ReviewCureus2025
Fragility Femoral and Hip Fractures in Saudi Arabia: A Systematic Review of Epidemiology, Risk Factors, Clinical Outcomes, and Health-System Gaps.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fragility hip and femoral fractures are a major cause of morbidity, mortality, and healthcare utilization, yet evidence from Saudi Arabia remains fragmented. This systematic review with narrative synthesis evaluated studies conducted in Saudi Arabia that examined the incidence, risk factors, clinical outcomes, and health-system gaps associated with fragility hip and femoral fractures among adults aged 50 years and older. Searches of PubMed, Scopus, Web of Science, and Google Scholar identified 13 eligible studies published between 2015 and 2025. Across predominantly hospital-based cohorts, hip and femoral fractures accounted for a substantial proportion of orthopedic admissions. Estimates of national fracture burden were derived from individual modeling studies and suggest more than 7,000 femoral fractures annually. Reported one-year mortality varied widely across studies, ranging from approximately 11% to nearly 48%, with higher mortality consistently observed among patients with delayed surgery or higher ASA classification. Functional recovery was frequently limited, and postoperative complications were common. Despite a high prevalence of osteoporosis or osteopenia among fracture patients, osteoporosis diagnosis and secondary prevention were consistently underutilized. Dual-energy X-ray absorptiometry (DEXA) scanning was reported in fewer than 20% of patients, and most individuals received no post-fracture osteoporosis therapy. Studies also highlighted variability in clinical practice, low public awareness, and gaps in postoperative mobilization and follow-up care. Although the evidence base is limited and heterogeneous, the included studies consistently identify delayed surgical care, underdiagnosis and undertreatment of osteoporosis, and system-level practice variability as key challenges in the Saudi context. These findings support the need for locally adapted strategies that prioritize timely surgery, standardized care pathways, and improved secondary fracture prevention.
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Registered trials
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