Orthopaedic and trauma care in low-resource settings: the burden and its challenges

Turner, James; Duffy, Sean

doi:10.1007/s00264-021-05236-6

Cited by 5 publications

(2 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, many LMIC providers only refer to guidelines for needs assessments, advocacy, and policy development purposes, with a minority implementing these recommendations 10,19 . This suggests that the recommended use of locally available resources is critical for effective guidelines 20-22 . The differences in ratings by surgeons in the present study were likely reflective of the availability of the current resources in their respective countries.…”

Section: Discussionmentioning

confidence: 99%

Establishing Consensus on Essential Resources for Musculoskeletal Trauma Care Worldwide

MacKechnie,

Shearer,

Verhofstad

et al. 2023

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

Background: Despite evidence that formalized trauma systems enhance patient functional outcomes and decrease mortality rates, there remains a lack of such systems globally. Critical to trauma systems are the equipment, materials, and supplies needed to support care, which vary in availability regionally. The purpose of the present study was to identify essential resources for musculoskeletal trauma care across diverse resource settings worldwide. Methods: The modified Delphi method was utilized, with 3 rounds of electronic surveys. Respondents consisted of 1 surgeon with expertise in musculoskeletal trauma per country. Participants were identified with use of the AO Trauma, AO Alliance, Orthopaedic Trauma Association, and European Society for Trauma and Emergency Surgery networks. Respondents rated resources on a Likert scale from 1 (most important) to 9 (least important). The “most essential” resources were classified as those rated ≤2 by ≥75% of the sampled group. Results: One hundred and three of 111 invited surgeons completed the first survey and were included throughout the subsequent rounds (representing a 93% response rate). Most participants were fellowship-trained (78%) trauma and orthopaedic surgeons (90%) practicing in an academic setting (62%), and 46% had >20 years of experience. Respondents represented low-income and lower-middle-income countries (LMICs; 35%), upper-middle income countries (UMICs; 30%), and high-income countries (HICs; 35%). The initial survey identified 308 unique resources for pre-hospital, in-hospital, and post-hospital phases of care, of which 71 resources achieved consensus as the most essential. There was a significant difference (p < 0.0167) in ratings between income groups for 16 resources, all of which were related to general trauma care rather than musculoskeletal injury management. Conclusions: There was agreement on a core list of essential musculoskeletal trauma care resources by respondents from LMICs, UMICs, and HICs. All significant differences in resource ratings were related to general trauma management. This study represents a first step toward establishing international consensus and underscores the need to prioritize resources that are locally available. The information can be used to develop effective guidelines and policies, create best-practice treatment standards, and advocate for necessary resources worldwide. Clinical Relevance: This study utilized the Delphi method representing expert opinion; however, this work did not examine patient management and therefore does not have a clinical Level of Evidence.

show abstract

Section: Discussionmentioning

confidence: 99%

Establishing Consensus on Essential Resources for Musculoskeletal Trauma Care Worldwide

MacKechnie,

Shearer,

Verhofstad

et al. 2023

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

show abstract

“…Only in Europe, 21,000 children aged 5-14 suffer traumatic death every year, 36% of these being road traffic related. Fractures are much more frequent but, surprisingly, there is not so much data [14][15][16] on their overall incidence in the world [17], and developing countries.…”

Section: Traumamentioning

confidence: 99%

Growth in musculoskeletal pathology worldwide: the role of Société Internationale de Chirurgie Orthopédique et de Traumatologie and publications

Hernigou

Scarlat

2022

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The world population in 2020 is estimated to be 7.8 billion individuals [1]. The musculoskeletal (MSK) system is subject to over 150 common diseases. The illnesses caused by joint inflammatory syndromes and pain are traditionally managed by general practitioners and rheumatologists. The invalidating degenerative diseases may be treated surgically and non-surgically by orthopaedic and trauma surgeons, who also repair traumatic damages of the musculoskeletal system. Nearly one billion persons experienced a musculoskeletal disorder in 2019. The increase of musculoskeletal disorders is growing every year, faster than the world population, due to the rise of life expectancy in many regions of the globe. The median age of the world population is 30.9 years [2]. Africa has the youngest population, half being under 19.7 years of age. Europe and North America are the areas with the oldest population, with a mean age of 42 years and 25% older than 60 years. Japan has the most senior people, with a mean age of 45 years. More than half of the individuals over 65 years are affected by musculoskeletal diseases (MSD), as the joints are prone to 'wear and tear' with ageing, causing osteoarthritis (OA) and spinal pain.

show abstract

Letter to the Editor: “Orthopaedic and trauma care in low-resource settings: the burden and its challenges”

Makkapati

Dixit

2022

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Orthopaedic and trauma care in low-resource settings: the burden and its challenges

Cited by 5 publications

References 53 publications

Establishing Consensus on Essential Resources for Musculoskeletal Trauma Care Worldwide

Establishing Consensus on Essential Resources for Musculoskeletal Trauma Care Worldwide

Growth in musculoskeletal pathology worldwide: the role of Société Internationale de Chirurgie Orthopédique et de Traumatologie and publications

Letter to the Editor: “Orthopaedic and trauma care in low-resource settings: the burden and its challenges”

Contact Info

Product

Resources

About