A systematic analysis on global epidemiology and burden of foot fracture over three decades.

IF 1.8 4区医学 Q2 ORTHOPEDICS

Chinese Journal of Traumatology Pub Date : 2024-03-07 DOI:10.1016/j.cjtee.2024.03.001

Cheng Chen, Jin-Rong Lin, Yi Zhang, Tian-Bao Ye, Yun-Feng Yang

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引用次数: 0

Abstract

Purpose: To comprehensively analyze the geographic and temporal trends of foot fracture, understand its health burden by age, sex, and sociodemographic index (SDI), and explore its leading causes from 1990 to 2019.

Methods: The datasets in the present study were generated from the Global Burden of Diseases Study 2019, which included foot fracture data from 1990 to 2019. We extracted estimates along with the 95% uncertainty interval (UI) for the incidence and years lived with disability (YLDs) of foot fracture by location, age, gender, and cause. The epidemiology and burden of foot fracture at the global, regional, and national level was exhibited. Next, we presented the age and sex patterns of foot fracture. The leading cause of foot fracture was another focus of this study from the viewpoint of age, sex, and location. Then, Pearson's correlations between age-standardized rate (ASR), SDI, and estimated annual percentage change were calculated.

Results: The age-standardized incidence rate was 138.68 (95% UI: 104.88 - 182.53) per 100,000 persons for both sexes, 174.24 (95% UI: 134.35 - 222.49) per 100,000 persons for males, and 102.19 (95% UI: 73.28 - 138.00) per 100,000 persons for females in 2019. The age-standardized YLDs rate was 5.91 (95% UI: 3.58 - 9.25) per 100,000 persons for both genders, 7.35 (95% UI: 4.45 - 11.50) per 100,000 persons for males, and 4.51 (95% UI: 2.75 - 7.03) per 100,000 persons for females in 2019. The global incidence and YLDs of foot fracture increased in number and decreased in ASR from 1990 to 2019. The global geographical distribution of foot fracture is uneven. The incidence rate for males peaked at the age group of 20 - 24 years, while that for females increased with advancing age. The incidence rate of older people was rising, as younger age incidence rate declined from 1990 to 2019. Falls, exposure to mechanical forces, and road traffic injuries were the 3 leading causes of foot fracture. Correlations were observed between ASR, estimated annual percentage change, and SDI.

Conclusions: The burden of foot fracture remains high globally, and it poses an enormous public health challenge, with population ageing. It is necessary to allocate more resources to the high-risk populations. Targeted realistic intervention policies and strategies are warranted.

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对三十年来全球足部骨折的流行病学和负担进行系统分析。

目的：全面分析足部骨折的地域和时间趋势，按年龄、性别和社会人口指数（SDI）了解其健康负担，并探讨1990年至2019年足部骨折的主要原因：本研究的数据集来自《2019 年全球疾病负担研究》，其中包括 1990 年至 2019 年的足部骨折数据。我们按地点、年龄、性别和原因提取了足部骨折发病率和残疾生活年数（YLDs）的估计值以及 95% 的不确定性区间（UI）。在全球、地区和国家层面展示了足部骨折的流行病学和负担。接下来，我们介绍了足部骨折的年龄和性别模式。从年龄、性别和地点的角度来看，足部骨折的主要原因是本研究的另一个重点。然后，计算了年龄标准化发病率（ASR）、SDI 和估计年百分比变化之间的皮尔逊相关性：2019年，男女的年龄标准化发病率为138.68（95% UI：104.88 - 182.53）/10万人，男性为174.24（95% UI：134.35 - 222.49）/10万人，女性为102.19（95% UI：73.28 - 138.00）/10万人。2019年，男女两性的年龄标准化YLDs率为每10万人5.91例（95% UI：3.58 - 9.25），男性为每10万人7.35例（95% UI：4.45 - 11.50），女性为每10万人4.51例（95% UI：2.75 - 7.03）。从 1990 年到 2019 年，全球足部骨折的发病率和 YLDs 在数量上有所增加，而 ASR 则有所下降。足部骨折的全球地理分布不均衡。男性的发病率在 20-24 岁年龄段达到高峰，而女性的发病率则随着年龄的增长而增加。从 1990 年到 2019 年，老年人的发病率呈上升趋势，而年轻人的发病率则有所下降。跌倒、机械外力作用和道路交通伤害是导致足部骨折的三大主要原因。ASR、估计年度百分比变化和SDI之间存在相关性：全球足部骨折的负担仍然很重，随着人口老龄化，足部骨折对公共卫生构成了巨大挑战。有必要为高危人群分配更多资源。有必要制定有针对性的现实干预政策和战略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chinese Journal of Traumatology ORTHOPEDICS-

CiteScore

3.80

自引率

4.80%

发文量

1707

审稿时长

28 weeks

期刊介绍： Chinese Journal of Traumatology (CJT, ISSN 1008-1275) was launched in 1998 and is a peer-reviewed English journal authorized by Chinese Association of Trauma, Chinese Medical Association. It is multidisciplinary and designed to provide the most current and relevant information for both the clinical and basic research in the field of traumatic medicine. CJT primarily publishes expert forums, original papers, case reports and so on. Topics cover trauma system and management, surgical procedures, acute care, rehabilitation, post-traumatic complications, translational medicine, traffic medicine and other related areas. The journal especially emphasizes clinical application, technique, surgical video, guideline, recommendations for more effective surgical approaches.