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Scientific Articles   |    
The Relationship Between Social Deprivation and the Incidence of Adult Fractures
Charles M. Court-Brown, MD, FRCSEd (Orth)1; Stuart A. Aitken, MRCSEd1; Andrew D. Duckworth, MRCSEd1; Nicholas D. Clement, MRCSEd1; Margaret M. McQueen, MD, FRCSEd (Orth)1
1 Royal Infirmary of Edinburgh, Little France, Old Dalkeith Road, Edinburgh EH16 4SU, Scotland. E-mail address for C.M. Court-Brown: courtbrown@aol.com
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Investigation performed at the Royal Infirmary of Edinburgh, Edinburgh, Scotland



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2013 Mar 20;95(6):e32 1-7. doi: 10.2106/JBJS.K.00631
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Abstract

Background: 

Social deprivation is associated with many diseases. To our knowledge, there has been no previous investigation of its role in the epidemiology and incidence of fractures in adults.

Methods: 

We analyzed 6872 consecutive fractures in patients fifteen years of age or older over a one-year period. Social deprivation was analyzed using the Carstairs score, which is derived from patients’ postal codes and accurately defines social deprivation in our population.

Results: 

Social deprivation is associated with an increasing fracture incidence. The effect is not linear, and the most deprived 10% of society are affected. The odds ratios of the most deprived 10% of society having an increased incidence of fractures are 3.7 in males and 3.1 in females.

Conclusions: 

Social deprivation is associated with a significant increase in the incidence of fractures in the most deprived 10% of the population. Most fracture types are affected.

Level of Evidence: 

Prognostic Level I. See Instructions for Authors for a complete description of levels of evidence.

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    Topics

    fracture
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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