Reporting of lifetime fractures : methodological considerations and results from the Thai Cohort Study

J. Berecki-Gisolf; Rod McClure; S.-a Seubsman; A. Sleigh; J. Chokhanapitak; C. Churewong; S. Hounthasarn; S. Khamman; D. Pandee; S. Pangsap; T. Prapamontol; J. Puengson; Y. Sangrattanakul; B. Somboonsook; N. Sripaiboonkij; P. Somsamai; D. Vilainerun; W. Wimonwattanaphan; C. Bain; E. Banks; C. Banwell; B. Caldwell; G. Carmichael; T. Dellora; J. Dixon; S. Friel; D. Harley; M. Kelly; T. Kjellstrom; L. Lim; A. McMichael; T. Mark; L. Strazdins; V. Yiengprugsawan

doi:10.1136/bmjopen-2012-001000

Reporting of lifetime fractures : methodological considerations and results from the Thai Cohort Study

J. Berecki-Gisolf, Rod McClure, S.-a Seubsman, A. Sleigh, J. Chokhanapitak, C. Churewong, S. Hounthasarn, S. Khamman, D. Pandee, S. Pangsap, T. Prapamontol, J. Puengson, Y. Sangrattanakul, B. Somboonsook, N. Sripaiboonkij, P. Somsamai, D. Vilainerun, W. Wimonwattanaphan, C. Bain, E. BanksC. Banwell, B. Caldwell, G. Carmichael, T. Dellora, J. Dixon, S. Friel, D. Harley, M. Kelly, T. Kjellstrom, L. Lim, A. McMichael, T. Mark, L. Strazdins, V. Yiengprugsawan

Western Sydney University

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: To provide estimates of fracture incidence among young adults in Thailand. Design: Cross-sectional analysis of a large national cohort. Setting: Thailand. Participants: A total of 60 569 study participants residing nationwide responded to the 2009 follow-up survey; 55% were women and median age was 34 years (range 19-92). Outcome measures: Self-reported lifetime fractures, along with age at fracture. Fracture incidence rates per person-year were then compared using lifetime fracture reports, and again selecting only fractures reported for the last year. Incidence rates were compared by age and sex. Results: 18 010 lifetime fractures were reported; 11 645(65%) by men. Lifetime fracture prevalence was 30% for men and 15% for women. Lifetime incidence per 10 000 person-years was 83; analysing only fractures from the last year yielded a corresponding incidence rate of 187. For ages 21-30, fractures per 10 000 person-years were more common among men than women (283 (95% CI 244 to 326) and 150 (130 to 173), respectively); with increasing age, rates decreased among men and increased among women (for ages 51-60, 97 (58 to 151) and 286 (189 to 417), respectively). Conclusions: Large-scale surveys provide a feasible method for establishing relative fracture incidence among informative subgroups in a population. Limiting analyses to fractures reported to have occurred recently minimises bias due to poor recall. The pattern of self-reported fracture incidence among Thais aged 20-60 was similar to that reported for Western countries: high falling rates in young men and high rising rates in older women.

Original language	English
Article number	e001000
Number of pages	6
Journal	BMJ Open
Volume	2
Issue number	4
DOIs	https://doi.org/10.1136/bmjopen-2012-001000
Publication status	Published - 2012

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This final article is available for use under the terms of the Creative Commons Attribution Non-Commercial 2.0 Licence (https://creativecommons.org/licenses/by-nc/2.0/deed.en); see http://bmjopen.bmj.com

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Berecki-Gisolf, J., McClure, R., Seubsman, S. ., Sleigh, A., Chokhanapitak, J., Churewong, C., Hounthasarn, S., Khamman, S., Pandee, D., Pangsap, S., Prapamontol, T., Puengson, J., Sangrattanakul, Y., Somboonsook, B., Sripaiboonkij, N., Somsamai, P., Vilainerun, D., Wimonwattanaphan, W., Bain, C., ... Yiengprugsawan, V. (2012). Reporting of lifetime fractures : methodological considerations and results from the Thai Cohort Study. BMJ Open, 2(4), Article e001000. https://doi.org/10.1136/bmjopen-2012-001000

