SynthesisWorld journal of surgery2014
Clubfoot care in low-income and middle-income countries: from clinical innovation to a public health program.
Synthesis in World journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The role of clubfoot training programmes in low- and middle-income countries: a systematic review.Tropical doctor · 2020Pooled it
- What factors impact on the implementation of clubfoot treatment services in low and middle-income countries?: a narrative synthesis of existing qualitative studies.BMC musculoskeletal disorders · 2018Pooled it
- Factors responsible for dropout in the Ponseti method of clubfoot treatment: A cross-sectional study.Qatar medical journal · 2024Review
- Surgically Correctable Congenital Anomalies: Reducing Morbidity and Mortality in the First 8000 Days of Life.World journal of surgery · 2023Review
- Assessing awareness and knowledge level of clubfoot among a rural city population in Saudi Arabixsa: A cross-sectional study.Journal of family medicine and primary care · 2023Article
- Eight-year Review of a Clubfoot Treatment Program in Pakistan With Assessment of Outcomes Using the Ponseti Technique: A Retrospective Study of 988 Patients (1,458 Clubfeet) Aged 0 to 5 Years at Enrollment.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Romanian patients' access to clubfoot treatment services.Journal of medicine and life · 2022Article
- Diagnosis and Treatment of Idiopathic Congenital Clubfoot.Pediatrics · 2022Review
- A Community Audit of 300 "Drop-Out" Instances in Children Undergoing Ponseti Clubfoot Care in Bangladesh-What Do the Parents Say?International journal of environmental research and public health · 2021Article
- The Health Determinants of Accessibility to Clubfoot Treatment in LMICs: A Global Exploration of Barriers and Solutions.International journal of MCH and AIDS · 2021Article
- Clubfoot deformity in the Solomon Islands: MelanesianJournal of children's orthopaedics · 2020Article
- Higher Rates of Achilles Tenotomy after a Didactic Session on Ponseti Method.The archives of bone and joint surgery · 2020Article
- The feasibility of a training course for clubfoot treatment in Africa: A mixed methods study.PloS one · 2018Article
- What is new in idiopathic clubfoot?Current reviews in musculoskeletal medicine · 2016Review
- Whole genome sequencing identifies ANXA3 and MTHFR mutations in a large family with an unknown equinus deformity associated genetic disorder.Molecular biology reports · 2016Article
- Talipes equinovarus or Clubfoot: A review of study approaches, management and trends in Pakistan.Pakistan journal of medical sciencesReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClubfoot occurs in nearly 1 in every 1,000 live births worldwide, representing a significant burden of disease. In high-income countries, an evidence-based treatment protocol utilizing sequential casting was pioneered by Ponseti and has resulted in excellent outcomes among children treated for this condition. However, treatment methods and results of treatment vary greatly across low- and middle-income countries (LMICs). Our goal was to create a framework for understanding how effective programs that treat clubfoot in LMICs choose and organize their activities.
methodsA systematic literature review was conducted using the keywords "developing countries" and "clubfoot." A public health analysis model known as the Care Delivery Value Chain (CDVC) was applied to discover public health practices that would optimize value over the entire course of a patient's life.
resultsThe literature review yielded 32 unique results, seven of which met our inclusion and exclusion criteria. Review of the bibliographies yielded two additional papers for a total of nine papers. We identified seven vital steps in the clubfoot cycle of care and constructed a CDVC.
conclusionsThe analysis of this CDVC model suggests six best practices that are essential to successfully scaling up clubfoot treatment programs and ensuring excellent clinical outcomes: (1) diagnosing clubfoot early; (2) organizing high-volume Ponseti casting centers; (3) using nonphysician health workers; (4) engaging families in care; (5) addressing barriers to access; (6) providing follow-up in the patient's community. These practices must be adapted to each context. Applying them will optimize outcomes when designing public health programs that deliver clubfoot care in LMICs.
Indexed as
Identifiers
24213946What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.