Incidence of fragility hip fracture across the Asia-pacific region: A systematic review

Lloyd Ly Chan; Y Y Ho; Morag E Taylor; Catherine Mcveigh; Sonya Jung; Elizabeth Armstrong; Jacqueline Ct Close; Lara A Harvey

doi:10.1016/j.archger.2024.105422

Incidence of fragility hip fracture across the Asia-pacific region: A systematic review

Arch Gerontol Geriatr. 2024 Mar 21:123:105422. doi: 10.1016/j.archger.2024.105422. Online ahead of print.

Authors

Lloyd Ly Chan¹, Y Y Ho², Morag E Taylor¹, Catherine Mcveigh³, Sonya Jung⁴, Elizabeth Armstrong⁵, Jacqueline Ct Close⁴, Lara A Harvey⁶

Affiliations

¹ Fall, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, New South Wales, Australia; School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.
² Fall, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, New South Wales, Australia; Tengku Ampuan Afzan Hospital, Jalan Tanah Putih, Kuantan, Pahang 25100, Malaysia.
³ School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia; South Eastern Sydney Local Health District, Sydney, New South Wales, Australia.
⁴ Fall, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, New South Wales, Australia; School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia; South Eastern Sydney Local Health District, Sydney, New South Wales, Australia.
⁵ School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.
⁶ Fall, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, New South Wales, Australia; School of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia. Electronic address: l.harvey@neura.edu.au.

PMID: 38579379
DOI: 10.1016/j.archger.2024.105422

Abstract

Purpose: This systematic review aimed to update fragility hip fracture incidences in the Asia Pacific, and compare rates between countries/regions.

Method: A systematic search was conducted in four electronic databases. Studies reporting data between 2010 and 2023 on the geographical incidences of hip fractures in individuals aged ≥50 were included. Exclusion criteria were studies reporting solely on high-trauma, atypical, or periprosthetic fractures. We calculated the crude incidence, age- and sex-standardised incidence, and the female-to-male ratio. The systematic review was registered with PROSPERO (CRD42020162518).

Results: Thirty-eight studies were included across nine countries/regions (out of 41 countries/regions). The crude hip fracture incidence ranged from 89 to 341 per 100,000 people aged ≥50, with the highest observed in Australia, Taiwan, and Japan. Age- and sex-standardised rates ranged between 90 and 318 per 100,000 population and were highest in Korea and Japan. Temporal decreases in standardised rates were observed in Korea, China, and Japan. The female-to-male ratio was highest in Japan and lowest in China.

Conclusion: Fragility hip fracture incidence varied substantially within the Asia-Pacific region. This observation may reflect actual incidence differences or stem from varying research methods and healthcare recording systems. Future research should use consistent measurement approaches to enhance international comparisons and service planning.

Keywords: Aged; Epidemiology; Healthcare disparities; Osteoporosis; Secular trend; Sex distribution.

Publication types

Review