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dc.contributor.authorBergman, Jonathan
dc.contributor.authorNordström, Anna Hava
dc.contributor.authorNordström, Peter
dc.date.accessioned2020-01-29T13:54:25Z
dc.date.available2020-01-29T13:54:25Z
dc.date.issued2019-01-09
dc.description.abstract<p><i>Summary - </i>This study estimated the incidence of osteonecrosis in a Swedish, nationwide cohort of older adults. Osteonecrosis was approximately 10 times more common than in previous studies. The strongest risk factors were dialysis, hip fracture, osteomyelitis, and organ transplantation, but only hip fractures could have contributed substantially to the disease burden. <p><i>Introduction - </i>The aim of this study was to estimate the incidence of osteonecrosis in a Swedish, nationwide cohort of older adults and in a large number of risk groups in that cohort. <p><i>Methods - </i>In this retrospective cohort study, we included everyone who was aged 50 years or older and who was living in Sweden on 31 December 2005. We used Swedish national databases to collect data about prescription medication use, diagnosed medical conditions, and performed medical and surgical procedures. The study outcome was diagnosis of primary or secondary osteonecrosis at any skeletal site. The strength of risk factors was assessed using age- and sex-standardized incidence ratios (SIRs). <p><i>Results - </i>The study cohort comprised 3,338,463 adults. The 10-year risk of osteonecrosis was 0.4% (n = 13,425), and the incidence rate was 4.7 cases/10000 person-years (95% confidence interval [CI], 4.6 to 4.7 cases). The strongest risk factors for osteonecrosis were hip fracture (SIR, 7.98; 95% CI, 7.69–8.27), solid organ transplantation (SIR, 7.14; 95% CI, 5.59–8.99), dialysis (SIR, 6.65; 95% CI, 5.62–7.81), and osteomyelitis (SIR, 6.43; 95% CI, 5.70–7.23). A history of hip fracture was present in 21.7% of cases of osteonecrosis, but osteomyelitis, dialysis, and solid organ transplantation were present in only 0.5 to 2% of cases. <p><i>Conclusions - </i>Osteonecrosis was approximately 10 times more common than a small number of previous population-based studies have suggested. The strongest risk factors for osteonecrosis were dialysis, hip fracture, osteomyelitis, and solid organ transplantation, but only hip fractures could have contributed substantially to the disease burden.en_US
dc.identifier.citationBergman, Nordström, Nordström. Epidemiology of osteonecrosis among older adults in Sweden. Osteoporosis International. 2019
dc.identifier.cristinIDFRIDAID 1720406
dc.identifier.doi10.1007/s00198-018-04826-2
dc.identifier.issn0937-941X
dc.identifier.issn1433-2965
dc.identifier.urihttps://hdl.handle.net/10037/17266
dc.language.isoengen_US
dc.publisherSpringer Natureen_US
dc.relation.journalOsteoporosis International
dc.rights.holderCopyright 2019 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803en_US
dc.titleEpidemiology of osteonecrosis among older adults in Swedenen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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