@article{8e34f7c7f7734377baec4fb3c62b4fd0,

title = "Reporting of lifetime fractures : methodological considerations and results from the Thai Cohort Study",

abstract = "Objectives: To provide estimates of fracture incidence among young adults in Thailand. Design: Cross-sectional analysis of a large national cohort. Setting: Thailand. Participants: A total of 60 569 study participants residing nationwide responded to the 2009 follow-up survey; 55% were women and median age was 34 years (range 19-92). Outcome measures: Self-reported lifetime fractures, along with age at fracture. Fracture incidence rates per person-year were then compared using lifetime fracture reports, and again selecting only fractures reported for the last year. Incidence rates were compared by age and sex. Results: 18 010 lifetime fractures were reported; 11 645(65%) by men. Lifetime fracture prevalence was 30% for men and 15% for women. Lifetime incidence per 10 000 person-years was 83; analysing only fractures from the last year yielded a corresponding incidence rate of 187. For ages 21-30, fractures per 10 000 person-years were more common among men than women (283 (95% CI 244 to 326) and 150 (130 to 173), respectively); with increasing age, rates decreased among men and increased among women (for ages 51-60, 97 (58 to 151) and 286 (189 to 417), respectively). Conclusions: Large-scale surveys provide a feasible method for establishing relative fracture incidence among informative subgroups in a population. Limiting analyses to fractures reported to have occurred recently minimises bias due to poor recall. The pattern of self-reported fracture incidence among Thais aged 20-60 was similar to that reported for Western countries: high falling rates in young men and high rising rates in older women.",

author = "J. Berecki-Gisolf and Rod McClure and S.-a Seubsman and A. Sleigh and J. Chokhanapitak and C. Churewong and S. Hounthasarn and S. Khamman and D. Pandee and S. Pangsap and T. Prapamontol and J. Puengson and Y. Sangrattanakul and B. Somboonsook and N. Sripaiboonkij and P. Somsamai and D. Vilainerun and W. Wimonwattanaphan and C. Bain and E. Banks and C. Banwell and B. Caldwell and G. Carmichael and T. Dellora and J. Dixon and S. Friel and D. Harley and M. Kelly and T. Kjellstrom and L. Lim and A. McMichael and T. Mark and L. Strazdins and V. Yiengprugsawan",

year = "2012",

doi = "10.1136/bmjopen-2012-001000",

language = "English",

volume = "2",

journal = "BMJ Open",

issn = "2044-6055",

publisher = "BMJ Group",

number = "4",

}

Berecki-Gisolf, J, McClure, R, Seubsman, S, Sleigh, A, Chokhanapitak, J, Churewong, C, Hounthasarn, S, Khamman, S, Pandee, D, Pangsap, S, Prapamontol, T, Puengson, J, Sangrattanakul, Y, Somboonsook, B, Sripaiboonkij, N, Somsamai, P, Vilainerun, D, Wimonwattanaphan, W, Bain, C, Banks, E, Banwell, C, Caldwell, B, Carmichael, G, Dellora, T, Dixon, J, Friel, S, Harley, D, Kelly, M, Kjellstrom, T, Lim, L, McMichael, A, Mark, T, Strazdins, L & Yiengprugsawan, V 2012, 'Reporting of lifetime fractures : methodological considerations and results from the Thai Cohort Study', BMJ Open, vol. 2, no. 4, e001000. https://doi.org/10.1136/bmjopen-2012-001000

TY - JOUR

T1 - Reporting of lifetime fractures : methodological considerations and results from the Thai Cohort Study

AU - Berecki-Gisolf, J.

AU - McClure, Rod

AU - Seubsman, S.-a

AU - Sleigh, A.

AU - Chokhanapitak, J.

AU - Churewong, C.

AU - Hounthasarn, S.

AU - Khamman, S.

AU - Pandee, D.

