Evidence map›Paper›PMID 40247872›Full record

ArticleFrontiers in public health2025

Global, regional, and national burden of fracture of sternum and/or fracture of one or more ribs: a systematic analysis of incidence, YLDs with projections to 2030.

Zhizhi Wang, Yikuan Cai, Yu Tong, Huajie Li, Hu Zhou, Tongyin Ou, Tianlan Ye, Jiangsheng Zhang, Kaican Cai, Zhiming Chen

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. [Analysis of disease burden of fall-related fractures among elderly Chinese from 1990 to 2023].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  4. Operative management of unstable sternal fracture in polytrauma: a case report and literature review.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026
    Review
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

10 authors.

Zhizhi Wang *Department of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yikuan Cai *Department of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yu TongDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Huajie LiThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Hu ZhouThe First School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Tongyin OuSchool of Public Health, Southern Medical University, Guangzhou, China.
Tianlan YeDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jiangsheng ZhangDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Kaican CaiDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zhiming ChenDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sternal and/or rib fractures represent a growing global health challenge. Despite their significant clinical and public health implications, epidemiological studies on these injuries remain limited. Utilizing the Global Burden of Disease 2019 (GBD2019) database, this study evaluates the worldwide burden of sternal and/or rib fractures and projects trends through 2030 to inform policy development. Methods: We analyzed global incidence, age-standardized incidence rate (ASIR), years lived with disability (YLDs), age-standardized YLD rate (ASYR) and estimated annual percentage change (EAPC) of sternal and/or rib fractures across geographic regions, nations, age-sex groups, and socio-demographic index (SDI) quintiles using GBD2019 data. The Bayesian age-period-cohort (BAPC) model was employed to forecast trends until 2030. Results: In 2019, global incident cases of sternal/rib fractures reached 4.1 million (44% increase since 1990), with YLDs at 190,000 (62% rise since 1990). While ASIR and ASYR showed modest declines, the absolute burden remained substantial. East Asia and high-income North America both exhibited the highest incident cases and YLDs. Central Latin America and Western Saharan Africa demonstrated the steepest incidence growth, whereas the Caribbean experienced the most pronounced YLD increases. Nationally, China reported the highest absolute burden, while Greenland had the highest ASIR and ASYR. Males carried over 60% of the burden. Also, there was a negative correlation between EAPC and national SDI. Projections indicate that the global burden of disease will continue to rise by 2030. Conclusion: The escalating burden of sternal/rib fractures demands targeted interventions. Prioritizing injury prevention in high-burden regions (e.g., East Asia), addressing male-dominated occupational/behavioral risks, and optimizing infrastructure such as medical transport in low-SDI settings are critical policy priorities. Sustained surveillance through standardized reporting systems is essential for monitoring progress.

Indexed as

Cost of IllnessFractures, BoneGlobal Burden of DiseaseGlobal HealthRib FracturesSternumAdolescentAdultAgedBayes TheoremChildChild, PreschoolDisability-Adjusted Life YearsFemaleHumansIncidenceBAPC modelglobal burden of disease (GBD)rib fracturesternal fracturetrends

Identifiers

PMID40247872
PMCPMC12003264

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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.