TY - JOUR T1 - Validation of fragility fractures in primary care electronic medical records: A population-based study JO - Reumatología Clínica (English Edition) T2 - AU - Martinez-Laguna,Daniel AU - Soria-Castro,Alberto AU - Carbonell-Abella,Cristina AU - Orozco-López,Pilar AU - Estrada-Laza,Pilar AU - Nogues,Xavier AU - Díez-Perez,Adolfo AU - Prieto-Alhambra,Daniel SN - 21735743 M3 - 10.1016/j.reumae.2017.10.007 DO - 10.1016/j.reumae.2017.10.007 UR - https://reumatologiaclinica.org/en-validation-fragility-fractures-in-primary-articulo-S2173574319301340 AB - PurposeElectronic medical records databases use pre-specified lists of diagnostic codes to identify fractures. These codes, however, are not specific enough to disentangle traumatic from fragility-related fractures. We report on the proportion of fragility fractures identified in a random sample of coded fractures in SIDIAP. MethodsPatients≥50 years old with any fracture recorded in 2012 (as per pre-specified ICD-10 codes) and alive at the time of recruitment were eligible for this retrospective observational study in 6 primary care centres contributing to the SIDIAP database (www.sidiap.org). Those with previous fracture/s, non-responders, and those with dementia or a serious psychiatric disease were excluded. Data on fracture type (traumatic vs fragility), skeletal site, and basic patient characteristics were collected. ResultsOf 491/616 (79.7%) patients with a registered fracture in 2012 who were contacted, 331 (349 fractures) were included. The most common fractures were forearm (82), ribs (38), and humerus (32), and 225/349 (64.5%) were fragility fractures, with higher proportions for classic osteoporotic sites: hip, 91.7%; spine, 87.7%; and major fractures, 80.5%. This proportion was higher in women, the elderly, and patients with a previously coded diagnosis of osteoporosis. ConclusionsMore than 4 in 5 major fractures recorded in SIDIAP are due to fragility (non-traumatic), with higher proportions for hip (92%) and vertebral (88%) fracture, and a lower proportion for fractures other than major ones. Our data support the validity of SIDIAP for the study of the epidemiology of osteoporotic fractures. ER -