Representation of Developing Countries in Orthopaedic Journals: A Survey of Four Influential Orthopaedic Journals

Aluede, Edward; Phillips, Jonathan J.; Bleyer, J M; Jergesen, Harry E.; Coughlin, Richard

doi:10.1007/s11999-012-2377-5

Cited by 37 publications

(39 citation statements)

References 20 publications

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“…Despite the strain of increasing incidence globally of musculoskeletal disease, there is a paucity of clinical research in orthopaedic surgery emerging from developing countries [2,38]. Research originating in developing countries is necessary to address questions that are of importance specifically to low-resource settings.…”

Section: Introductionmentioning

confidence: 99%

“…This skewed resource allocation is particularly pronounced in the orthopaedic literature where increased global musculoskeletal disease and trauma in the developing world have not been met with a concomitant increase in attention or funding [2,17,30]. Research is a way to contribute lasting change in a lowresource setting and is as important as research performed in a high-resource setting.…”

Section: Introductionmentioning

confidence: 99%

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What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

Elliott

Sonshine

Akhavan

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Research addressing the burden of musculoskeletal disease in low-and middle-income countries does not reflect the magnitude of the epidemic in these countries as only 9% of the world's biomedical resources are devoted to addressing problems that affect the health of 90% of the world's population. Little is known regarding the barriers to and drivers of orthopaedic surgery research in such resource-poor settings, the knowledge of which would help direct specific interventions for increasing research capacity and help surgeons from high-income countries support the efforts of our colleagues in low-and middle-income countries. Purpose We sought to identify through surveying academic orthopaedic surgeons in East Africa: (1) barriers impeding research, (2) factors that support or drive research, and (3) factors that were identified by some surgeons as barriers and others as drivers (what we term barrier-driver overlap) as they considered the production of clinical research in resource-poor environments. Materials Semistructured interviews were conducted with 21 orthopaedic surgeon faculty members at four academic medical centers in Ethiopia, Kenya, Tanzania, and Uganda. Qualitative content analysis of the interviews was conducted using methods based in grounded theory. Grounded theory begins with qualitative data, such as interview transcripts, and analyzes the data for repeated ideas or concepts which then are coded and grouped into categories which allow for identification of subjects or problems that may not have been apparent previously to the interviewer. Results We identified and quantified 19 barriers to and 21 drivers of orthopaedic surgery research (mentioned n = 1688 and n = 1729, respectively). Resource, research process, and institutional domains were identified to This study was supported by private donations to the Institute for Global Orthopaedics and Traumatology (IGOT, San Francisco, CA, USA). No authors received payment or in-kind benefit for this study, nor are any authors members of a company that provided funding to IGOT. Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. categorize the barriers (n = 7, n = 5, n = 7, respectively) and drivers (n = 7, n = 8, n = 6, respectively). Resource barriers (46%) were discussed more often by interview subjects compared with the research process (26%) and institutional barriers (28%). Drivers of research discussed at least once were proportionally similar across the three domains. Some themes such as research ethics boards, technology, and literature access occurred with similar frequency as barriers to and drivers of orthopaedic surgery research. Conclusions The barriers we identified most often among East African academic orthopaedic faculty members focused on resources to accomplish research, followed by institutional barriers, and method or process ba...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

Elliott

Sonshine

Akhavan

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…8 Aluede et al believes that multinational and cross-institutional collaborations and the initiation of educational programmes will generate more studies. 5 The most important step might be the implementation of a mentoring programme. However, the lack of willingness of senior scientists and surgeons, and the lack of protected time are major limitations that must be addressed for this to be successful.…”

Section: Discussionmentioning

confidence: 99%

“…However, the lack of willingness of senior scientists and surgeons, and the lack of protected time are major limitations that must be addressed for this to be successful. 5,21,22 Bennett et al have suggested that mentoring could also be achieved by training mentors in the developed world. 24 Finally the SA Orthopaedic Journal should be encouraged to apply to be indexed on Medline for worldwide dissemination of African-based research.…”

Section: Discussionmentioning

confidence: 99%

Orthopaedic research activity in South Africa measured by publication rates in the 15 highest impact journals related to population size and gross domestic product

2016

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IntroductionResearch is a major component of innovation and can contribute to health improvements through a knowledge-toaction-process. 1 In general, the total number of publications by a country is one of the indicators of research output and productivity and is an important aspect of clinical excellence.2-4 While the developing world contains more than 75%of the world's population and has the largest burden of musculoskeletal disease, less than 10% of publications originate from these countries. 1 Aluede et al. investigated the representation of developing countries in four high impact orthopaedic journals over a three-year period, and determined that less than 0.4% of all articles (n=15) were published by authors from Sub-Saharan Africa, with only six publications originating from South Africa. 5 Abstract Background:The purpose of this study was to investigate the number of publications and impact of South African surgeons in the 15 highest impact orthopaedic journals over a five-year period

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“…Without such data, one can only speculate as to whether adverse clinical outcomes might be related to suboptimal mechanical characteristics of the type observed. Considerable difficulties exist in performing clinical studies in low-income countries to answer such questions, given both the lack of research funding and the challenges in publishing such studies in high-impact orthopaedic journals [17].…”

Section: Discussionmentioning

confidence: 99%

Mechanical behaviour of low-cost dynamic compression plates correlates with manufacturing quality standards

Aluede

McDonald

Jergesen

et al. 2013

International Orthopaedics (SICOT)

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Purpose This study compares the mechanical properties of low-cost stainless steel dynamic compression plates (DCPs) from developing-world manufacturers, adhering to varying manufacturing quality standards, with those of high-cost DCPs manufactured for use in the developed world. Methods Standard-design ten-hole DCPs from six developing-world manufacturers and high-cost DCPs from two manufacturers in the developed world were studied. Nine plates from each manufacturer underwent mechanical testing: six in four-point monotonic bending to assess strength and stiffness and three in four-point bending fatigue. Statistical comparisons of the group means of monotonic bending test data were made, and a qualitative comparison was performed to assess failures in fatigue. Results Low-cost DCPs from manufacturers with at least one manufacturing quality standard had significantly higher bending strength and fewer failures in fatigue than did those from low-cost manufacturers with no recognised quality standards. High-cost DCPs demonstrated greater bending strength than did those in both low-cost groups. There were no differences in stiffness and fatigue failure between highcost DCPs and those low-cost DCPs with quality standards. However, high-cost DCPs were significantly less stiff and had fewer fatigue failures than low-cost DCPs manufactured without such standards. Conclusion Significant differences were found in the mechanical properties of ten-hole DCP plates from selected manufacturers in the developing and developed worlds. These differences correlated with reported quality certification in the manufacturing process. Mechanical analysis of low-cost implants may provide information useful in determining which manufacturers produce implants with the best potential for benefit relative to cost.

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Representation of Developing Countries in Orthopaedic Journals: A Survey of Four Influential Orthopaedic Journals

Cited by 37 publications

References 20 publications

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

Orthopaedic research activity in South Africa measured by publication rates in the 15 highest impact journals related to population size and gross domestic product

Mechanical behaviour of low-cost dynamic compression plates correlates with manufacturing quality standards

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