Second hip fractures in British Columbia

Project number: 
Approval date: 
Tuesday, May 20, 2008
Principal Investigator: 
University of British Columbia (UBC)
Funding Agency: 
not grant funded
Datasets requested: 
Medical Services Plan (BC Ministry of Health)
Deaths (BC Vital Statistics Agency)
Hospital Separations (BC Ministry of Health)
Home and Community Care (BC Ministry of Health)
Consolidation registry (Ministry of Health)
Research objective: 

To evaluate Health Ministry Data on hip fractures from 1986 to 2005 for five different objectives. First, to determine the incidence of first and second hip fractures in BC, as well as the annual incidence of each. Second, use pharmacare and pharmanet data to evaluate the efficacy of bisphosphonate prescription in preventing second hip fractures. Third, compare the two hip fracture group with a single hip fracture group for variables, including age, sex, and medical coomorbidity. Fourth,follow forward hip fracture patients for up to twenty years to evaluate time to second fracture and time to death from each injury. Finally, evaluate the LOS in hospital and rehab of first and second hip fracture patients.


Journal Publication

  • Guy P, Sobolev B, Sheehan KJ, Kuramoto L, Lefaivre KA. The burden of second hip fractures: provincial surgical hospitalizations over 15 years. Canadian Journal of Surgery. 2017;60(2):101-107.
  • Sobolev B, Sheehan KJ, Kuramoto L, Guy P . Risk of second hip fracture persists for years after initial trauma, Bone. 2015 Jun;75:72-6. doi: 10.1016/j.bone.2015.02.003. Epub 2015 Feb 12.
  • Lefaivre KA, Levy AR, Sobolev B, Cheng SY, Kuramoto L, Guy P. "Changes in Hip Fracture Rates in British Columbia Canada, 1990-2004". Osteoporos Int 2011 Nov;22(11):2817-27. doi: 10.1007/s00198-010-1488-7. Epub 2011 Jan 11.PMID: 21305269

Conference abstract/presentation

  • Sobolev B, Sheehan KJ, Kuramoto L, Guy P., Excess mortality associated with second hip fracture. Osteoporos Int. 2015 Jul;26(7):1903-10. doi: 10.1007/s00198-015-3104-3. Epub 2015 Apr 25. PMID: 25910745

Page last revised: December 5, 2017