Key Statistics for Latin America
- Latin Americans will suffer an estimated 655,648 hip fractures in 2050, at an estimated direct cost of $13 billion [1]Johnell, O., The socioeconomic burden of fractures: today and in the 21st century. Am J Med, 1997. 103(2A): p. 20S-25S; discussion 25S-26S.
. The mortality rates in the year following a hip fracture are 23-30% and are higher in men compared to women [2]Riera-Espinoza, G., Epidemiology of osteoporosis in Latin America 2008. Salud Publica Mex, 2009. 51 Suppl 1: p. S52-5.
[3]Morales-Torres, J. and S. Gutierrez-Urena, The burden of osteoporosis in Latin America. Osteoporos Int, 2004. 15(8): p. 625-32.
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- The prevalence of vertebral osteopenia in women 50 years and older has been reported at 45.5-49.7% and vertebral osteoporosis at 12.1-17.6%; while the prevalence of femoral neck osteopenia has been reported at 46-57.2% and femoral neck osteoporosis at 7.9-22% [3]Morales-Torres, J. and S. Gutierrez-Urena, The burden of osteoporosis in Latin America. Osteoporos Int, 2004. 15(8): p. 625-32.
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- In a study of five Latin American countries (Argentina, Brazil, Colombia, Mexico and Puerto Rico), the prevalence of vertebral fractures in women over 50 years of age was about 15%, with 7% occurring within the 50-60 years old age group and increasing to 28% for those greater than 80 years old [4]Clark, P., et al., The prevalence of radiographic vertebral fractures in Latin American countries: the Latin American Vertebral Osteoporosis Study (LAVOS). Osteoporos Int, 2009. 20(2): p. 275-82.
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- In postmenopausal women, 50% have osteopenia, 25% have osteoporosis and only the remaining 25% have a normal bone mineral density. It is projected that by 2050, 5.24 million and 2.62 million women will have osteopenia and osteoporosis, respectively [5]Spivacow, R. and A. Sánchez, Epidemiology, costs, and burden of osteoporosis in Argentina, 2009. Vol. 5. 2010. 1-6.
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- 34,000 hip fractures occur every year in the population aged 50 years and older, with an average of 90 fractures/day. By 2050, there will be >63,000 hip fractures in women and >13,000 in men. Hospitalization costs of hip and vertebral fractures exceed 190 million USD per year [6]International Osteoporosis Foundation: The Latin America Regional Audit - Epidemiology, costs & burden of osteoporosis in 2012. 2012;
See link.
- The lifetime prevalence of fractures has been found to be 37.5% among men and 21% among women with proportions among white, mixed and black subjects at about 29%, 31% and 22%, respectively [7]Siqueira, F.V., L.A. Facchini, and P.C. Hallal, The burden of fractures in Brazil: a population-based study. Bone, 2005. 37(2): p. 261-6.
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- It is estimated that just 1 in 3 patients with hip fractures are diagnosed as having osteoporosis and of those, only 1 in 5 receive any kind of treatment [8]Zabaglia, S.F.C., L.H.S. Costa-Paiva, and A.M. Pinto-Neto, A Ligadura Tubária é Fator de Risco para a Redução da Densidade Mineral Óssea em Mulheres na Pós-menopausa? Revista Brasileira de Ginecologia e Obstetrícia, 2001. 23: p. 621-626.
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- The economic burden of osteoporosis hip fractures to private health plan companies in Brazil is estimated in the region of $6 million [9]Araújo, D.V., J.H.A.d. Oliveira, and O.L. Bracco, Custo da fratura osteoporótica de fêmur no sistema suplementar de saúde brasileiro. Arquivos Brasileiros de Endocrinologia & Metabologia, 2005. 49: p. 897-901.
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- In 1985, a large clinical trial of women older than 50 indicated that 46% had osteopenia and 22% had osteoporosis [6]International Osteoporosis Foundation: The Latin America Regional Audit - Epidemiology, costs & burden of osteoporosis in 2012. 2012;
See link.
- It is estimated that there were 5236 and 2104 hip fractures respectively in Chilean women (age 45 and older) and men (age 45 and older) in the year 2008. Estimated projections for 2050 show an increase in these numbers to 9988 and 4007 for women and men respectively. Local Chilean experts estimate that, currently, 90% of hip fractures are treated surgically [6]International Osteoporosis Foundation: The Latin America Regional Audit - Epidemiology, costs & burden of osteoporosis in 2012. 2012;
See link.
- In the population aged ≥40 years, the prevalence of osteopenia and osteoporosis in 2010 was 32.8 and 8 %, respectively. A total of 75,763 fragility fractures occurred that year [10]Carlos, F., et al., Health care costs of osteopenia, osteoporosis, and fragility fractures in Mexico. Arch Osteoporos, 2013. 8: p. 125.
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- The lifetime probability of having a hip fracture at 50 years of age is 8.5% for women and about 4% for men [11]Clark, P., et al., Incidence rates and life-time risk of hip fractures in Mexicans over 50 years of age: a population-based study. Osteoporos Int, 2005. 16(12): p. 2025-30.
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- For 2006, the estimated cost of healthcare for hip fracture was $97 million [12]Clark, P., et al., Direct costs of osteoporosis and hip fracture: an analysis for the Mexican healthcare system. Osteoporos Int, 2008. 19(3): p. 269-76.
. In 2010, costs of managing osteopenia and osteoporosis, as well as medical costs due to fragility fractures reached 411 million USD [10]Carlos, F., et al., Health care costs of osteopenia, osteoporosis, and fragility fractures in Mexico. Arch Osteoporos, 2013. 8: p. 125.
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- The lifetime probability of having a hip fracture at 50 years of age is 5.5% for women and 1.5% for men, and for any osteoporosis fracture is 13.6% for women and 3.5% for men [2]Riera-Espinoza, G., Epidemiology of osteoporosis in Latin America 2008. Salud Publica Mex, 2009. 51 Suppl 1: p. S52-5.
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- In 1995 there were 9.6 hip fractures per day. In 2030 it is estimated that there will be 67 hip fractures per day. Of the people that suffer a hip fracture, 17% die in the first 4 months after the fracture. Clinical trials indicated that only the 10% of the population older than 70 years have normal peak bone mass [6]International Osteoporosis Foundation: The Latin America Regional Audit - Epidemiology, costs & burden of osteoporosis in 2012. 2012;
See link.
REFERENCES
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International Osteoporosis Foundation: The Latin America Regional Audit - Epidemiology, costs & burden of osteoporosis in 2012. 2012; See link