Global, regional, and national burden of fracture of sternum and/or fracture of one or more ribs: a systematic analysis of incidence, YLDs with projections to 2030
BackgroundSternal and/or rib fractures represent a growing global health challenge. Despite their significant clinical and public health implications, epidemiological studies on these injuries remain limited. Utilizing the Global Burden of Disease 2019 (GBD2019) database, this study evaluates the wo...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1565478/full |
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| author | Zhizhi Wang Yikuan Cai Yu Tong Huajie Li Hu Zhou Tongyin Ou Tianlan Ye Jiangsheng Zhang Kaican Cai Zhiming Chen |
| author_facet | Zhizhi Wang Yikuan Cai Yu Tong Huajie Li Hu Zhou Tongyin Ou Tianlan Ye Jiangsheng Zhang Kaican Cai Zhiming Chen |
| author_sort | Zhizhi Wang |
| collection | DOAJ |
| description | BackgroundSternal and/or rib fractures represent a growing global health challenge. Despite their significant clinical and public health implications, epidemiological studies on these injuries remain limited. Utilizing the Global Burden of Disease 2019 (GBD2019) database, this study evaluates the worldwide burden of sternal and/or rib fractures and projects trends through 2030 to inform policy development.MethodsWe analyzed global incidence, age-standardized incidence rate (ASIR), years lived with disability (YLDs), age-standardized YLD rate (ASYR) and estimated annual percentage change (EAPC) of sternal and/or rib fractures across geographic regions, nations, age-sex groups, and socio-demographic index (SDI) quintiles using GBD2019 data. The Bayesian age-period-cohort (BAPC) model was employed to forecast trends until 2030.ResultsIn 2019, global incident cases of sternal/rib fractures reached 4.1 million (44% increase since 1990), with YLDs at 190,000 (62% rise since 1990). While ASIR and ASYR showed modest declines, the absolute burden remained substantial. East Asia and high-income North America both exhibited the highest incident cases and YLDs. Central Latin America and Western Saharan Africa demonstrated the steepest incidence growth, whereas the Caribbean experienced the most pronounced YLD increases. Nationally, China reported the highest absolute burden, while Greenland had the highest ASIR and ASYR. Males carried over 60% of the burden. Also, there was a negative correlation between EAPC and national SDI. Projections indicate that the global burden of disease will continue to rise by 2030.ConclusionThe escalating burden of sternal/rib fractures demands targeted interventions. Prioritizing injury prevention in high-burden regions (e.g., East Asia), addressing male-dominated occupational/behavioral risks, and optimizing infrastructure such as medical transport in low-SDI settings are critical policy priorities. Sustained surveillance through standardized reporting systems is essential for monitoring progress. |
| format | Article |
| id | doaj-art-47ce1a0c3a2646069f22c9cabe7ebeb5 |
| institution | DOAJ |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-47ce1a0c3a2646069f22c9cabe7ebeb52025-08-20T03:03:03ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-04-011310.3389/fpubh.2025.15654781565478Global, regional, and national burden of fracture of sternum and/or fracture of one or more ribs: a systematic analysis of incidence, YLDs with projections to 2030Zhizhi Wang0Yikuan Cai1Yu Tong2Huajie Li3Hu Zhou4Tongyin Ou5Tianlan Ye6Jiangsheng Zhang7Kaican Cai8Zhiming Chen9Department of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaThe First School of Clinical Medicine, Southern Medical University, Guangzhou, ChinaSchool of Public Health, Southern Medical University, Guangzhou, ChinaDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Thoracic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaBackgroundSternal and/or rib fractures represent a growing global health challenge. Despite their significant clinical and public health implications, epidemiological studies on these injuries remain limited. Utilizing the Global Burden of Disease 2019 (GBD2019) database, this study evaluates the worldwide burden of sternal and/or rib fractures and projects trends through 2030 to inform policy development.MethodsWe analyzed global incidence, age-standardized incidence rate (ASIR), years lived with disability (YLDs), age-standardized YLD rate (ASYR) and estimated annual percentage change (EAPC) of sternal and/or rib fractures across geographic regions, nations, age-sex groups, and socio-demographic index (SDI) quintiles using GBD2019 data. The Bayesian age-period-cohort (BAPC) model was employed to forecast trends until 2030.ResultsIn 2019, global incident cases of sternal/rib fractures reached 4.1 million (44% increase since 1990), with YLDs at 190,000 (62% rise since 1990). While ASIR and ASYR showed modest declines, the absolute burden remained substantial. East Asia and high-income North America both exhibited the highest incident cases and YLDs. Central Latin America and Western Saharan Africa demonstrated the steepest incidence growth, whereas the Caribbean experienced the most pronounced YLD increases. Nationally, China reported the highest absolute burden, while Greenland had the highest ASIR and ASYR. Males carried over 60% of the burden. Also, there was a negative correlation between EAPC and national SDI. Projections indicate that the global burden of disease will continue to rise by 2030.ConclusionThe escalating burden of sternal/rib fractures demands targeted interventions. Prioritizing injury prevention in high-burden regions (e.g., East Asia), addressing male-dominated occupational/behavioral risks, and optimizing infrastructure such as medical transport in low-SDI settings are critical policy priorities. Sustained surveillance through standardized reporting systems is essential for monitoring progress.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1565478/fullrib fracturesternal fractureglobal burden of disease (GBD)BAPC modeltrends |
| spellingShingle | Zhizhi Wang Yikuan Cai Yu Tong Huajie Li Hu Zhou Tongyin Ou Tianlan Ye Jiangsheng Zhang Kaican Cai Zhiming Chen Global, regional, and national burden of fracture of sternum and/or fracture of one or more ribs: a systematic analysis of incidence, YLDs with projections to 2030 Frontiers in Public Health rib fracture sternal fracture global burden of disease (GBD) BAPC model trends |
| title | Global, regional, and national burden of fracture of sternum and/or fracture of one or more ribs: a systematic analysis of incidence, YLDs with projections to 2030 |
| title_full | Global, regional, and national burden of fracture of sternum and/or fracture of one or more ribs: a systematic analysis of incidence, YLDs with projections to 2030 |
| title_fullStr | Global, regional, and national burden of fracture of sternum and/or fracture of one or more ribs: a systematic analysis of incidence, YLDs with projections to 2030 |
| title_full_unstemmed | Global, regional, and national burden of fracture of sternum and/or fracture of one or more ribs: a systematic analysis of incidence, YLDs with projections to 2030 |
| title_short | Global, regional, and national burden of fracture of sternum and/or fracture of one or more ribs: a systematic analysis of incidence, YLDs with projections to 2030 |
| title_sort | global regional and national burden of fracture of sternum and or fracture of one or more ribs a systematic analysis of incidence ylds with projections to 2030 |
| topic | rib fracture sternal fracture global burden of disease (GBD) BAPC model trends |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1565478/full |
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