Evidence map›Paper›PMID 36875324›Full record

ArticleInternational journal of surgery protocols2023

The Impact of Trauma System Implementation on Patient Quality of Life and Economic Burden: A Systematic Review Study Protocol.

Michael F Bath, Katharina Kohler, Laura Hobbs, Isla Kuhn, William M Nabulyato, Arthur Kwizera, Laura E Walker, Tom Wilkins, Daniel Stubbs, Sara Halimah and 5 more

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of surgery protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 15% of its field
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. 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

15 authors at 4 institutions in 6 countries.

Michael F BathNIHR Global Health Research Group on Acquired Brain and Spine Injury, Department of Engineering & Division of Anaesthesia, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0003-1879-1093
Katharina KohlerNIHR Global Health Research Group on Acquired Brain and Spine Injury, Department of Engineering & Division of Anaesthesia, University of Cambridge, Cambridge, UK.
Laura HobbsNIHR Global Health Research Group on Acquired Brain and Spine Injury, Department of Engineering & Division of Anaesthesia, University of Cambridge, Cambridge, UK.
Isla KuhnUniversity of Cambridge Medical Library, University of Cambridge, Cambridge, UK.
William M NabulyatoNIHR Global Health Research Group on Acquired Brain and Spine Injury, Department of Engineering & Division of Anaesthesia, University of Cambridge, Cambridge, UK.
Arthur KwizeraDepartment of Anaesthesia and Intensive Care, Makerere University College of Health Sciences, Kampala, Uganda.
Laura E WalkerDepartment of Emergency Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Tom WilkinsSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Daniel StubbsDepartment of Perioperative, Acute, Critical Care, and Emergency Medicine, Department of Medicine, University of Cambridge, UK.
Sara HalimahWorld Health Organisation Trauma Operational and Advisory team, UK.
Rowan BurnsteinNIHR Global Health Research Group on Acquired Brain and Spine Injury, Department of Engineering & Division of Anaesthesia, University of Cambridge, Cambridge, UK.
Angelos G KoliasNIHR Global Health Research Group on Acquired Brain and Spine Injury, Division of Academic Neurosurgery, University of Cambridge, Cambridge, UK.
Peter HutchinsonNIHR Global Health Research Group on Acquired Brain and Spine Injury, Department of Engineering & Division of Anaesthesia, University of Cambridge, Cambridge, UK.
John ClarksonNIHR Global Health Research Group on Acquired Brain and Spine Injury, Department of Engineering & Division of Anaesthesia, University of Cambridge, Cambridge, UK.
Tom BashfordNIHR Global Health Research Group on Acquired Brain and Spine Injury, Department of Engineering & Division of Anaesthesia, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0003-0228-9779
University of Cambridge · GBWorld Health Organization - Pakistan · PKMakerere University · UGMayo Clinic · US

Funding

Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

Background: Trauma accounts for 10% of global mortality, with increasing rates disproportionally affecting low- and middle-income countries. In an attempt to improve clinical outcomes after injury, trauma systems have been implemented in multiple countries over recent years. However, whilst many studies have subsequently demonstrated improvements in overall mortality outcomes, less is known about the impact trauma systems have on morbidity, quality of life, and economic burden. This systematic review seeks to assess the existing evidence base for trauma systems with these outcome measures. Methods: This review will include any study that assesses the impact implementation of a trauma system has on patient morbidity, quality of life, or economic burden. Any comparator study, including cohort, case-control, and randomised controlled studies, will be included, both retrospective or prospective in nature. Studies conducted from any region in the world and involving any age of patient will be included. We will collect data on any morbidity outcomes, health-related quality of life measures, or health economic assessments reported. We predict a high heterogeneity in these outcomes used and will therefore keep inclusion criteria broad. Discussion: Previous reviews have shown the significant improvements that can be achieved in mortality outcomes with the implementation of an organised trauma system, however the wider impact they can have on morbidity outcomes, quality of life measures, and the economic burden of trauma, is less well described. This systematic review will present all available data on these outcomes, helping to better characterise both the societal and economic impact of trauma system implementation. Highlights: Trauma systems are known to improve mortality rates, however less in known on the impact they have on morbidity outcomes, quality of life, and economic burdenWe aim to perform a systematic review to identify any comparator study that assesses the impact implementation of a trauma system on these outcomesUnderstanding the impact trauma systems can have on wider parameters, such as economic and quality of life outcomes, is crucial to allow governments globally to appropriately allocate often limited healthcare resources.

Indexed as

Economic BurdenMorbidityQuality of LifeTrauma Systems

Identifiers

PMID36875324
PMCPMC9983497
OpenAlexW4319748031

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.