Hip fracture surgery in resource-limited environments: a systematic literature review
Abstract. Purpose:. With life expectancies increasing worldwide, there is a concomitant rise in the incidence of fragility fractures. As such, low-income and lower-middle-income countries (LICs and LMICs) will be faced with increased incidences of hip fractures. The care of these fractures is advers...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-03-01
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| Series: | OTA International |
| Online Access: | http://journals.lww.com/10.1097/OI9.0000000000000373 |
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| author | Sara N. Kiani, MD, MPH Verena Oberlohr, BS Hannah Elsevier, MD, MPH Daniella M. Cordero, MD Peggy M. Tahir, MLIS, MA Theodore Miclau, MD |
| author_facet | Sara N. Kiani, MD, MPH Verena Oberlohr, BS Hannah Elsevier, MD, MPH Daniella M. Cordero, MD Peggy M. Tahir, MLIS, MA Theodore Miclau, MD |
| author_sort | Sara N. Kiani, MD, MPH |
| collection | DOAJ |
| description | Abstract. Purpose:. With life expectancies increasing worldwide, there is a concomitant rise in the incidence of fragility fractures. As such, low-income and lower-middle-income countries (LICs and LMICs) will be faced with increased incidences of hip fractures. The care of these fractures is adversely affected by various factors that include under-resourced healthcare systems and large socioeconomic disparities, which disproportionately affect patient care in these regions relative to high-income countries. The purpose of this study was to determine treatment trends and outcomes of hip fracture care in lesser resourced regions as reported in primary literature sources through a systematic review.
Data Sources:. The article search was conducted on December 16, 2020, and April 14, 2022, in 3 databases: PubMed, Web of Science, and Embase. A search strategy unique to each database was developed with a research librarian using English search terms.
Study Selection:. Studies were selected using DistillerSR systematic review software. Two rounds of screening were performed for inclusion: 1) title and abstract screening and 2) full-text screening. Two researchers independently reviewed all articles. No articles were excluded based on language.
Data Extraction:. The extracted information included country, study demographics and design, hip fracture location, treatment, and outcomes.
Data Synthesis:. Of the 2533 initially identified abstracts, a total of 24 articles met the criteria for inclusion and were selected for final data extraction after full-text screening.
Conclusion:. This systematic review demonstrates a paucity of research evaluating geriatric hip fractures in LICs and LMICs. Additional research is needed to better characterize the preferred treatment by fracture type and associated complications in resource-limited environments. |
| format | Article |
| id | doaj-art-4013d2d2d1574f23a60adfbc0579f4ab |
| institution | DOAJ |
| issn | 2574-2167 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | OTA International |
| spelling | doaj-art-4013d2d2d1574f23a60adfbc0579f4ab2025-08-20T03:04:49ZengWolters KluwerOTA International2574-21672025-03-018110.1097/OI9.0000000000000373OI90000000000000373Hip fracture surgery in resource-limited environments: a systematic literature reviewSara N. Kiani, MD, MPH0Verena Oberlohr, BS1Hannah Elsevier, MD, MPH2Daniella M. Cordero, MD3Peggy M. Tahir, MLIS, MA4Theodore Miclau, MD5a Orthopaedic Trauma Institute, Institute for Global Orthopaedics and Traumatology, Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CAa Orthopaedic Trauma Institute, Institute for Global Orthopaedics and Traumatology, Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CAa Orthopaedic Trauma Institute, Institute for Global Orthopaedics and Traumatology, Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CAb School of Medicine, University of California San Francisco, San Francisco, CAc Department of Library Sciences, University of California San Francisco, San Francisco, CA.a Orthopaedic Trauma Institute, Institute for Global Orthopaedics and Traumatology, Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CAAbstract. Purpose:. With life expectancies increasing worldwide, there is a concomitant rise in the incidence of fragility fractures. As such, low-income and lower-middle-income countries (LICs and LMICs) will be faced with increased incidences of hip fractures. The care of these fractures is adversely affected by various factors that include under-resourced healthcare systems and large socioeconomic disparities, which disproportionately affect patient care in these regions relative to high-income countries. The purpose of this study was to determine treatment trends and outcomes of hip fracture care in lesser resourced regions as reported in primary literature sources through a systematic review. Data Sources:. The article search was conducted on December 16, 2020, and April 14, 2022, in 3 databases: PubMed, Web of Science, and Embase. A search strategy unique to each database was developed with a research librarian using English search terms. Study Selection:. Studies were selected using DistillerSR systematic review software. Two rounds of screening were performed for inclusion: 1) title and abstract screening and 2) full-text screening. Two researchers independently reviewed all articles. No articles were excluded based on language. Data Extraction:. The extracted information included country, study demographics and design, hip fracture location, treatment, and outcomes. Data Synthesis:. Of the 2533 initially identified abstracts, a total of 24 articles met the criteria for inclusion and were selected for final data extraction after full-text screening. Conclusion:. This systematic review demonstrates a paucity of research evaluating geriatric hip fractures in LICs and LMICs. Additional research is needed to better characterize the preferred treatment by fracture type and associated complications in resource-limited environments.http://journals.lww.com/10.1097/OI9.0000000000000373 |
| spellingShingle | Sara N. Kiani, MD, MPH Verena Oberlohr, BS Hannah Elsevier, MD, MPH Daniella M. Cordero, MD Peggy M. Tahir, MLIS, MA Theodore Miclau, MD Hip fracture surgery in resource-limited environments: a systematic literature review OTA International |
| title | Hip fracture surgery in resource-limited environments: a systematic literature review |
| title_full | Hip fracture surgery in resource-limited environments: a systematic literature review |
| title_fullStr | Hip fracture surgery in resource-limited environments: a systematic literature review |
| title_full_unstemmed | Hip fracture surgery in resource-limited environments: a systematic literature review |
| title_short | Hip fracture surgery in resource-limited environments: a systematic literature review |
| title_sort | hip fracture surgery in resource limited environments a systematic literature review |
| url | http://journals.lww.com/10.1097/OI9.0000000000000373 |
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