{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:04:40Z","timestamp":1786122280706,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005847","name":"Health and Medical Research Fund","doi-asserted-by":"publisher","award":["20211971"],"award-info":[{"award-number":["20211971"]}],"id":[{"id":"10.13039\/501100005847","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Type 2 diabetes (T2D) is associated with increased hip fracture risk. We evaluated the impact of T2D on post\u2010hip fracture outcomes, which is less well described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Individuals aged \u2265\u200960\u2009years hospitalised for hip fractures between 2011 and 2020 were identified from the territory\u2010wide electronic health records of Hong Kong and stratified by their diabetes status at the time of hip fractures. Individuals were followed up from day of admission to outcomes, death, or December 2023, whichever was earlier. Outcomes included in\u2010hospital complications, in\u2010hospital and 1\u2010year mortality, length of hospitalisation, costs, anti\u2010osteoporosis treatment rate and recurrent fractures. Multivariable regression analyses were performed to identify the independent associations between diabetes and various outcomes. We further analysed the subgroup with undiagnosed diabetes for its impact on post\u2010hip fracture outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 52\u2009472 individuals who sustained hip fractures (34.6% had pre\u2010existing diabetes). T2D was independently associated with more cardiovascular, kidney and infective complications during hospitalisation (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and higher 1\u2010year mortality (adjusted HR 1.08, 95% CI 1.04\u20131.13). While in\u2010hospital mortality and length of stay were not significantly different, hospitalisation costs were 4.6% higher in T2D (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Individuals with undiagnosed diabetes showed even higher risks of in\u2010hospital complications and mortality, along with 24.5% higher costs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). T2D did not influence the rate of anti\u2010osteoporosis treatment or recurrent fracture risks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>T2D was associated with worse post\u2010hip fracture outcomes and increased healthcare burdens. Early T2D diagnosis and management, coupled with early attention to bone fragility in T2D, is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.71000","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T03:35:36Z","timestamp":1781667336000},"page":"8084-8093","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Type 2 Diabetes Is Associated With Increased Complications and Mortality After Hip Fracture in Older Adults Aged 60\u2009Years or Older"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5757-5482","authenticated-orcid":false,"given":"Xincheng","family":"Zou","sequence":"first","affiliation":[{"name":"Department of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manju","family":"Chandran","sequence":"additional","affiliation":[{"name":"Osteoporosis and Bone Metabolism Unit, Department of Endocrinology Singapore General Hospital  Singapore"},{"name":"DUKE NUS Medical School  Singapore"},{"name":"Asia Pacific Consortium on Osteoporosis (APCO)  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9418-7448","authenticated-orcid":false,"given":"Xi","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7569-409X","authenticated-orcid":false,"given":"Chi\u2010Ho","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wing\u2010Sun","family":"Chow","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol H. Y.","family":"Fong","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2245-9627","authenticated-orcid":false,"given":"Lawrence C. M.","family":"Lau","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, School of Clinical Medicine, Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4838-378X","authenticated-orcid":false,"given":"Ka\u2010Shing","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Clinical Medicine, Li Ka Shing Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6895-6071","authenticated-orcid":false,"given":"Carlos K. 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