Evidence map›Paper›PMID 36574063›Full record

ArticleArchives of osteoporosis2022

Decreasing incidence rates of osteoporotic hip fractures in Ecuador during the COVID-19 pandemic.

Enrique Lopez Gavilanez, Manuel Navarro Chávez, Antonio W D Gavilanes, Roberto Cedeño German, Peter Chedraui

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of osteoporosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. 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

5 authors at 4 institutions in 4 countries.

Enrique Lopez GavilanezAECE Research Group, The Association of Clinical Endocrinologists of Ecuador, Avenida de Las Américas, S/N Y E. Noboa, EC090150, Guayaquil, Ecuador. enrique_lopezg57@hotmail.com.ORCID http://orcid.org/0000-0003-4525-8382
Manuel Navarro ChávezAECE Research Group, The Association of Clinical Endocrinologists of Ecuador, Avenida de Las Américas, S/N Y E. Noboa, EC090150, Guayaquil, Ecuador.
Antonio W D GavilanesSchool of Oncology and Developmental Biology, Maastricht University, Maastricht, The Netherlands.
Roberto Cedeño GermanAECE Research Group, The Association of Clinical Endocrinologists of Ecuador, Avenida de Las Américas, S/N Y E. Noboa, EC090150, Guayaquil, Ecuador.
Peter ChedrauiFacultad de Ciencias de La Salud, Universidad Católica "Nuestra Señora de La Asunción", Asunción, Paraguay.
Hospital de Especialidades · MXInstituto Nacional de Investigación en Salud Pública · ECUniversidad Católica de Santiago de Guayaquil · ECUniversidad Católica Nuestra Señora de la Asunción · PY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed at comparing the incidence of hip fractures in older adults from Ecuador before and during the COVID-19 pandemic. There was a significant reduction in the number of hip fractures, with no change in the length of hospital stay, mortality, and case-fatality rate, during the period of social isolation.

introductionThe impact that the COVID-19 pandemic has had on fragility fractures is being recently evaluated in the literature. Despite this, data from Latin America in this regard is scarce. PURPOSE: This study aims to compare the incidence rate of hip fractures before and during the COVID-19 pandemic in older adults who received care in the public and private health system of Ecuador.

methodsThis was a descriptive and retrospective study that analyzed data of individuals aged 60 years and older who had hip fractures before and during the COVID-19 pandemic. The information was obtained from the National Hospital Discharge Yearbook. We calculated the incidence, average length of hospital stay, mortality, and case-fatality rate associated with hip fractures.

resultsThere was a significant reduction in the incidence of hip fractures in adults 60 or older during the period of social isolation due to COVID-19. Between March and December 2019, there was an incidence of 152 hip fractures per 100,000 inhabitants, whereas during the same period but in 2020 in the incidence was 110 per 100,000 inhabitants (p < 0.0001). The main decrease was observed in women aged 80 or more. The average length of hospital stay did not show significant changes. Mortality displayed a non-significant decrease (p = 0.14), although this decrease was significant among women (p = 0.02). Case-fatality rate showed a non-significant increase for the whole group (p = 0.68) and for men (p = 0.09).

conclusionHip fracture rates decreased significantly in adults aged 60 and older in 2020 compared to 2019. This decrease of hip fracture incidence rates was mainly due to the reductions observed in older people and women. The average length of hospital stay, mortality, and case-fatality rate associated with hip fractures did not show significant changes during the pandemic.

Indexed as

COVID-19Hip FracturesOsteoporotic FracturesAgedEcuadorFemaleHumansIncidenceMaleMiddle AgedPandemicsRetrospective StudiesCase-fatality rateCOVID-19EcuadorHip fractureIncidenceOsteoporosis

Identifiers

PMID36574063
PMCPMC9793355
OpenAlexW4313257222

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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.