Skip to main content
SpringerLink
Log in

Hip fracture registries in low- and middle-income countries: a scoping review

  • Review Article
  • Published:
Archives of Osteoporosis Aims and scope Submit manuscript

Abstract

Purpose

The study aims to identify, describe, and organize the currently available evidence regarding hip fracture (HF) registries in low- and middle-income countries (LMICs).

Methods

We conducted a scoping review adhering to PRISMA-ScR guidelines. We searched MEDLINE (PubMed), Google Scholar, Global Index Medicus, websites related to HF, and study references for eligible studies. Two reviewers independently performed the study selection and data extraction, including studies describing the use of individual patient records with the aim to improve the quality of care in older people with HF in LMICs.

Results

A total of 222 abstracts were screened, 59 full-text articles were reviewed, and 10 studies regarding 3 registries were included in the analysis. Malaysia and Mexico implemented a HF registry in public hospitals whereas Argentina implemented a registry in the private setting. The Mexican registry, the most recent one, is the only one that publishes annual reports. There was significant variability in data fields between registries, particularly in functional evaluation and follow-up. The Ministry of Health finances the Malaysian registry, while Argentinian and Mexican registries founding was unclear.

Conclusion

The adoption of HF registries in LMICs is scarce. The few experiences show promising results but higher support is required to develop more registries. Long-term sustainability remains a challenge.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Cooper C, Cole ZA, Holroyd CR et al (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int 22(5):1277–1288. https://doi.org/10.1007/s00198-011-1601-6

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Cooper C, Campion G, Melton LJ (1992) Hip fractures in the elderly: a world-wide projection. Osteoporos Int 2(6):285–289. https://doi.org/10.1007/BF01623184

    Article  CAS  PubMed  Google Scholar 

  3. Cauley JA, Chalhoub D, Kassem AM, Fuleihan GEH (2014) Geographic and ethnic disparities in osteoporotic fractures. Nat Rev Endocrinol 10(6):338–351. https://doi.org/10.1038/nrendo.2014.51

    Article  PubMed  Google Scholar 

  4. Papadimitriou N, Tsilidis KK, Orfanos P et al (2017) Burden of hip fracture using disability-adjusted life-years: a pooled analysis of prospective cohorts in the CHANCES consortium. Lancet Public Health 2(5):e239–e246. https://doi.org/10.1016/S2468-2667(17)30046-4

    Article  PubMed  Google Scholar 

  5. Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17(12):1726–1733. https://doi.org/10.1007/s00198-006-0172-4

    Article  CAS  PubMed  Google Scholar 

  6. Mitchell PJ, Magaziner J, Costa M et al (2020) FFN clinical toolkit. Published online. Accessed August 18, 2022. https://www.fragilityfracturenetwork.org/wp-content/uploads/2020/10/FFNClinicalToolkit_English_v1_web.pdf

  7. Asia Pacific Fragility Fracture Alliance (APFFA) (2021) Hip fracture registry toolbox. Accessed December 27. https://apfracturealliance.org/hfr-toolbox/

  8. Falaschi P, Marsh D, eds (2021) Orthogeriatrics: the management of older patients with fragility fractures. Springer. Accessed August 18, 2022. http://www.ncbi.nlm.nih.gov/books/NBK565581/

  9. Gliklich RE, Dreyer NA, Leavy MB, eds (2014) Registries for evaluating patient outcomes: a user’s guide. 3rd ed. Agency for Healthcare Research and Quality (US). Accessed January 5, 2022. http://www.ncbi.nlm.nih.gov/books/NBK208616/

  10. Neuburger J, Currie C, Wakeman R et al (2015) The impact of a national clinician-led audit initiative on care and mortality after hip fracture in England: an external evaluation using time trends in non-audit data. Med Care 53(8):686–691. https://doi.org/10.1097/MLR.0000000000000383

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kristensen PK, Röck ND, Christensen HC, Pedersen AB (2020) The Danish Multidisciplinary Hip Fracture Registry 13-year results from a population-based cohort of hip fracture patients. Clin Epidemiol 12:9–21. https://doi.org/10.2147/CLEP.S231578

    Article  PubMed  PubMed Central  Google Scholar 

  12. Walsh ME, Ferris H, Coughlan T et al (2021) Trends in hip fracture care in the Republic of Ireland from 2013 to 2018: results from the Irish Hip Fracture Database. Osteoporos Int 32(4):727–736. https://doi.org/10.1007/s00198-020-05636-1

    Article  CAS  PubMed  Google Scholar 

  13. Seymour H, Pulido DF, Ling A, Mitchell R (2021) Implementing a hip fracture registry and financial incentive program to enhance best practice in hip fracture care in Western Australia. Aust Health Rev 45(2):143–147

    Article  PubMed  Google Scholar 

  14. Condorhuamán-Alvarado PY, Pareja-Sierra T, Muñoz-Pascual A et al (2022) Improving hip fracture care in Spain: evolution of quality indicators in the Spanish National Hip Fracture Registry. Arch Osteoporos 17(1):54. https://doi.org/10.1007/s11657-022-01084-y

