ReviewOTA international : the open access journal of orthopaedic trauma2020
The global burden of musculoskeletal injury in low and lower-middle income countries: A systematic literature review.
Review in OTA international : the open access journal of orthopaedic trauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05823649 (Effect of Early Versus Delayed Postoperative Feeding in Lower Limb Fracture Surgery), which is not on this map. Cited by 31 papers.
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.
Effect of Early Versus Delayed Postoperative Feeding in Lower Limb Fracture Surgery: a Randomized Controlled Trial
Who cites it
31 citing papers in PubMed, 43 citations in OpenAlex.
- Fracture healing: from molecular and cellular mechanisms to therapeutic strategies.Signal transduction and targeted therapy · 2026Review
- Changes in orthopaedic surgical procedures in post-war Afghanistan: A retrospective review of internal fixation procedures at Lashkar-Gah non-governmental organization hospital (2020 - 2023).Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Cost-effectiveness of surgical and conservative interventions for orthopaedic injuries in Malawi: a modelling study.BMJ global health · 2026Article
- Consensus definition and classification of neglected fractures and dislocations: protocol for an international modified Delphi study.BMJ open · 2026Article
- Assessing the Burden of Operatively Managed Extremity Fractures in Malawi: A Tale of Two Tertiary Hospitals.World journal of surgery · 2026Observational
- Folate and global health review series, part 4: syntheses on folate and autoimmune diseases and skeletal outcomes.Journal of global health · 2026Review
- Impact of fracture table availability and usability on surgical decision-making: a national cross-sectional survey of Nigerian orthopaedic surgeons.International orthopaedics · 2026Article
- Clinical and socioeconomic factors associated with return-to-work after upper and lower limb fractures.BMC public health · 2026Observational
- Organisation and support of orthopaedic and trauma services in Tanzania: a national cross-sectional survey.BMJ open · 2026Article
- Access to operative fracture fixation resources and implants in orthopaedic trauma care in low- and middle-income countries: a systematic review.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Article
- Social determinants of health equity for people with pain: from understanding to action.Pain reports · 2026Article
- Factors Associated with Driving Ability and Changes After Immobilization of the Right Lower Limb: A Driving Simulator Study.Journal of clinical medicine · 2025Article
- Breaking ground: insights from a WHO-approved surgical mission amid Sudan's healthcare collapse.Frontiers in public health · 2025Article
- Difficulty in financing fracture care in south-western Nigeria: a prospective cohort study of predictors and recommendations for improvement.BMC public health · 2024Article
- Global Health Inequities in Orthopaedic Care: Perspectives Beyond the US.Current reviews in musculoskeletal medicine · 2024Review
- Predictors of quality of life, economic impact, and loss to follow-up after open tibial shaft fractures in Ghana.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Global, regional, national trends of femur fracture and machine learning prediction: Comprehensive findings and questions from global burden of disease 1990-2019.Journal of orthopaedic translation · 2024Article
- Peer-reviewed publications in orthopaedic surgery from lower income countries: A comparative analysis.SICOT-J · 2024Article
- Orthopedics and Traumatology Skill Matrix for Musculoskeletal System Approach by Medical Graduates.Revista brasileira de ortopedia · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile the global burden of musculoskeletal injury is increasingly recognized, few epidemiologic studies have specifically recorded its incidence or prevalence, particularly in low- and middle-income countries. Understanding the burden of musculoskeletal injury relative to other health conditions is critical to effective allocation of resources to mitigate the disability that results from trauma. The current study aims to systematically review the existing primary literature on the incidence and prevalence of pelvic and appendicular fractures, a major component of musculoskeletal injury, in low- and lower-middle income countries (LMICs).
methodsThis study conforms to the systematic review and traditional meta-analysis guidelines outlined in the PRISMA-P statement. Incidence rates were calculated as the occurrence of new fracture cases per 100,000 person-years, and prevalence as total fracture cases per population sample, reported as percentages.
resultsThe literature search yielded 3497 total citations. There were 21 full-text articles, representing 14 different countries, selected for data extraction. Included studies reported a wide range of incidence and prevalence rates, with an overall mean fracture incidence ranging from 779 (95% CI: 483.0-1188.7) to 1574 (95% CI: 1285.1-1915.1) per 100,000 person-years.
conclusionBetter understanding the unmet burden of musculoskeletal injury in LMICs is critical to effectively allocating resources and advocating for underserved populations. To address existing gaps and heterogeneity within the literature, future research should incorporate population-based sampling with broader geographic representation in LMICs to more accurately capture the burden of disease.
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What 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.