Tarrrant Seth M, Ajgaonkar Amit, Babhulkar Sushrut, Cui Zhiyong, Harris Ian A, Kulkarni Sunil, Minehara Hiroaki, Miyamoto Takashi, Oppy Andrew, Shigemoto Kenji, Tian Yun, Balogh Zsolt J
Department of Traumatology, John Hunter Hospital, Newcastle, Australia.
Zenith Hospital, Mumbai.
OTA Int. 2020 Mar 23;3(1):e058. doi: 10.1097/OI9.0000000000000058. eCollection 2020 Mar.
The Asia-Pacific region includes countries with diverse cultural, demographic, and socio-political backgrounds. Countries such as Japan have very high life expectancy and an aged population. China and India, with a combined population over 2.7 billion, will experience a huge wave of ageing population with subsequent osteoporotic injuries. Australia will experience a similar increase in the osteoporotic fracture burden, and is leading the region by establishing a national hip fracture registry with governmental guidelines and outcome monitoring. While it is impossible to compare fragility hip fracture care in every Asia-Pacific country, this review of 4 major nations gives insight into the challenges facing diverse systems. They are united by the pursuit of internationally accepted standards of timely surgery, combined orthogeriatric care, and secondary fracture prevention strategies.
亚太地区包括具有不同文化、人口结构和社会政治背景的国家。日本等国家拥有很高的预期寿命和老龄人口。中国和印度的人口总和超过27亿，将经历一波巨大的人口老龄化浪潮，随之而来的是骨质疏松性损伤。澳大利亚的骨质疏松性骨折负担也将出现类似的增长，并且通过建立一个遵循政府指导方针并进行结果监测的国家髋部骨折登记处，在该地区处于领先地位。虽然不可能对亚太地区每个国家的髋部脆性骨折护理进行比较，但对4个主要国家的这项综述深入了解了不同体系所面临的挑战。它们都追求国际公认的及时手术、联合骨科老年护理和二次骨折预防策略的标准。
