The epidemiology of scaphoid fractures in Sweden: a nationwide registry study
The epidemiology of scaphoid fractures has been described in limited populations, and incidence reports have been inconsistent. We investigated the nationwide incidence of scaphoid fractures by evaluating data on 34,377 patients in the Swedish National Patient Register for the years 2006–2015 regard...
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| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2019-09, Vol.44 (7), p.697-701 |
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| container_title | The Journal of hand surgery, European volume |
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| creator | Swärd, Elin M. Schriever, Thorsten U. Franko, Mikael A. Björkman, Anders C. Wilcke, Maria K. |
| description | The epidemiology of scaphoid fractures has been described in limited populations, and incidence reports have been inconsistent. We investigated the nationwide incidence of scaphoid fractures by evaluating data on 34,377 patients in the Swedish National Patient Register for the years 2006–2015 regarding diagnosis, age, sex and treatment. The data were validated in 300 random patients, and incidence rates were adjusted accordingly. Forty-one per cent of the initially diagnosed fractures were false positives. The adjusted true fracture incidence rate was 22 per 100,000 person-years. During the decade studied incidence rates decreased in younger men and increased in middle-aged women. The incidence of surgical treatment vs. non-operative treatment did not change over time. Men were treated surgically more often than women (6% vs. 3%) and had a greater risk for nonunion (3% vs. 1%). |
| doi_str_mv | 10.1177/1753193419849767 |
| format | Article |
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We investigated the nationwide incidence of scaphoid fractures by evaluating data on 34,377 patients in the Swedish National Patient Register for the years 2006–2015 regarding diagnosis, age, sex and treatment. The data were validated in 300 random patients, and incidence rates were adjusted accordingly. Forty-one per cent of the initially diagnosed fractures were false positives. The adjusted true fracture incidence rate was 22 per 100,000 person-years. During the decade studied incidence rates decreased in younger men and increased in middle-aged women. The incidence of surgical treatment vs. non-operative treatment did not change over time. Men were treated surgically more often than women (6% vs. 3%) and had a greater risk for nonunion (3% vs. 1%).</description><subject>Clinical Medicine</subject><subject>epidemiology</subject><subject>Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi</subject><subject>Health Sciences</subject><subject>Hälsovetenskap</subject><subject>incidence</subject><subject>Kirurgi</subject><subject>Klinisk medicin</subject><subject>Medical and Health Sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>nonunion</subject><subject>Orthopedics</subject><subject>Ortopedi</subject><subject>Public Health, Global Health, Social Medicine and Epidemiology</subject><subject>Scaphoid fracture</subject><subject>Surgery</subject><subject>validation</subject><issn>1753-1934</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1UU1v1DAQtRCIbgt3TshHLil2_M0NVeVDWsSBcraceLx1ycbBTrTaf4-jXSqE1MNoRp733uj5IfSGkmtKlXpPlWDUME6N5kZJ9QxtWsJZI1ttnqPNum7W_QW6LOWBEKENlS_RBaOUSKnpBn27uwcMU_Swj2lIuyNOAZfeTfcpehyy6-clQ8FxxD8O4GH8gB0e3RzTeKgknGEXy5yPuMyLP75CL4IbCrw-9yv089Pt3c2XZvv989ebj9um55zPTa9bKYwRoZOyoyx4MIIL6RRRiolAqe_AC-6V0dWY1J4T50U1I0grWNuxK9ScdMsBpqWzU457l482uWjPT7_qBJYro4iu-O2T-GGZanW1VoI32nuQyoZOm0rX3hqptYXAPOk9gARf5d6d5Kacfi9QZruPpYdhcCOkpdi2ZS3Rwoj1MjlB-5xKyRAeb1Ni1wzt_xlWytuz-tLtwT8S_ob2j3u3A_uQljzWz35a8A8E7qPo</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Swärd, Elin M.</creator><creator>Schriever, Thorsten U.</creator><creator>Franko, Mikael A.</creator><creator>Björkman, Anders C.</creator><creator>Wilcke, Maria K.</creator><general>SAGE Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D95</scope></search><sort><creationdate>20190901</creationdate><title>The epidemiology of scaphoid fractures in Sweden: a nationwide registry study</title><author>Swärd, Elin M. ; Schriever, Thorsten U. ; Franko, Mikael A. ; Björkman, Anders C. ; Wilcke, Maria K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-c8265995fb66b13fde95456a707735f11dbed54d79898468d40ad5753502532b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Clinical Medicine</topic><topic>epidemiology</topic><topic>Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi</topic><topic>Health Sciences</topic><topic>Hälsovetenskap</topic><topic>incidence</topic><topic>Kirurgi</topic><topic>Klinisk medicin</topic><topic>Medical and Health Sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>nonunion</topic><topic>Orthopedics</topic><topic>Ortopedi</topic><topic>Public Health, Global Health, Social Medicine and Epidemiology</topic><topic>Scaphoid fracture</topic><topic>Surgery</topic><topic>validation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Swärd, Elin M.</creatorcontrib><creatorcontrib>Schriever, Thorsten U.</creatorcontrib><creatorcontrib>Franko, Mikael A.</creatorcontrib><creatorcontrib>Björkman, Anders C.</creatorcontrib><creatorcontrib>Wilcke, Maria K.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Lunds universitet</collection><jtitle>The Journal of hand surgery, European volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Swärd, Elin M.</au><au>Schriever, Thorsten U.</au><au>Franko, Mikael A.</au><au>Björkman, Anders C.</au><au>Wilcke, Maria K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The epidemiology of scaphoid fractures in Sweden: a nationwide registry study</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>44</volume><issue>7</issue><spage>697</spage><epage>701</epage><pages>697-701</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>The epidemiology of scaphoid fractures has been described in limited populations, and incidence reports have been inconsistent. We investigated the nationwide incidence of scaphoid fractures by evaluating data on 34,377 patients in the Swedish National Patient Register for the years 2006–2015 regarding diagnosis, age, sex and treatment. The data were validated in 300 random patients, and incidence rates were adjusted accordingly. Forty-one per cent of the initially diagnosed fractures were false positives. The adjusted true fracture incidence rate was 22 per 100,000 person-years. During the decade studied incidence rates decreased in younger men and increased in middle-aged women. The incidence of surgical treatment vs. non-operative treatment did not change over time. Men were treated surgically more often than women (6% vs. 3%) and had a greater risk for nonunion (3% vs. 1%).</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31106681</pmid><doi>10.1177/1753193419849767</doi><tpages>5</tpages></addata></record> |
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| ispartof | The Journal of hand surgery, European volume, 2019-09, Vol.44 (7), p.697-701 |
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| source | SAGE Complete A-Z List; Alma/SFX Local Collection |
| subjects | Clinical Medicine epidemiology Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Health Sciences Hälsovetenskap incidence Kirurgi Klinisk medicin Medical and Health Sciences Medicin och hälsovetenskap nonunion Orthopedics Ortopedi Public Health, Global Health, Social Medicine and Epidemiology Scaphoid fracture Surgery validation |
| title | The epidemiology of scaphoid fractures in Sweden: a nationwide registry study |
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