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The epidemiology of scaphoid fractures in Sweden : a nationwide registry study

Swärd, Elin M.; Schriever, Thorsten U.; Franko, Mikael A.; Björkman, Anders C. LU and Wilcke, Maria K. (2019) In Journal of Hand Surgery: European Volume
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... (More)

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%).

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
epidemiology, incidence, nonunion, Scaphoid fracture, validation
in
Journal of Hand Surgery: European Volume
publisher
SAGE Publications Inc.
external identifiers
  • scopus:85066818498
ISSN
1753-1934
DOI
10.1177/1753193419849767
language
English
LU publication?
yes
id
d98dde67-fb89-478d-9688-ef3d0cdee6ed
date added to LUP
2019-06-24 12:05:31
date last changed
2019-07-09 04:49:16
@article{d98dde67-fb89-478d-9688-ef3d0cdee6ed,
  abstract     = {<p>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%).</p>},
  author       = {Swärd, Elin M. and Schriever, Thorsten U. and Franko, Mikael A. and Björkman, Anders C. and Wilcke, Maria K.},
  issn         = {1753-1934},
  keyword      = {epidemiology,incidence,nonunion,Scaphoid fracture,validation},
  language     = {eng},
  month        = {05},
  publisher    = {SAGE Publications Inc.},
  series       = {Journal of Hand Surgery: European Volume},
  title        = {The epidemiology of scaphoid fractures in Sweden : a nationwide registry study},
  url          = {http://dx.doi.org/10.1177/1753193419849767},
  year         = {2019},
}