Evidence map›Paper›PMID 37904582›Full record

ArticleBMJ global health2021

Health systems strengthening to arrest the global disability burden: empirical development of prioritised components for a global strategy for improving musculoskeletal health.

Andrew M Briggs, Carmen Huckel Schneider, Helen Slater, Joanne E Jordan, Sarika Parambath, James J Young, Saurab Sharma, Deborah Kopansky-Giles, Swatee Mishrra, Kristina E Akesson and 29 more

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

Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
16.0field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  17. Global Health Inequities in Orthopaedic Care: Perspectives Beyond the US.Current reviews in musculoskeletal medicine · 2024
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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

39 authors at 20 institutions in 22 countries.

Andrew M BriggsCurtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia a.briggs@curtin.edu.au.ORCID http://orcid.org/0000-0002-6736-3098
Carmen Huckel SchneiderMenzies Centre for Health Policy and Economics, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-7493-3589
Helen SlaterCurtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.ORCID http://orcid.org/0000-0002-4868-4988
Joanne E JordanHealthSense (Aust) Pty, Ltd, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-2625-7985
Sarika ParambathMenzies Centre for Health Policy and Economics, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-1464-4638
James J YoungDepartment of Research, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-1210-3106
Saurab SharmaDepartment of Physiotherapy, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.ORCID http://orcid.org/0000-0002-9817-5372
Deborah Kopansky-GilesDepartment of Research, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-4651-3499
Swatee MishrraSydney Musculoskeletal, Bone and Joint Health Alliance. Institute of Bone and Joint Research, Kolling Institute, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0003-4073-2030
Kristina E AkessonDepartment of Clinical Sciences Malmö, Clinical and Molecular Osteoporosis Research Unit, Lund University, Malmö, Sweden.ORCID http://orcid.org/0000-0003-3024-2804
Nuzhat AliHealth Improvement, Public Health England, London, UK.ORCID http://orcid.org/0000-0003-3807-8535
Joletta BeltonGlobal Alliance of Partners for Pain Advocacy, International Association for the Study of Pain, Washington, DC, USA.ORCID http://orcid.org/0000-0001-5174-1691
Neil BetteridgeNeil Betteridge Associates, London, UK.ORCID http://orcid.org/0000-0001-8844-1158
Fiona M BlythMenzies Centre for Health Policy and Economics, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0003-1128-6756
Richard BrownWorld Federation of Chiropractic, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-2848-5671
Demelash DebereRehabilitation International (Africa Region), Addis Ababa, Ethiopia.ORCID http://orcid.org/0000-0002-9384-9438
Karsten E DreinhöferMedical Park Berlin Humboldtmühle, Berlin, Germany.ORCID http://orcid.org/0000-0001-6021-2804
Laura FinucaneInternational Federation of Orthopaedic Manipulative Physical Therapists Incorporated (IFOMPT), World Physiotherapy, London, UK.ORCID http://orcid.org/0000-0002-3076-4402
Helen E FosterPopulation Health Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0001-8824-2546
Francesca GimiglianoDepartment of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Napoli, Italy.ORCID http://orcid.org/0000-0002-1905-6405
Scott HaldemanDepartment of Neurology, University of California, Irvine, California, USA.ORCID http://orcid.org/0000-0002-8688-9562
Syed A HaqRheumatology Department, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.ORCID http://orcid.org/0000-0003-4154-7283
Ben HorganConsumer and Community Involvement Program, West Australian Health Translation Network, Perth, Western Australia, Australia.ORCID http://orcid.org/0000-0001-5800-4539
Anil JainDepartment of Physical Medicine and Rehabilitation, Santokba Durlabhji Memorial Hospital, Jaipur, India.ORCID http://orcid.org/0000-0002-5979-1164
Manjul JoshipuraAO Alliance Foundation, Davos, Switzerland.ORCID http://orcid.org/0000-0001-5891-8234
Asgar A KallaDepartment of Medicine, University of Cape Town, Cape Town, South Africa.ORCID http://orcid.org/0000-0001-7970-9730
Jakob LotheNorwegian Council for Musculoskeletal Health, Oslo, Norway.ORCID http://orcid.org/0000-0002-1536-7003
Shuichi MatsudaDepartment of Orthopaedic Surgery, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0000-0003-0802-1255
Ali MobasheriResearch Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland.ORCID http://orcid.org/0000-0001-6261-1286
Lillian MwanikiGlobal Alliance for Musculoskeletal Health, Kenya.ORCID http://orcid.org/0000-0003-2653-4978
Margareta C NordinDepartment of Orthopedic Surgery and Environmental Medicine, NYU Grossman School of Medicine, New York University, New York City, NY, USA.ORCID http://orcid.org/0000-0003-0356-8665
Marilyn PattisonWorld Federation of Occupational Therapists (WFOT), London, UK.ORCID http://orcid.org/0000-0002-7976-506X
Felipe J J ReisPhysical Therapy Department, Instituto Federal do Rio de Janeiro (IFRJ), Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-9471-1174
Enrique R SorianoRheumatology Unit, Internal Medicine Services and University Institute, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.ORCID http://orcid.org/0000-0003-3143-1084
Heather TickDepartment of Family Medicine and Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA.ORCID http://orcid.org/0000-0002-8903-2396
James WaddellSaint Michael's Hospital Department of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-9632-6819
Dieter WiekPeople with Arthritis and Rheumatism, European Alliance for Associations for Rheumatology (EULAR), Kilchberg, Switzerland.ORCID http://orcid.org/0000-0002-8778-958X
Anthony D WoolfBone and Joint Research Group, Royal Cornwall Hospitals Trust, Truro, UK.ORCID http://orcid.org/0000-0001-8482-8056
Lyn MarchSydney Musculoskeletal, Bone and Joint Health Alliance. Institute of Bone and Joint Research, Kolling Institute, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0003-1736-8111
The University of Sydney · AUInstitute for Musculoskeletal Health · AUCurtin University · AUAmerican Association of Gynecologic Laparoscopists · USAO Foundation · CHArthritis and Rheumatism Associates · USBangladesh Medical University · BDGovernment of Western Australia Department of Health · AUHospital Italiano de Buenos Aires · ARInternational Association for the Study of Pain · USKathmandu University · NPKyoto University · JPLund University · SEMineral Products Association · GBMore Associates · GBNational Health Service · GBNewcastle University · GBOrthopedic Center · USPublic Health England · GBRoyal Cornwall Hospital Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite the profound burden of disease, a strategic global response to optimise musculoskeletal (MSK) health and guide national-level health systems strengthening priorities remains absent. Auspiced by the Global Alliance for Musculoskeletal Health (G-MUSC), we aimed to empirically derive requisite priorities and components of a strategic response to guide global and national-level action on MSK health.

