ArticleThe Lancet regional health. Europe2025
Trends and variation in the incidence of hip fracture in England before, during, and after the COVID-19 pandemic (2014-2024): a population-based observational study.
Article in The Lancet regional health. Europe, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- A decade of increasing complexity in patients sustaining a hip fracture in England, Wales and Northern Ireland: a national cohort study using the National Hip Fracture Database dataset.Age and ageing · 2026Article
- Arthroplasty for femoral neck fracture of the elderly: a narrative review.EFORT open reviews · 2026Review
- Global, regional, and national burden of vertebral fractures among women from 1990 to 2021: a systematic analysis based on the global burden of disease study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Interrelationships between malnutrition, dehydration, frailty, and sarcopenia in older adults with proximal femur fractures: a prospective observational study.Aging clinical and experimental research · 2026Observational
- Post-pandemic acceleration in osteoporotic hip fracture burden in Ecuador: a joinpoint analysis of Global Burden of Disease data, 2010-2023.Archives of osteoporosis · 2026Article
- Rising burden of fall-induced hip fractures in China: accelerating male-specific trends and persistent gender disparities from Global Burden of Disease 2021.Acta orthopaedica et traumatologica turcica · 2026Article
- Capturing surgical site infection after hip fracture surgery : insights from linked routine data.Bone & joint open · 2025Article
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7 authors.
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Abstract
Background: Hip fractures are a common serious injury in older adults. The COVID-19 pandemic had a substantial impact on hip fracture prevention services, but contemporary data on incidence are scarce. We investigated recent trends and variation in the incidence of hip fracture in England. Methods: A population-based study was conducted of hip fracture hospital presentations in adults aged ≥50 years using English national secondary care data (January 2014-October 2024). Trends in incidence were compared across pre-pandemic (January 2014-February 2020), pandemic (March-2020-July-2021), and post-pandemic periods (August 2021-October 2024). Variation by age, sex, and area-level deprivation were explored. Findings: From 2014 to 2024, there were 704,762 hip fractures in 669,101 patients. Age-standardised incidence rates steadily declined from 2014 to 2019 from a mean monthly rate of 28.0-26.4 per 100,000 population. Incidence rates were below expected levels during the pandemic (IRR 0.96, 95% CI 0.94-0.97) but above expected levels in the post-pandemic period (IRR 1.03, 95% CI 1.01-1.04), resulting in 5595 more hip fractures than expected from August 2021 to October 2024. Hip fractures were more common in women, but temporal trends were consistent by sex. Incidence rates were higher in the most compared with the least deprived quintile; these inequalities remained largely unchanged by 2024 (IRR, 95% CI 1.67 [1.45-1.93] in men; 1.30 [1.19-1.42] in women). Interpretation: This study highlights an excess of hip fracture presentations to hospital since the COVID-19 pandemic, and continued disparities in incidence by deprivation, despite an overall decreasing long-term trend. More equitable prevention strategies are needed, such as through more widespread screening for fracture risk and better coverage of fracture liaison services. Funding: Authors are supported by the NIHR Oxford BRC.
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