Mortality Risk Following Atypical Femoral Fracture: a Systematic Review and Meta-analysis.
Endocr Pract 2022;
28:1072-1077. [PMID:
35964860 DOI:
10.1016/j.eprac.2022.08.005]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 08/04/2022] [Accepted: 08/08/2022] [Indexed: 11/19/2022]
Abstract
OBJECTIVE
To summarize all available data, using systematic review and meta-analysis, to estimate 1.) one-year mortality risk following AFF and 2.) risk ratio of mortality following AFF versus TFF.
METHODS
Potentially eligible studies were identified from Medline and EMBASE databases from inception to February 2022 using search strategy that comprised of terms for "Atypical Femoral Fracture" and "Mortality". Eligible study must consist of a cohort of patients with atypical femoral fracture. Then, the study must report one-year mortality rate following AFF or report effect estimates with 95% confidence intervals (95% CIs) comparing incident mortality between patients with AFF and TFF. Point estimates with standard errors were retrieved from each study and were combined using the generic inverse variance method.
RESULTS
A total of 8,967 articles were identified. After two rounds of independent review by three investigators, we identified seven studies reporting one-year mortality rate of AFF and three studies comparing mortality rate of AFF versus TFF. Pooled analysis revealed pooled one-year mortality rate following AFF of 0.10 (95% CI, 0.05 - 0.16, I2 93.3%). Two studies compared mortality risks of the AFF versus TFF and revealed conflicting results.
CONCLUSION
One-year mortality rate following AFF was approximately 10%. However, evidence is insufficient to conclude if there was difference in mortality risk between AFF and TFF.
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