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Hand injuries in low- and middle-income countries: systematic review of existing literature and call for greater attention.
Siotos, C; Ibrahim, Z; Bai, J; Payne, R M; Seal, S M; Lifchez, S D; Hyder, A A.
Afiliación
  • Siotos C; Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD 21205, USA.
  • Ibrahim Z; The Institute for Advanced Reconstruction, 535 Sycamore Ave, Shrewsbury NJ 07702, USA. Electronic address: zuhaib.ibrahim@gmail.com.
  • Bai J; University of Maryland, School of Medicine, 655 W. Baltimore Street, Baltimore, MD 21201, USA.
  • Payne RM; Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD 21205, USA.
  • Seal SM; Welch Medical Library, Johns Hopkins University, 1900 E Monument St, Baltimore, MD 21205, USA.
  • Lifchez SD; Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD 21205, USA.
  • Hyder AA; Johns Hopkins Bloomberg School of Public Health, Department of International Health & International Injury Research Unit, 615 N Wolfe St, Baltimore, MD 21205, USA.
Public Health ; 162: 135-146, 2018 Sep.
Article en En | MEDLINE | ID: mdl-30056313
OBJECTIVES: Hand injuries result in major healthcare costs from lack of productivity and disability. With rapid industrialization, the incidence of hand injuries is expected to rise in low- and middle-income countries (LMICs). However, estimates of burden and validated outcome tools are needed for effective resource allocation in the management of these injuries. STUDY DESIGN: We conducted a systematic review to evaluate the burden of hand injuries in LMICs according to Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. METHODS: We searched PubMed, Scopus, Embase, Cochrane Library, PAIS International, African Index Medicus, Global Health, IMMEMR, IMSEAR, Wholis and Bdenf, Lilacs, Scielo, WPRIM, and WHO International Clinical Trials Registry Platform to detect eligible articles with no restrictions on length of follow-up, type of hand injury, or date. RESULTS: We included 17 articles after screening 933 eligible articles based on title, abstract, and full-text screening. There was significant heterogeneity and low quality of evidence. All included articles suggest that hand injuries were associated with work limitations for the majority of patients, and residual pain can further limit their activities. Direct and indirect costs related to treatment account for a major healthcare burden with limited evidence on estimates of long-term cost from disability. CONCLUSIONS: The present systematic review highlights the paucity of high-quality data on the epidemiology, management, and burden of hand injuries in LMICs. The data are heterogeneous, and comprehensive metrics are lacking. Because hand injuries can account for a significant proportion of injury-related disability, reducing the overall burden of hand injuries is of utmost importance.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Países en Desarrollo / Traumatismos de la Mano Tipo de estudio: Clinical_trials / Guideline / Systematic_reviews Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: Public Health Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Países en Desarrollo / Traumatismos de la Mano Tipo de estudio: Clinical_trials / Guideline / Systematic_reviews Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: Public Health Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos