Evidence map›Paper›PMID 27858121›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2017

Trends in hip fracture rates in Taiwan: a nationwide study from 1996 to 2010.

T Y Wu, H Y Hu, S Y Lin, W C Chie, R S Yang, C K Liaw

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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

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23citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Relationship betweenBMJ open · 2019
    Pooled it
  2. The effectiveness of bisphosphonates vs denosumab in people with dementia or frailty post hip fracture: a multi-database cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  5. Epidemiology of hip fractures in Thailand.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
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  18. Secular Trends in the Incidence of Hip Fracture Among Nursing Home Residents.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2020
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

T Y WuInstitute of Epidemiology and Preventive Medicine, National Taiwan University, 5F, No. 17, Hsu-Chow Rd., Taipei, 100, Taiwan.
H Y HuDepartment of Education and Research, Taipei City Hospital, 10F, No. 10, Sec. 4, Ren-Ai Rd., Taipei, 106, Taiwan.
S Y LinDepartment of Education and Research, Taipei City Hospital, 10F, No. 10, Sec. 4, Ren-Ai Rd., Taipei, 106, Taiwan.
W C ChieInstitute of Epidemiology and Preventive Medicine, National Taiwan University, 5F, No. 17, Hsu-Chow Rd., Taipei, 100, Taiwan.
R S YangDepartment of Orthopedics, College of Medicine, National Taiwan University Hospital, 11F, No.7, Chung-Shan S. Rd., Taipei, 100, Taiwan.
C K LiawDepartment of Orthopedics, College of Medicine, National Taiwan University Hospital, 11F, No.7, Chung-Shan S. Rd., Taipei, 100, Taiwan. d92008@yahoo.com.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There was an initial increase and a later decrease in hip fracture rates in Taiwan between 1996 and 2010 (457.9 to 390.0 fractures per 100,000 people per year). Mortality rates decreased but re-emerged later (2.26 to 1.91 deaths per 100 hip fracture admissions). The turning point for change in trends was 2003.

introductionFractures of the proximal femur remain a major cause of mortality and morbidity. We aimed to examine recent trends in hip fracture rates, in-hospital mortality rates, and length of hospital stay (LOS) due to hip fractures in people aged 55 and over in Taiwan.

methodsThis is a time-trend study. We used data from the National Health Insurance Research Database between 1996 and 2010 in Taiwan. Insurants aged 55 and over were included. The outcome measures were age-adjusted hip fracture rates, age-adjusted in-hospital mortality rates, and LOS due to hip fractures. We classified hip fractures into femoral neck, trochanteric, and subtrochanteric fractures.

resultsWe identified 250,919 hospitalizations for hip fractures. The total number of hip fractures increased steadily from 12,479 to 19,841 cases. There was a trend towards initial increase and then later decrease in hip fracture rates (from 457.9 to 390.0 fractures per 100,000 people per year). LOS decreased by 46.5 % (17.53 to 9.38 days). By contrast, mortality rates for hip fractures decreased initially, but re-emerged later with a total decrement of 15.5 % (2.26 to 1.91 deaths per 100 hip fracture admissions). Women outnumbered men in all types of hip fractures, but men had higher in hospital mortality rates. LOS was similar between genders and among age groups. The turning point for change in trends was year 2003.

conclusionsWhile LOS shortened gradually since 1996, the absolute number of hip fractures in Taiwan continues to rise. There is still room for improvement in reducing mortality due to hip fractures.

Indexed as

AgedAged, 80 and overDatabases, FactualFemaleHealth SurveysHip FracturesHospitalizationHospital MortalityHumansIncidenceLength of StayMaleMiddle AgedOsteoporotic FracturesSex DistributionTaiwanHip fractureLength of hospital stayMortality

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.