Evidence map›Paper›PMID 29462914›Full record

ArticleInternational journal of environmental research and public health2018

Socioeconomic Inequality in One-Year Mortality of Elderly People with Hip Fracture in Taiwan.

I-Lin Hsu, Chia-Ming Chang, Deng-Chi Yang, Ya-Hui Chang, Chia-Chun Li, Susan C Hu, Chung-Yi Li

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

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

  1. Socio-economic inequalities in fragility fracture outcomes: a systematic review and meta-analysis of prognostic observational studies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

I-Lin HsuDepartment of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan. yilinhsu@gmail.com.
Chia-Ming ChangDivision of Geriatrics and Gerontology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan. yhccat@gmail.com.
Deng-Chi YangDivision of Geriatrics and Gerontology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan. ghtjulia@gmail.com.ORCID 0000-0002-5050-3779
Ya-Hui ChangDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan. shuhu@mail.ncku.edu.tw.
Chia-Chun LiDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan. charming.tw@hotmail.com.
Susan C HuDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan. stethoscope@hotmail.com.
Chung-Yi LiDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan. cyli99@mail.ncku.edu.tw.ORCID 0000-0002-0321-8908

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hip fracture commonly results in considerable consequences in terms of disability, mortality, long-term institutional care and cost. Taiwan launched its universal health insurance coverage in 1995, which largely removes financial barriers to health care. This study aims to investigate whether socioeconomic inequality in one-year mortality exists among Taiwanese elderly people. This population-based cohort study included 193,158 elderly patients (≥65 years) admitted for hip fracture between 2000 and 2012. With over a one-year follow-up, 10.52% of the participants died from all causes. The mortality rate was low in the northern part of Taiwan and in urban and high-family-income areas. Multiple Poisson regression models further suggested that the level of >Q1-Q3 and >Q3-Max showed significantly reduced odds ratio of one-year mortality at 0.90 (95% confidence interval (CI), 0.87-0.93) and 0.77 (95% CI, 0.74-0.81), respectively, compared with that of the lowest family income level (i.e., Min.-Q1). Despite a monotonic decline in overall one-year mortality during the study period, socioeconomic inequality in one-year mortality rate remained evident. The annual percentage change in one-year mortality was higher (-2.86) in elderly people from families with high income (>Q3-Max.) than that for elderly patients from family with low income (Min.-Q1, -1.94). Accessibility, rather than affordability, to health care for hip fracture is probably responsible for the observed socioeconomic inequality.

Indexed as

Socioeconomic FactorsAgedAged, 80 and overCohort StudiesFemaleHip FracturesHumansMaleMultivariate AnalysisNational Health ProgramsPoisson DistributionTaiwanhealth inequalityhip fracturemortalitysocioeconomic statusurbanization

Identifiers

PMID29462914
PMCPMC5858421

What OpenQuestion holds

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Registered trials

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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.