ArticleActa orthopaedica et traumatologica turcica2026
Rising burden of fall-induced hip fractures in China: accelerating male-specific trends and persistent gender disparities from Global Burden of Disease 2021.
Article in Acta orthopaedica et traumatologica turcica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Admission Braden Scale Score Is Associated with In-Hospital Mortality in ICU Patients Admitted After a Same-Level Fall: A Retrospective Cohort Study.Diagnostics (Basel, Switzerland) · 2026Article
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4 authors.
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Abstract
objectiveTo develop effective strategies for addressing hip fractures caused by falls in China, a comprehensive assessment of the disease burden is essential.
methodsData on the characteristics of fall-related hip fractures in China-including incidence, prevalence, years lived with disability (YLDs), and their age-standardized rates-were obtained from the Global Burden of Disease 2021 study. Joinpoint regression analysis was used to examine the changes in disease burden; decomposition analysis was applied to quantify the contributions of aging, population growth, and epidemiological factors to burden changes; and autoregressive integrated moving average model was employed to forecast the burden through 2036.
resultsIn 2021, there were 2.537 million new cases of fall-related hip fractures in China (ASIR = 144.12 per 100 000), with a higher burden among females (age-standardized incidence rate [ASIR]: 158.47 vs. 117.93 per 100 000 for males). From 1990 to 2021, the total number of incident cases increased by 386.1%, and the ASIR rose by 83.43%, with a marked acceleration after 2010 (age-period-cohort = 6.72%). The age-period-cohort model indicated a stronger period effect in males (net drift 0.74% per year vs. 0.5% per year in females), and an exponential increase in age effect among those aged 65 years and above. Decomposition analysis revealed epidemiological factors contributed 56.6%-75.3% to incidence/prevalence, while aging accounted for 57.4%-165.2% of YLDs growth. Autoregressive integrated moving average projections suggest that by 2036, the ASIR will decline to 109.85 per 100 000, but the age-standardized prevalence rate in males will rise by 2.01%.
conclusionThe burden of hip fractures due to falls in China continues to intensify, with a higher incidence in females but a more rapid long-term increase in males. Integrated fall prevention strategies are urgently needed to address the challenges posed by an aging population. Cite this article as: Xu D, Lu Z, Yan H, Yang Z. Rising burden of fall-induced hip fractures in China: accelerating male-specific trends and persistent gender disparities from GBD 2021. Acta Orthop Traumatol Turc. 2026; 60(2), 0673, doi: 10.5152/j.aott.2026.25673.
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