Epidemiology and financial burden of hip fractures

Purpose of review: The proportion of elderly people in the world's population is growing rapidly. Medical care of the elderly is complex and expensive, and hip fracture is a major cause of morbidity and mortality. The authors have reviewed recent work on the epidemiology of hip fractures and the financial burden of hip fracture care. Increased understanding of these issues will allow decisions about treatment and prevention of hip fractures to be made in a cost-effective manner. Recent findings: Important differences in incidence rates exist between populations of different heritage, gender, residential setting, geography, and climate. An important trend-break in the incidence of hip fractures in women of Scandinavia was identified that could indicate the successful use of preventive strategies. These strategies must be carefully tailored to patients to ensure that hip fractures are prevented in a cost-effective manner. Summary: As the cost of delivering medical care rises, the way in which funds are allocated becomes more critical. Identifying the factors that place populations at most risk for hip fractures will result in the most value for every dollar spent on health care.