    Article  PubMed  Google Scholar 

  15. International Osteoporosis Foundation (IOF) (2013) The Asia-Pacific Rregional Audit. Published online. Accessed March 18, 2022. https://www.osteoporosis.foundation/sites/iofbonehealth/files/2019-06/2013_Asia_Pacific_Audit_English.pdf

  16. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H (2020) Chapter 11: Scoping reviews (2020 version). In: Aromataris E, Munn Z, eds. JBI Manual for Evidence Synthesis. Accessed September 5, 2022. https://doi.org/10.46658/JBIMES-20-12

  17. Tricco AC, Lillie E, Zarin W et al (2018) PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med 169(7):467–473. https://doi.org/10.7326/M18-0850

    Article  PubMed  Google Scholar 

  18. Roberto Klappenbach, Betina Lartigue, María Beauchamp, Bruno Boietti, Laura Bosque, Ezequiel Monteverde. OSF | Hip fracture registries in low and middle income countries. A scoping review. Published online 2021. Accessed September 5, 2022. https://osf.io/hqjm9/

  19. Peters MDJ, Godfrey C, McInerney P et al (2022) Best practice guidance and reporting items for the development of scoping review protocols. JBI Evid Synth 20(4):953–968. https://doi.org/10.11124/JBIES-21-00242

    Article  PubMed  Google Scholar 

  20. World Bank. World Bank Country and Lending Groups. Accessed July 13, 2021. http://databank.worldbank.org/data/download/site-content/OGHIST.xlsx

  21. World Health Organization. Global Index Medicus. Accessed December 28, 2021. https://www.globalindexmedicus.net/

  22. Cochrane Effective Practice and Organisation of Care (EPOC). LMIC Filters 2020 (v4). Accessed December 27, 2021. https://epoc.cochrane.org/sites/epoc.cochrane.org/files/public/uploads/epoc_lmic_filters_2020_v4.docx

  23. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A (2016) Rayyan—a web and mobile app for systematic reviews. Syst Rev 5(1):210. https://doi.org/10.1186/s13643-016-0384-4

    Article  PubMed  PubMed Central  Google Scholar 

  24. St-Louis E, Paradis T, Landry T, Poenaru D (2018) Factors contributing to successful trauma registry implementation in low- and middle-income countries: a systematic review. Injury 49(12):2100–2110. https://doi.org/10.1016/j.injury.2018.10.007

    Article  PubMed  Google Scholar 

  25. Anwar Hau A, Tajuddin A (2009) Annual Report of the NORM- Registry, 2009. Published online . Accessed March 18, 2022. https://www.crc.gov.my/wp-content/uploads/documents/hip_norm.pdf

  26. Isnoni I, Mohamad Adam B, Murallitharam M et al (2012) Pre-injury demographic patterns of patients sustaining hip fractures in malaysia. Malays Orthop J 6((SupplA)):11–15. https://doi.org/10.5704/MOJ.1211.004

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Ang HL (2016) Associated factors for in-hospital mortality following hip fracture. Malaysian J Public Health Med. Published online 1–5

  28. Viveros-García JC, Anguiano-Medina A, Arechiga-Muñoz E et al (2021) Mexican hip fracture audit (ReMexFC): 2019 annual report. J Lat Am Geriat Med 7(1):20–28

    Google Scholar 

  29. Viveros-García JC, Robles-Almaguer E, Arechiga-Muñoz E, López-Cervantes RE, Torres-Naranjo JF, Baldenebro-Lugo LS (2020) Mexican Hip Fracture Audit (ReMexFC): Pilot phase report. J Lat Am Geriat Med 6(1):1–9

    Google Scholar 

  30. Viveros-García J, Robles-Almaguer E, Albrecht-Junghanns R, López-Cervantes R, López-Paz C, Olascoaga-Gómez de León A (2019) Mexican Hip Fracture Audit (ReMexFC): objectives and methodology. MOJ Orthop Rheumatol 11(3):115–118

    Article  Google Scholar 

  31. Boietti BR, Giunta DH, Uad PV et al (2019) Tasa de reinternaciones y factores asociados en ancianos luego de una internación por fractura de cadera. Rev Argent Salud Publica 10(39):13–18

    Google Scholar 

  32. Benchimol J, Fiorentini F, Elizondo CM et al (2016) Institutional registry of elderly patients with hip fracture in a community-based tertiary care hospital in Argentina (RIAFC). Geriatr Orthop Surg Rehabil 7(3):121–125. https://doi.org/10.1177/2151458516651309

    Article  PubMed  PubMed Central  Google Scholar 

  33. World Bank. World development indicators. Accessed January 4, 2022. https://databank.worldbank.org/source/world-development-indicators/Type/TABLE/preview/on#

  34. Australian Commission on Safety and Quality in Health Care (ACSQHC) (2022) Prioritised list of clinical domains for clinical quality registry development: final report. Published 2020. Accessed January 18. https://www.safetyandquality.gov.au/publications-and-resources/resource-library/prioritised-list-clinical-domains-clinical-quality-registry-development-final-report

