Evidence map›Paper›PMID 34486080›Full record

ArticleWorld journal of surgery2021

Trauma Training Courses and Programs in Low- and Lower Middle-Income Countries: A Scoping Review.

Rachel J Livergant, Selina Demetrick, Xenia Cravetchi, Janice Y Kung, Emilie Joos, Harvey G Hawes, Abdullah Saleh

Abstract readScoping Review
In one paragraph

Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Effect of trauma life support training on patient outcomes: a systematic review and meta-analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Impact of primary trauma care (PTC) training on post-trauma recovery: a pre-post intervention study of health-related outcomes in Vietnam.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rachel J LivergantOffice of Global Surgery, Department of Surgery, University of Alberta, Walter Mackenzie Health Sciences Centre, 2D2.238440 - 112 Ave NW, Edmonton, AB, T6G 2B7, Canada.ORCID http://orcid.org/0000-0002-3693-6412
Selina DemetrickOffice of Global Surgery, Department of Surgery, University of Alberta, Walter Mackenzie Health Sciences Centre, 2D2.238440 - 112 Ave NW, Edmonton, AB, T6G 2B7, Canada.
Xenia CravetchiOffice of Global Surgery, Department of Surgery, University of Alberta, Walter Mackenzie Health Sciences Centre, 2D2.238440 - 112 Ave NW, Edmonton, AB, T6G 2B7, Canada.
Janice Y KungJohn W. Scott Health Sciences Library, University of Alberta, Walter C. Mackenzie Health Sciences Centre, 2K3.288440 - 112 Ave NW, Edmonton, AB, T6G 2R7, Canada.
Emilie JoosDivision of General Surgery, Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Jim Pattison Pavilion, 899 W 12th Ave, Vancouver, BC, V5Z 1M9, Canada.
Harvey G HawesDivision of General Surgery, Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Jim Pattison Pavilion, 899 W 12th Ave, Vancouver, BC, V5Z 1M9, Canada.
Abdullah SalehOffice of Global Surgery, Department of Surgery, University of Alberta, Walter Mackenzie Health Sciences Centre, 2D2.238440 - 112 Ave NW, Edmonton, AB, T6G 2B7, Canada. assaleh@ualberta.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInjury is the leading cause of morbidity and mortality in low- and lower middle-income countries (LMICs). Trauma training is a cost-effective way to improve injury outcomes. Several trauma programs have been implemented in LMICs; however, their scope and effectiveness remain unclear. In this review, we sought to describe and assess the current state of trauma training in LMICs.

methodsWe searched MEDLINE, Embase, Global Health, Cochrane Library, and ProQuest Dissertations & Theses Global for trauma training courses in LMICs. An additional gray literature search was conducted on university, governmental, and non- governmental organizations' websites to identify trauma-related postgraduate medical education (PGME) opportunities.

resultsMost studies occurred in sub-Saharan Africa and participants were primarily physicians/surgeons, medical students/residents, and nurses. General and surgical trauma management courses were most common, followed by orthopedic trauma or plastic surgery trauma/burn care courses. 32/45 studies reported on participant knowledge and skills, 27 of which had minimal follow-up. Of the four studies commenting on cost of courses, only one demonstrated cost-effectiveness. Three articles evaluated post-course effects on patient outcomes, two of which failed to demonstrate significant improvements. Overall, 43.0% of LMICs have PGME programs with defined trauma competency requirements.

conclusionsCurrent studies on trauma training in LMICs do not clearly demonstrate sustainability, cost-effectiveness, nor improved outcomes. Trauma training programs should be in response to a need, championed locally, and work within a cohesive system to demonstrate concrete benefits. We recommend standardized and contextualized trauma training with recertifications in LMICs for lasting and improved trauma care.

Indexed as

Developing CountriesEducation, MedicalHumansPoverty

Identifiers

PMID34486080
PMCPMC8572832

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.