Abstract
BackgroundHip fracture is common and carries high morbidity and mortality; thus, it has become a vital concern. We aim to analyse the present status, worldwide trends in hip fracture and state of clinical research.MethodsPublications from 2000 to 2019 were retrieved from the Web of Science database and analysed using a bibliometric methodology. VOSviewer software was utilised for analysis.ResultsIn total, 6139 publications were included, and publications increased annually from 152 in 2000 to 592 in 2019. U.S. researchers have produced the most publications, the highest H-index and the greatest number of citations. Osteoporosis International has published the most papers on the topic. Leading researchers, contributing institutions, their cooperative relationships and scientific masterpieces have been identified. The publications can be divided into five clusters: ‘mortality’, ‘surgical management’, ‘rehabilitation’, ‘osteoporosis’ and ‘epidemiology’. A clear developing trend was described, which began with fracture epidemiology and prevention, transitioned to perioperative management, orthogeriatric care and patient safety and then to functional recovery, disease burden and national audits in recent times.ConclusionsHip fractures result in conditions that extend far beyond orthopaedics concerning epidemiology and preventive medicine, internal medicine and endocrinology, as well as critical care and gerontology. Interest, research and publications are on the rise.
Highlights
Hip fracture is common and carries high morbidity and mortality; it has become a vital concern
Data source Whilst many databases could satisfy the need for analysis at a global level [7], we selected the Web of Science (WoS) and Science Citation Index-Expanded for this evaluation
The same trend was present for the H index: USA (118), UK (76), Canada (61), Sweden (57) and Australia (53)
Summary
Hip fracture is common and carries high morbidity and mortality; it has become a vital concern. We aim to analyse the present status, worldwide trends in hip fracture and state of clinical research. With an ageing population around the world, hip fracture has become a vital concern. The number of hip fractures is anticipated to increase from 1.26 million in 1990 to 4.5 million by 2050. Hip fracture carries the highest morbidity and mortality [2]. All-cause mortality and excess mortality after hip fracture are greater than that of age-matched controls even after two decades of follow-up [3]. Fracture survivors encounter substantially worse mobility, independence, overall health and quality of life [4]. Worldwide trends in hip fractures have not been well analysed
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