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Meta-Analysis
. 2023 Jul 27;18(1):536.
doi: 10.1186/s13018-023-04030-x.

The prevalence of osteoporotic fractures in the elderly in China: a systematic review and meta-analysis

Shilong Meng  1 , Minghao Tong  1 , Yang Yu  1 , Yanguang Cao  2 , Binbin Tang  2 , Xiaolin Shi  2 , Kang Liu  3   4
Affiliations
Meta-Analysis

The prevalence of osteoporotic fractures in the elderly in China: a systematic review and meta-analysis

Shilong Meng et al. J Orthop Surg Res. .

Abstract

Background: Prevalence information is the first step in developing preventive procedures or health services. This study was conducted to systematically evaluate the epidemiology of osteoporotic fractures in Chinese elderly aged ≥ 60 years and to provide evidence-based evidence for the prevention and treatment of osteoporotic fractures.

Methods: We identified relevant studies by searching the literature published in PubMed, Web of Science, Cochrane Library, Embase, CNKI, Wanfang Data, and VIP databases from the establishment of the database until August 2022. We used a random-effects model to obtain prevalence estimates and identified sources of heterogeneity and comparisons of prevalence among different groups through subgroup analysis and sensitivity analysis.

Results: A total of 29 articles were included in this study, and the prevalence of osteoporosis fractures in elderly Chinese was high (18.9%). The prevalence has increased significantly over the past decade (from 13.2% in 2000-2010 to 22.7% in 2012-2022). The prevalence of osteoporosis is higher in women than in men (18.5% vs 14.3%) and increases with age. The northern region was higher than the southern region (20.3% vs 18.9%), and the spine, hip, and distal forearm were the most common sites of fracture.

Conclusion: The prevalence of osteoporotic fractures in the Chinese elderly is 18.9%, and timely prevention and treatment are necessary.

Keywords: Chinese; Elderly; Meta-analysis; Osteoporotic fractures; Prevalence.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
PubMed retrieval formula
Fig. 2
Fig. 2
Procedure of literature enrollment
Fig. 3
Fig. 3
Meta-analysis forest plot of the total prevalence of osteoporotic fractures in older people in China
Fig. 4
Fig. 4
Included in the literature sensitivity analysis chart
See this image and copyright information in PMC

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