Temporal trends in the incidence, treatment, and outcomes of hip fracture in older patients initiating dialysis in the United States.

ABSTRACT:

Background and objectives

Patients with ESRD experience a fivefold higher incidence of hip fracture than the age- and sex-matched general population. Despite multiple changes in the treatment of CKD mineral bone disorder, little is known about long-term trends in hip fracture incidence, treatment patterns, and outcomes in patients on dialysis.

Design, setting, participants, & measurements

Fourteen annual cohorts (1996-2009) of older patients (≥67 years) initiating dialysis in the United States were studied. Eligible patients had Medicare fee-for-service coverage for ≥2 years before dialysis initiation and were followed for ≤3 years for a first hip fracture. Type of treatment (internal fixation or partial or total hip replacement) was ascertained along with 30-day mortality.

SUBMITTER: Nair SS 

PROVIDER: S-EPMC3731911 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature