Osteoporotic hip and vertebral fractures in the Arab region: a systematic review

Barake, Maya; Eid, Roy; Ajjour, Sara; Chakhtoura, Marlene; Meho, Lokman I.; Mahmoud, Tala; Atieh, Jessica; Sibai, Abla Mehio; Fuleihan, Ghada El‐Hajj

doi:10.1007/s00198-021-05937-z

Cited by 6 publications

(6 citation statements)

References 81 publications

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“… 12 , 24 Recent studies documented the 1-year mortality rate of hip fractures in the nearby Arab countries (such as Saudi Arabia and Lebanon); it is ranging from 10 to 25%. 16 , 17 , 19 , 25 , 26 Our findings showed a 12.8% 1-year mortality rate, which is at the lower limit of the rates of nearby Arab countries.…”

Section: Discussionmentioning

confidence: 43%

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Characteristics of Elderly Hip Fracture Patients in Jordan: A Multicenter Epidemiological Study

Dawod¹,

Alisi²,

Saber³

et al. 2022

IJGM

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Background Elderly hip fractures represent a global health care burden. Several reports expected a massive increase in the incidence of hip fractures by the next few decades. Knowing the epidemiology of hip fractures is crucial for planning health care policies. The purpose of this study is to provide a nationwide epidemiological overview of hip ‎fractures in Jordan and to report the perioperative outcomes that may help to improve the delivered healthcare. ‎. Methods We conducted ‎ a retrospective study at 2 university hospitals and 2 major ‎governmental hospitals in Jordan.‎ We reviewed the records for all patients (age >55 years) who were diagnosed with hip fractures ‎over a 3 years duration (2019–2021). ‎We documented the patient’s characteristics and the perioperative data (including preoperative, intraoperative, and postoperative details including the 1-year mortality).‎ Results The total number of included patients was 1268; more than half (53.7%) were females.‎ The mean age is ‎75 years (SD 9.7). ‎ The most common fracture type was trochanteric (66.2%)‎. ‎7% of patients had a prior contralateral hip fracture‎. The average time from admission to surgery was 2.96 days (SD 2.63). The surgery was done within 48 ‎hours for ‎56.7%‎ of patients.‎ Approximately, one-third of all patients (34.5%) received a blood transfusion.‎ The average length of hospital stay is 7.44 days (SD 5). The overall rate of postoperative thromboembolic events, readmission within 1 month, and revision ‎for the same surgery are 2.4%‎, 10.7%‎, and 3% respectively.‎ The 1-month, 6-month, and 12-month mortality rates are 4.5%, 9.1%, and 12.8% respectively. Conclusion The annual incidence of elderly hip fractures in Jordan is approximately 96 per 100,000 individuals. The 1-year mortality rate of hip fractures in Jordan ‎is ‎12.8%‎.‎ Both findings are ‎in the lower range of nearby Arab countries.

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Section: Discussionmentioning

confidence: 43%

“…Barake et al 17 reported that the mean age for hip fracture patients from Arab countries is 74.2 years with more than 50% of patients being female. Our results were consistent with these trends; as the mean age for our population was 75 years and 53.7% were females.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Elderly Hip Fracture Patients in Jordan: A Multicenter Epidemiological Study

Dawod¹,

Alisi²,

Saber³

et al. 2022

IJGM

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“…In the traditional fluoroscopy-guided puncture, the puncture point and angle are often difficult to control, which easily leads to the end of the working sleeve not reaching the ideal position, resulting in uneven bone cement distribution. 17 When designing the puncture path before the operation, the puncture angle can be appropriately increased, and the puncture needle can be guided to penetrate the vertebral body one time by DSA three-dimensional scanning during operation so that the end of the working channel is as close as possible to the middle line of the vertebral body. 18 The results demonstrated that the puncture angle of the DSA-guided group was significantly larger than that of the traditional fluoroscopy group, which may be one of the reasons for the more uniform distribution of bone cement in DSA guided group.…”

Section: Discussionmentioning

confidence: 99%

Digital Subtraction Angiography-Guided Percutaneous Kyphoplasty in Treatment of Multi-Segmental Osteoporotic Vertebral Compression Fracture: A retrospective single-Center study

Tan

Yang

Fan

et al. 2023

JPR

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Purpose This study aimed to explore the effectiveness and safety of digital subtractionangiography (DSA)-guided percutaneous kyphoplasty (PKP) in treating multi-segmental osteoporotic vertebral compression fracture (OVCF). Methods We retrospectively reviewed 68 patients with multi-segmental OVCF who had unilateral PKP surgeries using DSA and C arm guiding at our hospital between October 2016 and June 2020 and were followed for at least two years. All patients were divided into two groups: DSA guidance (n = 31) and C‐arm guidance (n=37). In addition, we collected the clinical and radiological evaluation results during postoperative and last follow-up periods. Results Our findings revealed that the DSA guidance group required lesser time for channel establishment and surgery than the C-arm guidance group at P < 0.05. The incidences of bone cement leakage, fluoroscopy times, and radiation dose of the DSA guidance group were significantly lesser than the C‐arm guidance group (P < 0.05). Compared to the C-arm guidance group, the deviation of puncture in the DSA guidance group was significantly lower, the puncture angle in the DSA guidance group was significantly larger, and better bone cement distribution was obtained (P < 0.05). Compared to preoperative data, the VAS score, median vertebral height, and Cobb angle were significantly improved one day after surgery and the final follow-up in both groups (P < 0.05). However, the VAS score, the median vertebral height, average length of stay, and Cobb angle were not significantly different between the two groups (P > 0.05). Conclusion DSA-guided PKP in treating multi-segmental OVCF can shorten the operation time, improve puncture accuracy, reduce the times and dose of fluoroscopy, reduce the leakage of bone cement, and achieve better cement distribution.

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“…It is worth noting that the actual incidence of vertebral fractures is likely to be higher, as they are often asymptomatic, they can therefore be missed from diagnosis, although recent techniques can improve detection [ 36 , 37 ]. The majority of other studies reporting the incidence of hip and vertebral fractures have been conducted in women, using convenience, and not population-based samples [ 38 ], and with case finding in secondary care [ 38 , 39 ] or via surveys [ 40 ]. The incidence of hip fractures has been found to be lower in Eastern countries [ 38 , 39 , 41 – 43 ], whereas it has been reported to be higher in Northern Europe [ 6 , 37 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

Trends in incidence of recorded diagnosis of osteoporosis, osteopenia, and fragility fractures in people aged 50 years and above: retrospective cohort study using UK primary care data

et al. 2023

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Summary This study used primary care data to estimate the incidence of recorded diagnosis of osteoporosis, osteopenia, and fragility fracture in the UK during 2000–2018 accounting for age, sex, calendar year and social deprivation. More than 3 million people aged 50–99 years were included. We found that men living in the most deprived areas had a 45% higher risk of being diagnosed with osteoporosis and 50% higher risk of fragility fracture compared to men living in the least deprived areas. Purpose a) To estimate the incidence trends of a recorded diagnosis of osteoporosis, osteopenia, and fragility fracture in the UK over time; b) to describe differences according to age, sex, and social deprivation. Methods This is a longitudinal population-based cohort study using routinely collected primary care data obtained via IQVIA Medical Research Database (IMRD). All patients aged 50–99 years registered with a practice participating in THIN (The Health Improvement Network) between 2000–2018 were included. The first recorded diagnosis of osteoporosis, osteopenia, or fragility fracture was used to estimate incidence rates (IR) per 10,000 person-years at risk. Poisson regression was used to provide Incidence Rate Ratios (IRR) adjusted by age, sex, social deprivation, calendar year, and practice effect. Results The year-specific adjusted IRR of recorded osteoporosis was highest in 2009 in women [IRR 1.44(95%CI 1.38–1.50)], whereas in men it was highest in 2013–2014 [IRR 1.94(95%CI 1.72–2.18)] compared to 2000. The year-specific adjusted IRR of fragility fracture was highest in 2012 in women [IRR 1.77(95%CI 1.69–1.85)], whereas in men it was highest in 2013 [IRR 1.64(95%CI 1.51–1.78)] compared to 2000. Men in the most deprived areas had a higher risk of being diagnosed with osteoporosis [IRR 1.45(95%CI 1.38–1.53)], osteopenia [IRR 1.17(95%CI 1.09–1.26)], and fragility fracture [IRR 1.50(95%CI 1.44–1.56)] compared to those living in the least deprived areas, but smaller differences were seen in women. Conclusion Use of fracture risk assessment tools may enhance the detection of osteoporosis cases in primary care. Further research is needed on the effect of social deprivation on diagnosis of osteoporosis and fractures.

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Osteoporotic hip and vertebral fractures in the Arab region: a systematic review

Cited by 6 publications

References 81 publications

Characteristics of Elderly Hip Fracture Patients in Jordan: A Multicenter Epidemiological Study

Characteristics of Elderly Hip Fracture Patients in Jordan: A Multicenter Epidemiological Study

Digital Subtraction Angiography-Guided Percutaneous Kyphoplasty in Treatment of Multi-Segmental Osteoporotic Vertebral Compression Fracture: A retrospective single-Center study

Trends in incidence of recorded diagnosis of osteoporosis, osteopenia, and fragility fractures in people aged 50 years and above: retrospective cohort study using UK primary care data

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