Spatiotemporal patterns of femoral fractures in older adults: healthcare access and regional inequalities in southern Brazil.

Sporadic hot spots were observed in 67 municipalities (16.8%), with 43.3% exhibiting a significant trend and higher Z-scores (2.125 to 3.771, p < 0.05).

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Among individuals aged ≥ 80 years, operated patients showed a trend toward lower lethality, although the difference was not significant.

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Over the study period, 66,821 high-complexity procedure authorizations for bone densitometry were recorded, with an increasing trend up to 2019, a significant decline in 2020, and a partial recovery in 2021.

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