Analysis of epidemiology of osteoporotic fracturesusing data from primary care physicians


Compared to European countries, the incidence of hip fractures in Russia is significantly lower. The reasons for such a discrepancy have been studied insufficiently. It is known that in Russia, not all patients with hip fracture are hospitalized. The aim of the present study was to obtain the best possible precise data on epidemiology of osteoporotic fractures in older population. 208 cases of hip fractures were revealed during 2008-2009 (52 men and 156 women). 57 (27,4%) of them haven't been registered in official statistics and were consulted only by the primary care physicians. The incidence of hip fracture make up 191,9/100000 person-years (125,4 men and 233,2 women). The official statistics doesn't give the objective information on number of hip fractures, and search for patients treated only in a primary care settings is necessary in order to receive objective information.

About the authors

E. N. Gladkova

Email: <>

V. N. Khodyrev

O. M. Lesnyak

E. N. Gladkova

V. N. Chodyrev

O. M. Lesnyak


  1. Лесняк О.М., Евстигнеева Л.П., Кузьмина Л.И. и др. Эпидемиология переломов позвоночника и периферических костей в старших возрастных группах жителей г. Екатеринбурга // // Остеопороз и остеопатии 1999. -№2. -2-4.
  2. Меньшикова Л.В., Храмцова Н.А., Ершова О.Б. и др. Ближайшие и отдаленные исходы переломов проксимального отдела бедра у лиц пожилого возраста и их медико-социальные последствия (по данным многоцентрового исследования). Остеопороз и остеопатии. 2002, №1: 8-11.
  3. Михайлов Е.Е., Беневоленская Л.И. Эпидемиология остеопороза и переломов // Руководство по остеопорозу / Под ред. Л.И. Беневоленской. - М.: БИНОМ, лаборатория знаний, 2003. - 10-54.
  4. Михайлов Е.Е., Беневоленская Л.И., Аникин Г. и др. Частота переломов проксимального отдела бедренной кости и дистального отдела предплечья среди городского населения России // Остеопороз и остеопатии. - 1999. - № 3. - 2-6.
  5. Нурлыгаянов Р. З., Хафизов Н. Х., Файзуллин А. А. Частота переломов проксимального отдела бедренной кости среди жителей города Уфы (ретроспективное эпидемиологическое исследование) // Остеопороз и остеопатии 2009. -№1. -7-9.
  6. Цейтлин О.Я. Частота переломов проксимального отдела бедренной кости и дистального отдела предплечья среди жителей города Новокуйбышевска // Остеопороз и остеопатии. - 2000. - №1.- С. 11-14.
  7. Brogren E. et al. Incidence and characteristics of distal radius fractures in a southern Swedish region. BMC Musculoskeletal Disorders. 2007; 8: 48.
  8. Clinton J., Franta A. et al. Proximal Humeral Fracture as a Risk Factor for Subsequent Hip Fractures. The Journal of Bone and Joint Surgery (American). 2009; 91(3): 503-511.
  9. Cooper C., Campion G., Melton L.J. III. Hip fracture in the elderly: a worldwide projection. Osteoporosis International, 1992, 2: 285-289.
  10. Czerwinski E., Kanis J.A., Trybulec B., Johansson H., Borowy P., Osieleniec J. The incidence and risk of hip fracture in Poland. Osteoporos Int. 2009 Aug;20(8):1363-7.
  11. Elffors L. et al. The variable incidence of hip fracture in Southern Europe: the MEDOS Study. Osteoporosis International, 1994, 4:253-263.
  12. Endres H.G., Dasch .B, Lungenhausen M et al. Patients with femoral or distal forearm fracture in Germany: a prospective observational study on health care situation and outcome. BMC Public Health. 2006; 6: 87.
  13. Johnell O. et al. The apparent incidence of hip fracture in Europe: a study of national register sources. MEDOS Study Group. Osteoporosis International, 1992, 2:298-302.
  14. Kanis J.A. et al. Long-term risk of osteoporosis fracture in Malmo. Osteoporosis International, 2000, 11:669-674.
  15. Melton L.J. 3rd. Epidemiology of fractures. In: Riggs BL, Melton LJ III, eds. Osteoporosis: etiology, diagnosis and management, 2nd ed, Philadelphia, Lippincott-Raven, 1995: 225-247.
  16. Melton L.J., 3rd, Amadio P.C., Crowson C.S., O'Fallon W.M. Long-term trends in the incidence of distal forearm fractures. Osteoporosis International. 1998; 8:341-348.
  17. Mikhailov E.E., Benevolenskaya L.I., Ershova O.B. Incidence of hip fracture among residents 50 years and over of two Russian towns. Osteoporosis International, 1996, 6(Suppl.1): 115,Psu125.
  18. Pentek M., Horväth C., Boncz I., Falusi Z. and Tóth E., et al. Epidemiology of osteoporosis related fractures in Hungary from the nationwide health insurance database, 1999-2003 Osteoporosis International, 2008, 19,(2):243-249.
  19. Schousboe J.T., Fink H.A., Taylor B.C., Stone K.L., Hillier T.A., Nevitt M.C., Ensrud K.E. Association between self-reported prior wrist fractures and risk of subsequent hip and radiographic vertebral fractures in older women: a prospective study. Journal of Bone and Mineral Research. 2005; 20:100-106.



Abstract - 660

PDF (Russian) - 940




Copyright (c) 2011 Gladkova E.N., Khodyrev V.N., Lesnyak O.M., Gladkova E.N., Chodyrev V.N., Lesnyak O.M.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies