The age- and sex-adjusted fracture rates for most fracture sites declined from 2007 to 2013 by 3.7% per year ( P = 0.310). The overall age- and sex-adjusted fracture rate decreased from 14.67/1000 person-years (py) in 2007 to 11.79/1000 py in 2013, followed by a plateau for the next 3 years and then an increase to 12.50/1000 py in mid-2017. Of 1,841,263 patients identified with an index fracture, 930,690 were case-qualifying and included in this analysis.
Retrospective analysis of the Optum Research Database from January 1, 2007, to May 31, 2017. The purpose of this study was to evaluate fracture trends in US commercial and Medicare Advantage health plan members aged ≥ 50 years between 20. We found that age- and sex-adjusted fracture rates in the US plateaued or increased through mid-2017 in a population of commercially insured and Medicare Advantage health plan enrollees, in contrast to a decline from 2007 to 2013. This study expands on previous findings that hip fracture rates may no longer be declining.
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