Scientometric Analysis of Surgical Methods for Hip Fractures in the Elderly
DOI:
https://doi.org/10.5281/zenodo.18022072Keywords:
Citespace, Economic Burden , Health Systems , Hip Fracture , Surgical MethodsAbstract
Hip fractures in the elderly are a significant health problem that leads to increased morbidity and mortality rates and higher healthcare costs. This study aims to analyze the dynamics and structure of the scientific literature on surgical methods for hip fracture treatment using scientific metrics. The objectives include identifying the main themes in this field, investigating their relationships, and highlighting the most active research topics and important articles. A dataset of 9,162 articles published in the WOS database between 2010 and 2024 was analysed. The findings show a significant increase in publications on hip fractures in elderly patients since 2016, peaking at 827 articles in 2022. The emergence of nomogram-based prognostic models indicates that the personalized medicine approach is becoming widespread in assessing post-fracture mortality and complication risk. In addition, the relationships between nutrition, vitamin D, and osteoporosis highlight the multidimensional nature of fracture prevention strategies. A separate cluster created by the COVID-19 pandemic underscores the fragility of healthcare services during crises. Furthermore, it has been concluded that large-scale international data platforms, such as NOREPOS and CHANCES, have increased knowledge production in hip fracture epidemiology, and that similar collaborations are of strategic importance for countries like it is recommended that studies be conducted to determine the cost-effectiveness of surgical methods for hip fractures in the elderly and their economic burden on healthcare systems.References
Wu, C. Y., Tsai, C. F., & Yang, H. Y. (2023). Utilizing a nomogram to predict the one-year postoperative mortality risk for geriatric patients with a hip fracture. Scientific Reports, 13, 11091. [CrossRef]
Cole, Z. A., Dennison, E. M., & Cooper, C. (2008). Osteoporosis epidemiology update. Current Rheumatology Reports, 10(2), 92–96. [CrossRef] [PubMed]
Chevalley, T., Guilley, E., Herrmann, F. R., Hoffmeyer, P., Rapin, C. H., & Rizzoli, R. (2007). Incidence of hip fracture over a 10-year period (1991–2000): Reversal of a secular trend. Bone, 40(5), 1284–1289. [CrossRef] [PubMed]
Høiberg, M. P., Gram, J., Hermann, P., Brixen, K., & Haugeberg, G. (2014). The incidence of hip fractures in Norway–Accuracy of the national Norwegian patient registry. BMC Musculoskeletal Disorders, 15, 372. [CrossRef] [PubMed]
International Osteoporosis Foundation (IOF), & Turkish National Secondary Fracture Prevention Council (2023). IOF–CTF Policy Report on Fracture Prevention in Turkey.
Tuzun, S., Eskiyurt, N., Akarirmak, U., Saridogan, M., Senocak, M., Johansson, H., Kanis, J. A., & Turkish Osteoporosis Society. (2012). Incidence of hip fracture and prevalence of osteoporosis in Turkey: The FRACTURK study. Osteoporosis International, 23(3), 949–955. [CrossRef] [PubMed]
Kim, S. H., Jang, S. Y., Cha, Y., Jang, H., Kim, B. Y., Lee, H. J., & Kim, G. O. (2025). The impact of hospital volume and region on mortality, medical costs, and length of hospital stay in elderly patients following hip fracture: A nationwide claims database analysis. Clinics in Orthopedic Surgery, 17(1), 80–90. [CrossRef] [PubMed]
Royal College of Physicians. (2025). National Hip Fracture Database: 2025 annual report – Lay summary. Falls and Fragility Fracture Audit Programme (FFFAP). www.nhfd.co.uk.
Hepgüler, S., Cetin, A., Değer, C., & Erkent, U. (2011). Osteoporotic hip fracture costs in the elderly Turkish population. Acta Orthopaedica et Traumatologica Turcica, 45(5), 316–325. [CrossRef] [PubMed]
Baji, P., Patel, R., Judge, A., Johansen, A., Griffin, J., Chesser, T., Griffin, X. L., Javaid, M. K., Barbosa, E. C., Ben-Shlomo, Y., Marques, E. M. R., Gregson, C. L., & REDUCE Study Group (2023). Organisational factors associated with hospital costs and patient mortality in the 365 days following hip fracture in England and Wales (REDUCE): A record-linkage cohort study. The Lancet Healthy Longevity, 4(8), e386–e398. [CrossRef] [PubMed]
Tan, S. T. S., Tan, W. P. M., Jaipaul, J., Chan, S. P., & Sathappan, S. S. (2017). Clinical outcomes and hospital length of stay in 2,756 elderly patients with hip fractures: A comparison of surgical and non-surgical management. Singapore Medical Journal, 58(5), 253. [CrossRef] [PubMed]
Mårdian, S., Rau, D., Hinz, P., Wittenberg, S., Giesecke, M., & Schwabe, P. (2017). Acetabular fractures in an advanced age Current knowledge and treatment options. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, 84(4), 241–246. [PubMed]
Wu, H., Li, Y., Tong, L., Wang, Y., & Sun, Z. (2021). Worldwide research tendency and hotspots on hip fracture: A 20-year bibliometric analysis. Archives of Osteoporosis, 16(1), 73. [CrossRef] [PubMed]
