Identification of incident fractures : the Geelong Osteoporosis Study

Pasco, J. A., Nicholson, G. C., Henry, M. J., Kotowicz, M. A. and Gaudry, T. M. 1999, Identification of incident fractures : the Geelong Osteoporosis Study, Australian and New Zealand journal of medicine, vol. 29, no. 2, pp. 203-206.

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Title Identification of incident fractures : the Geelong Osteoporosis Study
Author(s) Pasco, J. A.
Nicholson, G. C.
Henry, M. J.
Kotowicz, M. A.
Gaudry, T. M.
Journal name Australian and New Zealand journal of medicine
Volume number 29
Issue number 2
Start page 203
End page 206
Total pages 4
Publisher Wiley
Place of publication London, England
Publication date 1999-04
ISSN 1444-0903
Keyword(s) fracture ascertainment
hip fracture
Summary Background: Complete fracture ascertainment is critical for fracture cost estimates and planning for future health care facilities. Virtually complete ascertainment is possible for hip fractures because they nearly always require hospitalisation.

Aims: To validate the use of radiological reports as a resource for ascertaining fracture cases, using hip fracture as a model.

Methods: Hip fracture rates obtained from radiological reports were compared with rates obtained from hospital discharge summaries of medical records using International Classification of Diseases-9 (ICD-9) codes 820.0–820.9 and 733.1 over a three-year period.

Results: Hip fracture cases numbered 589 using radiological reports and 585 using medical records. Discharge summaries failed to identify 15 cases ascertained through radiology reports whereas 11 cases ascertained through medical records were not identified from X-ray reports. The age-specific incidence rates for radiological ascertainment were within the 95% confidence limits of the rates derived from medical records.

Conclusions: Among a population of patients generally admitted to hospital for treatment of their fracture, we were able to identify more cases from radiological reports than from medical records. Incidence rates for hip fracture were comparable using the two methods. Radiological reports provide a valuable resource for identifying incident fractures. This method of case ascertainment would be suitable for identifying both major and minor fractures in regions with self-contained health services where access to all radiological reports is possible.
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©1999, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30042793

Document type: Journal Article
Collection: School of Medicine
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