, men have higher excess mortality after hip fracture.Comorbidity can be defined as the total burden of illness. Illnesses vary in their nature, extent, and severity. Comorbidity is associated with greater mortality in individuals with hip fracture, but the contribution of preexisting illness to mortality after hip fracture is unresolved. In register data from Sweden, post‐hip fracture mortality was largely related to comorbidity. In contrast, a Danish study concluded that only a minor proportion of mortality could be attributed to preexisting comorbidity. In a metaanalysis of 8 population‐based European cohorts, the effect of hip fracture on mortality was only slightly attenuated when taking major chronic diseases into account.Few studies have examined in detail the contribution of gender differences in comorbidity to

Journal

Journal of American Geriatrics SocietyWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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