对侧髋部骨折的时期、患病率和时间：一项为期18年的回顾性队列研究，系统回顾和文献荟萃分析

IF 3.5 2区医学 Q2 ENDOCRINOLOGY & METABOLISM

Bone Pub Date : 2025-03-11 DOI:10.1016/j.bone.2025.117453

David Morris , Tim Cheok , Thomas Smith , Jonghoo Sung , Ruurd Jaarsma , Luke Johnson

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引用次数: 0

摘要

目的继发性对侧髋部骨折（SCHF）相对罕见。这种疾病的总体流行程度在文献中很少报道。方法：我们对2005年1月1日至2023年4月30日期间50岁的SCHF患者进行了单中心回顾性队列研究。然后通过检索PubMed、Embase和Web of Science从每个数据库建立之日起至2024年2月22日，对文献进行系统检索。我们进行了一项荟萃分析，结合我们的结果和之前的文献报道，估计了SCHF和髋部骨折模式对称性的患病率。结果我们的队列研究显示髋部骨折后1年内的患病率为1.7%，2年内的患病率为2.8%。使用我们的搜索策略确定了65项研究。SCHF总患病率为7.3% [95% CI: 6.3-8.4]。荟萃回归表明，在欧洲和北美进行的研究显示，患病率高于在亚洲进行的研究。72.1% [95% CI: 69.7-74.4]的SCHF患者出现类似的骨折模式。结论慢性心力衰竭相对少见。当它们确实发生时，通常发生在食指骨折后2年内。与欧洲和北美人群相比，亚洲人群的SCHF患病率较低。大多数SCHF患者髋部骨折呈对称型。

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Period prevalence and timing of contralateral hip fractures: An eighteen year retrospective cohort study, systematic review and meta-analysis of the literature

Purpose

Second contralateral hip fractures (SCHF) are relatively uncommon. The overall prevalence of this is poorly reported in literature.

Methods

We performed a single centre retrospective cohort study in patients >50 years old who sustained a SCHF between 1st of January 2005 and 30th of April 2023. A systematic search of the literature was then performed by searching PubMed, Embase, and Web of Science from the date of inception of each database through to the 22nd of February 2024. A meta-analysis was conducted to estimate the prevalence of SCHF and hip fracture pattern symmetry, incorporating both our results and that previously reported in literature.

Results

Our cohort study showed a period prevalence of 1.7 % within 1 year and 2.8 % within 2 years following a hip fracture. 65 studies were identified using our search strategy. The overall prevalence of SCHF was 7.3 % [95 % CI: 6.3–8.4]. Meta-regression suggested that studies conducted in Europe and North America showed higher prevalence than studies conducted in Asia. A similar fracture pattern was seen in 72.1 % [95 % CI: 69.7–74.4] of patients with SCHF.

Conclusion

SCHF are relatively uncommon. When they do occur, it is usually within 2 years of the index fracture. Asian populations had lower prevalence of SCHF when compared to their European and North American counterparts. Hip fracture pattern is symmetrical in most patients with a SCHF.

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来源期刊

Bone 医学-内分泌学与代谢

CiteScore

8.90

自引率

4.90%

发文量

264

审稿时长

30 days

期刊介绍： BONE is an interdisciplinary forum for the rapid publication of original articles and reviews on basic, translational, and clinical aspects of bone and mineral metabolism. The Journal also encourages submissions related to interactions of bone with other organ systems, including cartilage, endocrine, muscle, fat, neural, vascular, gastrointestinal, hematopoietic, and immune systems. Particular attention is placed on the application of experimental studies to clinical practice.