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Current status and distribution of hip fractures among older adults in China

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Abstract

Summary

China is a middle-risk country for hip fracture at present, which differs from previous data that it was low-risk. By 2050, the total number of hip fractures in people older than 65 years is predicted to be 1.3 million.

Introduction

To assess hip fracture incidence in China and examine the heterogeneity of hip fracture in seven geographical regions of China.

Methods

There were 238,230 hip fracture patients aged 65 years or older from 2013 to 2016 from a large national in-patients database (HQMS) involving 30.6 million hospitalizations. Taking into account the total national hospitalization rate per calendar year, we estimated the incidence of hip fracture per 100,000 residents older than 65 years in China overall and in seven geographical Chinese regions.

Results

The proportion of men and women older than 65 years with hip fractures was 1.00:1.95. Between 2013 and 2016, the number of hip fractures per 100,000 people age 65+ was 278. China has vast territories; the number of hip fractures per 100,000 people over 65 years old was 202 in Northeast China and 374 in Northwest China. Northwest has higher altitude, lower population density, is less developed with lower urbanization than Northeast China which is low altitude, and highly urbanized.

Conclusions

China should no longer be regarded as a low-risk country for hip fracture. By 2050, the total number of hip fractures in people older than 65 years in China is predicted to be 1.3 million. Higher altitude areas had higher hip fracture rates than lower altitude, higher urbanized areas.

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Acknowledgments

The authors thank the Bureau of Medical Administration and Medical Service Supervision, National Health and Family Planning Commission of the People’s Republic of China for the support of this study.

Funding

This study was funded by Beijing Municipal Administration of Hospital Clinical Medicine Development of Special Funding Support, Code: ZYLX201506; Beijing Municipal Administration of Hospitals Incubating Program, Code: PX 2019015; Beijing HealthCare Project, Code: Beijing 19-17.

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Authors and Affiliations

  1. Department of Orthopaedic Trauma, Beijing Jishuitan Hospital, the 4th Medical College of Peking University, Beijing, China

    X. F. Gong, L. He & X. B. Wu

  2. Department of Geriatrics, Beijing Jishuitan Hospital, the 4th Medical College of Peking University, Beijing, China

    X. P. Li

  3. Renal Division, Department of Medicine, Peking University First Hospital, Peking University Institute of Nephrology, Beijing, China

    L. X. Zhang

  4. Bone and Mineral Research Program, Garvan Institute of Medical Research, St Vincent’s Hospital, Sydney, Australia

    J R. Center & D. Bliuc

  5. China Standard Medical Information Research Center, Shenzhen, Guangdong, China

    Y. Shi

  6. Clinical Trial Unit, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China

    H. B. Wang

  7. Department of Orthopaedic and Trauma, Lhasa People’s Hospital, Lhasa, Tibet, China

    X. F. Gong

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  1. X. F. Gong
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Gong, X.F., Li, X.P., Zhang, L.X. et al. Current status and distribution of hip fractures among older adults in China. Osteoporos Int 32, 1785–1793 (2021). https://doi.org/10.1007/s00198-021-05849-y

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