methodsDesign: mixed-methods, three-phase design.Phase 1: qualitative study with international key informants (KIs), including patient representatives and people with lived experience. KIs characterised the contemporary landscape for MSK health and priorities for a global strategic response.Phase 2: scoping review of national health policies to identify contemporary MSK policy trends and foci.Phase 3: informed by phases 1-2, was a global eDelphi where multisectoral panellists rated and iterated a framework of priorities and detailed components/actions.

resultsPhase 1: 31 KIs representing 25 organisations were sampled from 20 countries (40% low and middle income (LMIC)). Inductively derived themes were used to construct a logic model to underpin latter phases, consisting of five guiding principles, eight strategic priority areas and seven accelerators for action.Phase 2: of the 165 documents identified, 41 (24.8%) from 22 countries (88% high-income countries) and 2 regions met the inclusion criteria. Eight overarching policy themes, supported by 47 subthemes, were derived, aligning closely with the logic model.Phase 3: 674 panellists from 72 countries (46% LMICs) participated in round 1 and 439 (65%) in round 2 of the eDelphi. Fifty-nine components were retained with 10 (17%) identified as essential for health systems. 97.6% and 94.8% agreed or strongly agreed the framework was valuable and credible, respectively, for health systems strengthening.

conclusionAn empirically derived framework, co-designed and strongly supported by multisectoral stakeholders, can now be used as a blueprint for global and country-level responses to improve MSK health and prioritise system strengthening initiatives.

Indexed as

cross-sectional surveyhealth policyhealth services researchhealth systemsqualitative study

Identifiers

PMID37904582
PMCPMC8215245
OpenAlexW3176820494

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.