Prevalence of osteoporosis and incidence of related fractures in developed economies in the Asia Pacific region: a systematic review.

Szczegóły
Abstrakt

Tytuł:: Prevalence of osteoporosis and incidence of related fractures in developed economies in the Asia Pacific region: a systematic review.
Autorzy:: Chandran M; Osteoporosis and Bone Metabolism Unit, Department of Endocrinology, Singapore General Hospital, Academia, 20 College Road, Singapore, 169856, Singapore. .
Brind'Amour K; HealthWords Ltd, Augusta, GA, USA.
Fujiwara S; Department of Pharmacy, Yasuda Women's University, Hiroshima, Japan.
Ha YC; Department of Orthopaedic Surgery, Seoul Bumin Hospital, Seoul, South Korea.
Tang H; Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, Republic of China.
Hwang JS; Division of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.
Tinker J; Moon Rabbit, New York City, NY, USA.
Eisman JA; UNSW Sydney and School of Medicine Sydney, Garvan Institute of Medical Research, St Vincent's Hospital, University of Notre Dame Australia, Sydney, NSW, Australia.
Źródło:: Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA [Osteoporos Int] 2023 Jun; Vol. 34 (6), pp. 1037-1053. Date of Electronic Publication: 2023 Feb 03.
Typ publikacji:: Systematic Review; Journal Article; Review
Język:: English
Imprint Name(s):: Original Publication: London, UK : Springer International, c1990-
MeSH Terms:: Osteoporosis*/complications
Osteoporosis*/epidemiology
Osteoporotic Fractures*/epidemiology
Osteoporotic Fractures*/etiology
Osteoporotic Fractures*/prevention & control
Adult ; Female ; Humans ; Male ; Middle Aged ; Hong Kong/epidemiology ; Incidence ; Prevalence
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Contributed Indexing:: Keywords: Asia Pacific; Ethnicity; Fracture; Fragility fracture; Osteoporosis
Entry Date(s):: Date Created: 20230203 Date Completed: 20230605 Latest Revision: 20230605
Update Code:: 20240105
PubMed Central ID:: PMC10202996
DOI:: 10.1007/s00198-022-06657-8
PMID:: 36735053
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Robust data on osteoporosis in the Asia Pacific region could improve healthcare decision-making. Osteoporosis affects 10-30% of women aged 40 + , and up to 10% of men in 7 developed economies in Asia Pacific. Fractures affect 500-1000 adults aged 50 + per 100,000 person-years. Policymakers and clinicians must address this problem.
Purpose: Osteoporosis and associated fractures result in considerable morbidity, loss of productivity, early mortality, and increased healthcare expenses. Many countries in the Asia Pacific (AP) region, especially middle- and higher-income economies, are faced with aging and increasingly sedentary populations. It is critical to consolidate and analyze the available information on the prevalence and incidence of the disease in these countries.
Methods: We systematically reviewed articles and gray literature for Australia, China, Hong Kong, Japan, Singapore, South Korea, and Taiwan. We searched PubMed, ScienceDirect, JSTOR, Cochrane, Google Scholar, and other databases for data published 2009-2018. We included articles with prevalence or incidence estimates for adults with osteoporosis or related fractures.
Results: All locations had data available, but of widely varying quantity and quality. Most estimates for osteoporosis prevalence ranged from 10 to 30% for women ages 40 and older, and up to 10% for men. Osteoporotic fracture incidence typically ranged between 500 and 1000 per 100,000 person-years among adults aged 50 and older. Both outcomes typically increased with age and were more common among women.
Conclusion: Osteoporosis and associated fractures affect significant portions of the adult population in developed economies in the AP region. Governments and healthcare systems must consider how best to prevent and diagnose osteoporosis, and manage affected individuals, to reduce healthcare costs and mortality associated with fractures.
(© 2023. The Author(s).)

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