Peng, G., Guan, Z., Hou, Y., Gao, J., Rao, W., Yuan, X., et al. & Lin, J. (2021). Depicting developing trend and core knowledge of hip fracture research: A bibliometric and visualised analysis. Journal of Orthopaedic Surgery and Research, 16(1), 174. [CrossRef] [PubMed]
Peng, P., Xiao, F., He, X., Fang, W., Huang, J., Wang, B., et al. & He, M. (2022). Global research status and trends of femoral neck fracture over the past 27 years: A historical review and bibliometric analysis. Frontiers in Surgery, 9, 875040. [CrossRef] [PubMed]
Chen, C. (2020). A glimpse of the first eight months of the COVID-19 literature on Microsoft Academic Graph: Themes, citation contexts, and uncertainties. Frontiers in Research Metrics and Analytics, 5, 607286. [CrossRef] [PubMed]
Dolatowski, F. C., Frihagen, F., Bartels, S., Opland, V., Šaltytė Benth, J., Talsnes, O., Hoelsbrekken, S. E., & Utvåg, S. E. (2019). Screw fixation versus hemiarthroplasty for nondisplaced femoral neck fractures in elderly patients: A multicenter randomized controlled trial. The Journal of Bone and Joint Surgery. American Volume, 101(2), 136–144. [CrossRef] [PubMed]
Grigoryan, K. V., Javedan, H., & Rudolph, J. L. (2014). Orthogeriatric care models and outcomes in hip fracture patients: A systematic review and meta-analysis. Journal of Orthopaedic Trauma, 28(3), e49–e55. [CrossRef] [PubMed]
Wu, Q., Ding, W., Zhang, Z., La, R., You, D., Ding, Q., et al. & Wang, S. (2025). Association between prognostic nutritional index and risk of moderate-to-severe basic activities of daily living dependence two years after hip fracture surgery in older adults. BMC Geriatrics, 25(1), 634. [CrossRef] [PubMed]
Gritsenko, K., Helander, E., Webb, M. P. K., Okeagu, C. N., Hyatali, F., Renschler, J. S., Anzalone, F., Cornett, E. M., Urman, R. D., & Kaye, A. D. (2020). Preoperative frailty assessment combined with prehabilitation and nutrition strategies: Emerging concepts and clinical outcomes. Best Practice & Research Clinical Anaesthesiology, 34(2), 199–212. [CrossRef] [PubMed]
Riemen, A. H., & Hutchison, J. D. (2016). The multidisciplinary management of hip fractures in older patients. Orthopaedics and Trauma, 30(2), 117–122. [CrossRef] [PubMed]
Figved, W., Myrstad, M., Saltvedt, I., Finjarn, M., Odland, L. M. F., & Frihagen, F. (2019). Team approach: multidisciplinary treatment of hip fractures in elderly patients: orthogeriatric care. JBJS Reviews, 7(6), e6. [CrossRef] [PubMed]
Liu, L., Yuan, Y., Zeng, J., Xu, J., Chen, W., Wang, H., et al. & Zhang, Y. (2025). Development and validation of a nomogram for predicting postoperative new-onset constipation in elderly patients undergoing hip fracture surgery. Scientific Reports, 15, 15289. [CrossRef] [PubMed]
Ma, Y., Gao, Q., Shao, T., Du, L., Gu, J., Li, S., & Yu, Z. (2024). Establishment and validation of a nomogram for predicting the risk of hip fracture in patients with stroke: A multicenter retrospective study. Journal of Clinical Neuroscience, 128, 110801. [CrossRef] [PubMed]
Mi, X., Jia, Y., Song, Y., Liu, K., Liu, T., Han, D., et al. & Li, Z. (2024). Preoperative prognostic nutritional index value as a predictive factor for postoperative delirium in older adult patients with hip fractures: A secondary analysis. BMC Geriatrics, 24(1), 21. [CrossRef] [PubMed]
Canbolat, N., Büyük, D., Sulejmani, İ., Sağlam, Y., Altun, D., Durmaz, H., & Buget, M. I. (2022). The relationship between preoperative prognostic nutritional index and postoperative mortality in patients with hip fracture. Turkish Journal of Intensive Care, 20, 7–13. DOI: [CrossRef]
Viveros-García, J. C. (2019). Fragile hip fracture in Mexico: Where are we today? Where do we want to go? Acta Ortopédica Mexicana, 32(6), 334–341. [PubMed]
Raheman, F. J., Rojoa, D. M., Nayan Parekh, J., Berber, R., & Ashford, R. (2021). Meta-analysis and metaregression of risk factors associated with mortality in hip fracture patients during the COVID-19 pandemic. Scientific Reports, 11, 10157. [CrossRef] [PubMed]
Maffulli, N., & Aicale, R. (2022). Proximal femoral fractures in the elderly: A few things to know, and some to forget. Medicina, 58(10), 1314. [CrossRef] [PubMed]
NOREPOS. (2025). Norwegian Epidemiologic Osteoporosis Studies. https://norepos.w.uib.no
CHANCES. (2015). Consortium on Health and Ageing: Network of Cohorts in Europe and the United States.https://uit.no/research/kse_en/project?pi =828889
Søgaard, A. J., Meyer, H. E., Emaus, N., Grimnes, G., Gjesdal, C. G., Forsmo, S., Schei, B., & Tell, G. S. (2014). Cohort profile: Norwegian epidemiologic osteoporosis studies (NOREPOS). Scandinavian Journal of Public Health, 42(8), 804–813. [CrossRef]
Dahl, C., Søgaard, A. J., Tell, G. S., Forsén, L., Flaten, T. P., Hongve, D., Omsland, T. K., Holvik, K., Meyer, H. E., & Aamodt, G. (2015). Population data on calcium in drinking water and hip fracture: An association may depend on other minerals in water. A NOREPOS study. Bone, 81, 292–299. [CrossRef] [PubMed]
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 International Journal of Active & Healthy Aging
This work is licensed under a Creative Commons Attribution 4.0 International License.
