SynthesisBulletin of the World Health Organization2016
Uptake of the World Health Organization's trauma care guidelines: a systematic review.
Synthesis in Bulletin of the World Health Organization, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Guidelines for Essential Trauma Care: Second Edition (2026).World journal of surgery · 2026Guideline
- Pediatric traumatic brain injury prehospital guidelines: a systematic review and appraisal.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Pooled it
- Pooled it
- Strengthening trauma care in low- and middle-income countries through guideline adaptation and scalable system reforms.World journal of methodology · 2026Review
- Trauma care in Morocco: observations and opportunities from an American Association for the Surgery of Trauma (AAST) delegation visit.Trauma surgery & acute care open · 2026Article
- 2026 Donald Trunkey Lecture: strengthening care for the injured globally: successes, challenges, opportunities.Trauma surgery & acute care open · 2026Review
- Severe dengue in adults admitted to intensive care units on réunion island: clinical spectrum, outcomes, and predictors of mortality.Critical care (London, England) · 2025Article
- Preventable trauma deaths and health system strengthening recommendations: findings from a multi-disciplinary expert panel review of trauma deaths in the Western Cape, South Africa.BMC public health · 2025Article
- Dissecting inequity: global systematic review of trauma clinical guidance.Trauma surgery & acute care open · 2025Article
- Better way: initial acceptability testing of using artificial intelligence tools to accelerate development of trauma clinical guidance.Trauma surgery & acute care open · 2025Article
- Article
- Preventable trauma deaths in the Western Cape of South Africa: A consensus-based panel review.PLOS global public health · 2024Article
- Reducing the incidence and mortality of traumatic brain injury in Latin America.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Review
- Article
- Context and priorities for health systems strengthening for pain and disability in low- and middle-income countries: a secondary qualitative study and content analysis of health policies.Health policy and planning · 2023Article
- Standardization of Trauma, General Surgical Morbidity and Mortality Conferences: Development and Dissemination of a "Toolkit" in Peru.World journal of surgery · 2023Article
- Computer-interpretable guidelines: electronic tools to enhance the utility of thyroid nodule clinical practice guidelines and risk stratification tools.Frontiers in endocrinology · 2023Article
- Implementation of the World Health Organization Global Burn Registry: Lessons Learned.Annals of global health · 2022Article
- The impact of trauma systems on patient outcomes.Current problems in surgery · 2021Article
- Variations in processes for guideline adaptation: a qualitative study of World Health Organization staff experiences in implementing guidelines.BMC public health · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo understand the degree to which the trauma care guidelines released by the World Health Organization (WHO) between 2004 and 2009 have been used, and to identify priorities for the future implementation and dissemination of such guidelines.
methodsWe conducted a systematic review, across 19 databases, in which the titles of the three sets of guidelines - Guidelines for essential trauma care, Prehospital trauma care systems and Guidelines for trauma quality improvement programmes - were used as the search terms. Results were validated via citation analysis and expert consultation. Two authors independently reviewed each record of the guidelines' implementation.
findingsWe identified 578 records that provided evidence of dissemination of WHO trauma care guidelines and 101 information sources that together described 140 implementation events. Implementation evidence could be found for 51 countries - 14 (40%) of the 35 low-income countries, 15 (32%) of the 47 lower-middle income, 15 (28%) of the 53 upper-middle-income and 7 (12%) of the 59 high-income. Of the 140 implementations, 63 (45%) could be categorized as needs assessments, 38 (27%) as endorsements by stakeholders, 20 (14%) as incorporations into policy and 19 (14%) as educational interventions.
conclusionAlthough WHO's trauma care guidelines have been widely implemented, no evidence was identified of their implementation in 143 countries. More serial needs assessments for the ongoing monitoring of capacity for trauma care in health systems and more incorporation of the guidelines into both the formal education of health-care providers and health policy are needed.
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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.