ORLANDO, Fla.—Hip fracture rates among older patients starting dialysis are higher now than in 1996, researchers reported at the National Kidney Foundation’s 2013 Spring Clinical Meetings.
Sumi Sukumaran Nair, MD, of the Stanford University School of Medicine in Palo Alto, Calif., analyzed 14 years of data (1996-2009) from patients aged 67 years and older initiating dialysis in the U.S. The study included 409,040 patients over 607,059 person-years during which 17,887 hip fractures occurred. Compared with patients in 1996, adjusted hip fracture rates increased until 2004, when the rates were 41% higher than in 1996. The rates declined thereafter so that by 2009, the rates were 25% higher than in 1996. The 30-day mortality rate after hip fracture declined from 20% in 1996 to 16% in 2009.
“While recent declines in incidence and steady declines in associated short-term mortality are encouraging, hip fractures remain among the most common and consequential non-cardiovascular complications of ESRD,” the authors concluded.