ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2021
Current status and distribution of hip fractures among older adults in China.
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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07643792 (Fascia Iliaca Block Using Liposomal Bupivacaine for Analgesia After Hip Surgery), which is not on this map. Cited by 41 papers, 3 of them syntheses that pooled it.
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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.
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.
Fascia Iliaca Block Using Liposomal Bupivacaine for Analgesia After Hip Surgery: a Randomized Trial
Who cites it
41 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effects of pre-operative continuing oral anticoagulants or antiplatelets on health outcomes among older patients with hip fracture: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Pooled it
- The observation that older men suffer from hip fracture at DXA T-scores higher than older women and a proposal of a new low BMD category, osteofrailia, for predicting fracture risk in older men.Skeletal radiology · 2025Pooled it
- The fragility of statistical findings in the intertrochanteric fracture fixation literature: a systematic review of randomized controlled trials.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Protocol for the ACTIVE trial: a multicentre, open-label, cluster-randomized controlled trial of a quality improvement programme for older adults with hip fracture in resource-limited hospitals in China.Bone & joint open · 2026Article
- Preoperative hyponatremia is associated with increased postoperative complications and short- to long-term mortality in geriatric hip fracture patients: a retrospective cohort study.BMC geriatrics · 2026Article
- Lumbar spine DXA T-score and QCT BMD cutpoint values for defining osteofrailia among older men: a framework for further refinement.Skeletal radiology · 2026Review
- Trends, disease burden, and cause patterns of hip fracture among older adults from 1990 to 2023 in mainland China.Archives of osteoporosis · 2026Article
- Postoperative osteoporosis therapy and risk of re-fracture in elderly patients with hip fractures: a multicenter retrospective 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 · 2026Article
- Latent profile analysis and associated factors of kinesophobia in patients with hip fractures.BMC psychology · 2026Observational
- Article
- Five-factor modified frailty index is a reliable indicator for predicting postoperative mortality in geriatric intertrochanteric fracture patients aged 80 years and older: a case-control study.BMC musculoskeletal disorders · 2026Article
- Factors associated with intracapsular versus extracapsular hip fracture patterns in elderly patients following low-energy falls: a retrospective analysis from a single tertiary-care center in China.Frontiers in medicine · 2026Article
- MRI-based habitat analysis for differentiating benign and malignant vertebral compression fractures.BMC medical imaging · 2025Article
- The contribution of trabeculae and the failure initiation in the proximal femur: a finite element analysis.Journal of orthopaedic surgery and research · 2025Article
- Four-year trajectories of depressive symptoms and subsequent risk of hip fracture: evidence from China Health and Retirement Longitudinal Study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Article
- Effects of ambient particulate matter pollution on daily hip fracture admissions in middle-aged and older adults: a time series study in Shantou, China.BMC public health · 2025Article
- The incidence and risk factors of phobic movement disorder after hip fracture internal fixation surgery.Journal of orthopaedic surgery and research · 2025Article
- Bidirectional cohort study protocol to construct and validate a prediction model for perioperative pulmonary complications in elderly hip fracture patients.Scientific reports · 2025Article
- Comparison of clinical characteristics and outcomes among different age groups in elderly patients with hip fracture surgery.PloS one · 2025Article
- Analysis and optimization of inpatient cost structure for fracture patients under the implementation of the DRG policy.Frontiers in public health · 2025Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
China is a middle-risk country for hip fracture at present, which differs from previous data that it was low-risk. By 2050, the total number of hip fractures in people older than 65 years is predicted to be 1.3 million.
introductionTo assess hip fracture incidence in China and examine the heterogeneity of hip fracture in seven geographical regions of China.
methodsThere were 238,230 hip fracture patients aged 65 years or older from 2013 to 2016 from a large national in-patients database (HQMS) involving 30.6 million hospitalizations. Taking into account the total national hospitalization rate per calendar year, we estimated the incidence of hip fracture per 100,000 residents older than 65 years in China overall and in seven geographical Chinese regions.
resultsThe proportion of men and women older than 65 years with hip fractures was 1.00:1.95. Between 2013 and 2016, the number of hip fractures per 100,000 people age 65+ was 278. China has vast territories; the number of hip fractures per 100,000 people over 65 years old was 202 in Northeast China and 374 in Northwest China. Northwest has higher altitude, lower population density, is less developed with lower urbanization than Northeast China which is low altitude, and highly urbanized.
conclusionsChina should no longer be regarded as a low-risk country for hip fracture. By 2050, the total number of hip fractures in people older than 65 years in China is predicted to be 1.3 million. Higher altitude areas had higher hip fracture rates than lower altitude, higher urbanized areas.
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