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ArticleInternational orthopaedics2024

Disability-adjusted life years from bone and joint infections associated with antimicrobial resistance: an insight from the 2019 Global Burden of Disease Study.

Kai-Uwe Lewandrowski, Roberto Carlos Lyra da Silva, John C Elfar, Abduljabbar Alhammoud, Isam Sami Moghamis, Bendenikt W Burkhardt, Joachim M Oertel, Stefan Landgraeber, Rossano Kepler Alvim Fiorelli, Paulo Sérgio Teixeira de Carvalho and 4 more

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Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

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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

4 citing papers in PubMed.

  1. Article
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  3. Biosynthesis of Silver Nanoparticles viaMolecules (Basel, Switzerland) · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Kai-Uwe LewandrowskiOrthopedics Surgery Department, Center for Advanced Spine Care of Southern Arizona, Tucson, AZ, USA.
Roberto Carlos Lyra da SilvaBasic Nursing Department, Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro, Brazil.
John C ElfarOrthopedics Surgery Department, University of Arizona College of Medicine, Tucson, AZ, USA.
Abduljabbar AlhammoudOrthopedics Surgery Department, University of Arizona College of Medicine, Tucson, AZ, USA. aghammoud85@hotmail.com.ORCID 0000-0002-5721-3029
Isam Sami MoghamisOrthopedics Surgery Department, Hamad Medical Corporation, Doha, Qatar.
Bendenikt W BurkhardtWirbelsäulenzentrum Spine Center - WSC_Hirslanden klinik Zurich, Zurich, Switzerland.
Joachim M OertelDepartment of Neurosurgery, Saarland University Hospital, Hamburg, Germany.
Stefan LandgraeberDepartment of Neurosurgery, Saarland University Hospital, Hamburg, Germany.
Rossano Kepler Alvim FiorelliDepartment of General & Specialized Surgery, Gaffrée e Guinle University Hospital, Rio de Janeiro, Brazil.
Paulo Sérgio Teixeira de CarvalhoPain and Spine Minimally Invasive Surgery Service, Gaffre e Guinle University Hospital, Rio de Janeiro, Brazil.
Ivo AbrahamClinical Translational Science, University of Arizona, Tucson, AZ, USA.
Jorge Felipe Ramírez LeónOrthopedics Surgery Department, Minimally Invasive Spine Center, Bogotá, Colombia.
Ernesto MartinezOrthopedics Surgery Department, Reina Sofia Clinic, Bogotá, Colombia.
Morgan P LorioAdvanced Orthopedics, Punta Gorda, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBone and joint infections, complicated by the burgeoning challenge of antimicrobial resistance (AMR), pose significant public health threats by amplifying the disease burden globally. We leveraged results from the 2019 Global Burden of Disease Study (GBD) to explore the impact of AMR attributed to bone and joint infections in terms of disability-adjusted life years (DALYs), elucidating the contemporary status and temporal trends.

methodsUtilizing GBD 2019 data, we summarized the burden of bone and joint infections attributed to AMR across 195 countries and territories in the 30 years from 1990 to 2019. We review the epidemiology of AMR in terms of age-standardized rates, the estimated DALYs, comprising years of life lost (YLLs) and years lived with disability (YLDs), as well as associations between DALYs and socio-demographic indices.

resultsThe GBD revealed that DALYs attributed to bone and joint infections associated with AMR have risen discernibly between 1990 and 2019 globally. Significant geographical disparities and a positive correlation with socio-demographic indicators were observed. Staphylococcus aureus infections, Group A Streptococcus, Group B Streptococcus, Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae, and Enterobacter-related bone and joint infections were associated with the highest DALYs because of a high proportion of antimicrobial resistance. Countries with limited access to healthcare, suboptimal sanitary conditions, and inconsistent antibiotic stewardship were markedly impacted.

conclusionsThe GBD underscores the escalating burden of bone and joint infections exacerbated by AMR, necessitating urgent, multi-faceted interventions. Strategies to mitigate the progression and impact of AMR should emphasize prudent antimicrobial usage and robust infection prevention and control measures, coupled with advancements in diagnostic and therapeutic modalities.

Indexed as

Disability-Adjusted Life YearsGlobal Burden of DiseaseAnti-Bacterial AgentsArthritis, InfectiousBone Diseases, InfectiousDrug Resistance, BacterialFemaleGlobal HealthHumansMaleQuality-Adjusted Life YearsAnti-Bacterial AgentsAntimicrobial resistanceBone and joint infectionsDisability-adjusted life years

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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.