Chen Cheng, Lin Jin-Rong, Zhang Yi, Ye Tian-Bao, Yang Yun-Feng
Department of Orthopedics, Tongji Hospital, School of Medicine, Tongji University, Shanghai, 200065, China.
Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Chin J Traumatol. 2025 May;28(3):208-215. doi: 10.1016/j.cjtee.2024.03.001. Epub 2024 Mar 7.
To comprehensively analyze the geographic and temporal trends of foot fracture, understand its health burden by age, sex, and sociodemographic index (SDI), and explore its leading causes from 1990 to 2019.
The datasets in the present study were generated from the Global Burden of Diseases Study 2019, which included foot fracture data from 1990 to 2019. We extracted estimates along with the 95% uncertainty interval (UI) for the incidence and years lived with disability (YLDs) of foot fracture by location, age, gender, and cause. The epidemiology and burden of foot fracture at the global, regional, and national level was exhibited. Next, we presented the age and sex patterns of foot fracture. The leading cause of foot fracture was another focus of this study from the viewpoint of age, sex, and location. Then, Pearson's correlations between age-standardized rate (ASR), SDI, and estimated annual percentage change were calculated.
The age-standardized incidence rate was 138.68 (95% UI: 104.88 - 182.53) per 100,000 persons for both sexes, 174.24 (95% UI: 134.35 - 222.49) per 100,000 persons for males, and 102.19 (95% UI: 73.28 - 138.00) per 100,000 persons for females in 2019. The age-standardized YLDs rate was 5.91 (95% UI: 3.58 - 9.25) per 100,000 persons for both genders, 7.35 (95% UI: 4.45 - 11.50) per 100,000 persons for males, and 4.51 (95% UI: 2.75 - 7.03) per 100,000 persons for females in 2019. The global incidence and YLDs of foot fracture increased in number and decreased in ASR from 1990 to 2019. The global geographical distribution of foot fracture is uneven. The incidence rate for males peaked at the age group of 20 - 24 years, while that for females increased with advancing age. The incidence rate of older people was rising, as younger age incidence rate declined from 1990 to 2019. Falls, exposure to mechanical forces, and road traffic injuries were the 3 leading causes of foot fracture. Correlations were observed between ASR, estimated annual percentage change, and SDI.
The burden of foot fracture remains high globally, and it poses an enormous public health challenge, with population aging. It is necessary to allocate more resources to the high-risk populations. Targeted realistic intervention policies and strategies are warranted.
全面分析足部骨折的地理和时间趋势，了解其按年龄、性别和社会人口学指数（SDI）划分的健康负担，并探究1990年至2019年期间其主要病因。
本研究中的数据集来自《2019年全球疾病负担研究》，其中包括1990年至2019年的足部骨折数据。我们提取了按地点、年龄、性别和病因划分的足部骨折发病率及伤残调整生命年（YLDs）的估计值以及95%不确定性区间（UI）。展示了全球、区域和国家层面足部骨折的流行病学和负担情况。接下来，我们呈现了足部骨折的年龄和性别模式。从年龄、性别和地点的角度来看，足部骨折的主要病因是本研究的另一个重点。然后，计算了年龄标准化率（ASR）、SDI和估计年百分比变化之间的Pearson相关性。
2019年，男女总体年龄标准化发病率为每10万人138.68例（95% UI：104.88 - 182.53），男性为每10万人174.24例（95% UI：134.35 - 222.49），女性为每10万人102.19例（95% UI：73.28 - 138.00）。2019年，男女总体年龄标准化YLDs率为每十万人口5.91例（95% UI：3.58 - 9.25），男性为每十万人口7.35例（95% UI：4.45 - 11.50），女性为每十万人口4.51例（95% UI：2.75 - 7.03）。1990年至2019年期间，全球足部骨折的发病率和YLDs数量增加，ASR下降。足部骨折的全球地理分布不均衡。男性发病率在20 - 24岁年龄组达到峰值，而女性发病率随年龄增长而上升。从1990年到2019年，老年人的发病率在上升，而年轻人的发病率在下降。跌倒、暴露于机械力和道路交通伤害是足部骨折的3个主要病因。观察到ASR、估计年百分比变化和SDI之间存在相关性。
全球范围内，足部骨折的负担仍然很高，随着人口老龄化它带来了巨大的公共卫生挑战。有必要为高危人群分配更多资源。需要制定有针对性的切实可行的干预政策和策略。