  35. Bray F, Znaor A, Cueva P, et al (2014) Planning and developing population-based cancer registration in low- or middle-income settings. International Agency for Research on Cancer. Accessed January 18, 2022. http://www.ncbi.nlm.nih.gov/books/NBK566957/

  36. Piñeros M, Abriata MG, Mery L, Bray F (2017) Cancer registration for cancer control in Latin America: a status and progress report. Rev Panam Salud Publica 41:e2. https://doi.org/10.26633/RPSP.2017.2

    Article  PubMed  PubMed Central  Google Scholar 

  37. Bommakanti K, Feldhaus I, Motwani G, Dicker RA, Juillard C (2018) Trauma registry implementation in low- and middle-income countries: challenges and opportunities. J Surg Res 223:72–86. https://doi.org/10.1016/j.jss.2017.09.039

    Article  PubMed  Google Scholar 

  38. Rosenkrantz L, Schuurman N, Arenas C, Jimenez MF, Hameed MS (2021) Understanding the barriers and facilitators to trauma registry development in resource-constrained settings: a survey of trauma registry stewards and researchers. Injury 52(8):2215–2224. https://doi.org/10.1016/j.injury.2021.03.034

    Article  PubMed  Google Scholar 

  39. Tangka FKL, Subramanian S, Edwards P et al (2016) Resource requirements for cancer registration in areas with limited resources: analysis of cost data from four low- and middle-income countries. Cancer Epidemiol 45(Suppl 1):S50–S58. https://doi.org/10.1016/j.canep.2016.10.009

    Article  PubMed  PubMed Central  Google Scholar 

  40. Subramanian S, Tangka F, Edwards P, Hoover S, Cole-Beebe M (2016) Developing and testing a cost data collection instrument for noncommunicable disease registry planning. Cancer Epidemiol 45(Suppl 1):S4–S12. https://doi.org/10.1016/j.canep.2016.10.003

    Article  PubMed  PubMed Central  Google Scholar 

  41. The Australian Commission on Safety and Quality in Health Care (ACSQHC). Economic evaluation of clinical quality registries. Published online 2016. Accessed March 8, 2022. https://www.safetyandquality.gov.au/sites/default/files/migrated/Economic-evaluation-of-clinical-quality-registries-Final-report-Nov-2016.pdf

  42. Lee P, Chin K, Liew D et al (2019) Economic evaluation of clinical quality registries: a systematic review. BMJ Open. 9(12):e030984. https://doi.org/10.1136/bmjopen-2019-030984

    Article  PubMed  PubMed Central  Google Scholar 

  43. Monteverde E, Santero M, Bosque L, Lartigue B, Tenaillon C, Baliña J. (2020) A public–private collaborative model for a trauma program implementation: findings from a prospective trauma registry at 14 hospitals in Buenos Aires, Argentina. Eur J Trauma Emerg Surg. Published online 2020. https://doi.org/10.1007/s00068-020-01348-7.

  44. Monteverde E, Diehl M, Saieg M et al (2022) Alliance for the development of the Argentinian Hip Fracture Registry. Arch Osteoporos 17(1):122. https://doi.org/10.1007/s11657-022-01163-0

    Article  PubMed  PubMed Central  Google Scholar 

  45. Health Information and Quality Authority (HIQA) (2011) International review of data quality. Published online . https://www.hiqa.ie/hiqa-news-updates/international-review-data-quality

  46. Blumenthal S (2019) The NQRN Registry maturational framework: evaluating the capability and use of clinical registries. EGEMS (WASH DC) 7(1):29. https://doi.org/10.5334/egems.278

    Article  PubMed  Google Scholar 

  47. Johansen A, Ojeda-Thies C, Poacher AT et al (2022) Developing a minimum common dataset for hip fracture audit to help countries set up national audits that can support international comparisons. Bone Joint J 104-b(6):721–728. https://doi.org/10.1302/0301-620X.104B6.BJJ-2022-0080.R1

    Article  PubMed  PubMed Central  Google Scholar 

  48. Lencucha R, Neupane S (2022) The use, misuse and overuse of the ‘low-income and middle-income countries’ category. BMJ Global Health 7(6):e009067. https://doi.org/10.1136/bmjgh-2022-009067

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Fundación Trauma, Tacuarí 352 (PC 1071), Buenos Aires, Argentina

    Roberto Klappenbach, Betina Lartigue, María Beauchamp, Marilina Santero, Laura Bosque & Ezequiel Monteverde

  2. Sociedad Argentina de Gerontología Y Geriatría, Buenos Aires, Argentina

    Bruno Boietti

Authors
  1. Roberto Klappenbach
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Betina Lartigue
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. María Beauchamp
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Bruno Boietti
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Marilina Santero
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Laura Bosque
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Ezequiel Monteverde
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Roberto Klappenbach.

Ethics declarations

Conflicts of interest

None.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 25 KB)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Klappenbach, R., Lartigue, B., Beauchamp, M. et al. Hip fracture registries in low- and middle-income countries: a scoping review. Arch Osteoporos 18, 51 (2023). https://doi.org/10.1007/s11657-023-01241-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11657-023-01241-x

Keywords

Search

Navigation