Gender and Race/Ethnicity Differences in Hip Fracture Incidence, Morbidity, Mortality, and Function
Gender and Race/Ethnicity Differences in Hip Fracture Incidence, Morbidity, Mortality, and Function
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DOI：
10.1007/s11999-010-1736-3
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发表时间：
2011-07-01
影响因子：
4.2
通讯作者：
Sterling, Robert S.
中科院分区：
文献类型：
--
作者：
Sterling, Robert S.
髋部骨折是一个国际性的公共卫生问题。在世界范围内，每年大约有150万人发生髋部骨折，在美国，65岁以上的人大约有34万人。到2050年，全球估计将有390万例骨折，其中美国将超过70万例。然而，髋部骨折的发病率、死亡率和功能是否在男女之间或种族/民族之间存在差异尚不清楚。本文的目的是回顾髋部骨折流行病学、死亡率和功能方面的性别和种族/民族差异，并询问需要哪些更多的信息以及如何获得这些信息。我们进行了PubMed文献综述，并选择了合适的文章纳入综述。总体而言，男性髋部骨折患者年龄较小，健康状况较差，术后死亡率和发病率较高。非裔美国人和西班牙裔髋部骨折患者比白人年轻，男性骨折发生率更高。非西班牙裔黑人、西班牙裔和亚裔都与出院回家的几率较高有关，但出院康复后住院时间较长。有必要广泛了解性别和种族/民族对髋部骨折流行病学、死亡率和预后的影响。还需要对髋部骨折患者的性别和种族/民族差异进行额外的重点研究。改进种族/族裔数据的数据库捕获将有助于人口研究。最后，期刊编辑应该要求作者提供性别和种族/民族数据，或者解释为什么没有这些信息。
Hip fracture is an international public health problem. Worldwide, approximately 1.5 million hip fractures occur per year, with roughly 340,000 in the United States in individuals older than 65 years. In 2050, there will be an estimated 3.9 million fractures worldwide, with more than 700,000 in the United States. However, whether there are disparities in morbidity, mortality, and function between men and women or between races/ethnicities is unclear.The purpose of this article is to review the gender and racial/ethnicity differences in hip fracture epidemiology, mortality, and function and to ask what more information is needed and how can it be attained.A PubMed literature review was performed and appropriate articles selected for inclusion in the review.Overall, men with hip fracture are younger, are less healthy, and have a higher postoperative mortality and morbidity. African American and Hispanics patients with hip fractures are younger than whites and have a higher incidence of fracture in men. Non-Hispanic black, Hispanic, and Asian race/ethnicity were all associated with higher odds of discharge home but a longer stay when discharged to rehabilitation.Expanded knowledge of the influence of gender and race/ethnicity on hip fracture epidemiology, mortality, and outcomes is necessary.Additional focused research on gender and racial/ethnic differences in patients with hip fractures is needed. Improving database capture of race/ethnicity data will aid in population studies. Finally, journal editors should require authors to include gender and race/ethnicity data or explain the absence of this information.