ArticleArchives of osteoporosis2026
Post-pandemic acceleration in osteoporotic hip fracture burden in Ecuador: a joinpoint analysis of Global Burden of Disease data, 2010-2023.
Article in Archives of osteoporosis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Burden and temporal trends attributable to low bone mineral density in Mexico, 1990-2023: a global burden of disease analysis.Archives of osteoporosis · 2026Article
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Abstract
Hip fracture burden in Ecuador is poorly characterized. Using Global Burden of Disease estimates (2010-2023), we show increasing incidence and prevalence with a sex-specific divergence in disability: women experienced rising YLDs, whereas male disability remained stable. These findings highlight unmet needs for targeted fracture prevention and post-fracture care.
backgroundIn aging populations, hip fractures are major factors in disability and healthcare costs. However, evidence from Latin America remains limited, especially regarding long-term trends and gender-specific patterns.
methodsBetween 2010 and 2023 we used estimates from the Global Burden of Disease (GBD) 2021 study to conduct a population-based analysis of the incidence, prevalence, and years of disability due to hip fracture (YLDs) in Ecuador. Age-standardized rates (ASRs) per 100,000 population were calculated for adults aged ≥ 50 years. Joinpoint regression was used to assess temporal trends in order to estimate the annual percentage change (APC) and average annual percentage change (AAPC), overall and by sex.
resultsAge-standardized incidence and prevalence rates of hip fractures increased steadily in Ecuador between 2010 and 2023, while YLDs rates remained relatively stable overall. The incidence increased from 111.8 to 138.1 per 100,000 in both sexes, while YLDs changed marginally (32.6-33.2). Marked differences were observed between the sexes: women showed substantial increases in incidence, prevalence, and YLDs, while the incidence increased modestly and YLDs decreased in men. Between 2020 and 2023, incidence accelerated in both sexes (APC 2%, p < 0.05), exceeding the annual percent change observed in the preceding period.
conclusionsThere is an increasing burden of hip fractures in Ecuador, driven mainly by women, with a clear disconnect between incidence and disability. These findings contrast with the declining trends reported in several high-income countries. They also highlight unmet needs in osteoporosis prevention and postfracture care in Ecuador.
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