AU - Pangsap, S.

AU - Prapamontol, T.

AU - Puengson, J.

AU - Sangrattanakul, Y.

AU - Somboonsook, B.

AU - Sripaiboonkij, N.

AU - Somsamai, P.

AU - Vilainerun, D.

AU - Wimonwattanaphan, W.

AU - Bain, C.

AU - Banks, E.

AU - Banwell, C.

AU - Caldwell, B.

AU - Carmichael, G.

AU - Dellora, T.

AU - Dixon, J.

AU - Friel, S.

AU - Harley, D.

AU - Kelly, M.

AU - Kjellstrom, T.

AU - Lim, L.

AU - McMichael, A.

AU - Mark, T.

AU - Strazdins, L.

AU - Yiengprugsawan, V.

PY - 2012

Y1 - 2012

N2 - Objectives: To provide estimates of fracture incidence among young adults in Thailand. Design: Cross-sectional analysis of a large national cohort. Setting: Thailand. Participants: A total of 60 569 study participants residing nationwide responded to the 2009 follow-up survey; 55% were women and median age was 34 years (range 19-92). Outcome measures: Self-reported lifetime fractures, along with age at fracture. Fracture incidence rates per person-year were then compared using lifetime fracture reports, and again selecting only fractures reported for the last year. Incidence rates were compared by age and sex. Results: 18 010 lifetime fractures were reported; 11 645(65%) by men. Lifetime fracture prevalence was 30% for men and 15% for women. Lifetime incidence per 10 000 person-years was 83; analysing only fractures from the last year yielded a corresponding incidence rate of 187. For ages 21-30, fractures per 10 000 person-years were more common among men than women (283 (95% CI 244 to 326) and 150 (130 to 173), respectively); with increasing age, rates decreased among men and increased among women (for ages 51-60, 97 (58 to 151) and 286 (189 to 417), respectively). Conclusions: Large-scale surveys provide a feasible method for establishing relative fracture incidence among informative subgroups in a population. Limiting analyses to fractures reported to have occurred recently minimises bias due to poor recall. The pattern of self-reported fracture incidence among Thais aged 20-60 was similar to that reported for Western countries: high falling rates in young men and high rising rates in older women.

AB - Objectives: To provide estimates of fracture incidence among young adults in Thailand. Design: Cross-sectional analysis of a large national cohort. Setting: Thailand. Participants: A total of 60 569 study participants residing nationwide responded to the 2009 follow-up survey; 55% were women and median age was 34 years (range 19-92). Outcome measures: Self-reported lifetime fractures, along with age at fracture. Fracture incidence rates per person-year were then compared using lifetime fracture reports, and again selecting only fractures reported for the last year. Incidence rates were compared by age and sex. Results: 18 010 lifetime fractures were reported; 11 645(65%) by men. Lifetime fracture prevalence was 30% for men and 15% for women. Lifetime incidence per 10 000 person-years was 83; analysing only fractures from the last year yielded a corresponding incidence rate of 187. For ages 21-30, fractures per 10 000 person-years were more common among men than women (283 (95% CI 244 to 326) and 150 (130 to 173), respectively); with increasing age, rates decreased among men and increased among women (for ages 51-60, 97 (58 to 151) and 286 (189 to 417), respectively). Conclusions: Large-scale surveys provide a feasible method for establishing relative fracture incidence among informative subgroups in a population. Limiting analyses to fractures reported to have occurred recently minimises bias due to poor recall. The pattern of self-reported fracture incidence among Thais aged 20-60 was similar to that reported for Western countries: high falling rates in young men and high rising rates in older women.

UR - https://hdl.handle.net/1959.7/uws:73422

U2 - 10.1136/bmjopen-2012-001000

DO - 10.1136/bmjopen-2012-001000

M3 - Article

SN - 2044-6055

VL - 2

JO - BMJ Open

JF - BMJ Open

IS - 4

M1 - e001000

ER -

Reporting of lifetime fractures : methodological considerations and results from the Thai Cohort Study

Abstract

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