Epidemiology of hip fractures in 2002 in Rabat, Morocco

The characteristics of hip fractures described in this study suggest that fragility fractures occur in North Africa, substantially less frequently than in most European, North American and Asian countries but more frequently than sub-Saharan African countries, in agreement with the north–south gradient observed in the epidemiology of osteoporosis

Abdellah El Maghraoui; Boris A. Koumba; Imane Jroundi; Lahsen Achemlal; Ahmed Bezza; Mohamed A. Tazi

2004

Scholarcy highlights

  • Hip fracture has never been studied before, either in Morocco or in the adjacent countries of the south bank of the Mediterranean Sea
  • The aim of this study was to investigate the incidence rate of hip fracture in 2002 in Rabat Province, a large area in the northwest of The Kingdom of Morocco, by the use of register information and medical records collected from the five public hospitals of the region
  • The age-adjusted 1-year cumulative incidence of hip fracture was 52.1/100,000 in women and 43.7/100,000 in men
  • The standardized incidence rate against the 1985 US population was 80.7/100,000 for women and 58.5/100,000 for men
  • A marked increase in incidence rate was found for both men and women with increasing age, becoming exponential after the age of 50 years
  • The characteristics of hip fractures described in this study suggest that fragility fractures occur in North Africa, substantially less frequently than in most European, North American and Asian countries but more frequently than sub-Saharan African countries, in agreement with the north–south gradient observed in the epidemiology of osteoporosis
  • The low incidence of hip fragility fracture rate is most likely the result of reduced longevity in Morocco

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