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ArticleInternational orthopaedics2025

Challenges in orthopaedic data collection in Gaza Strip: observational findings and bibliometric analysis.

Abdullah Ghali, Harris Hafeez, Abdulwhhab Abu Alamrain, Zina Smadi, Tahir Qasim, Bilal Irfan, Mark Perlmutter, Ali Elaydi

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Article in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
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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

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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

8 citing papers in PubMed.

  1. Maternal and neonatal outcomes in Gaza amid armed hostilities in 2025.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
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4 · The record

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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

8 authors.

Abdullah GhaliBaylor College of Medicine, Houston, USA. abdullah.ghali@bcm.edu.
Harris HafeezBaylor College of Medicine, Houston, USA.
Abdulwhhab Abu AlamrainOrthopaedic Department, Al-Aqsa Martyrs Hospital, Deir Al-Balah, Gaza Strip, Palestine.
Zina SmadiUniversity of Jordan, Amman, Jordan.
Tahir QasimThe University of Texas Health Science Center at Houston, Houston, USA.
Bilal IrfanBrigham and Women's Hospital, Boston, USA.
Mark PerlmutterPalestine American Medical Association, Fairfax, VA, USA.
Ali ElaydiYale University, New Haven, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim is to showcase the urgent need for improved data infrastructure and international collaboration by highlighting the barriers to comprehensive orthopaedic documentation and quantifying the scope and nature of scholarly research on Gaza's healthcare crisis.

methodsData was collected through integration of observational field notes, informal interviews, patient record reviews and a bibliometric analysis of peer-reviewed articles on the 2023-2025 armed escalations in Gaza.

resultsThe review of patient documentation during surgical missions in Gaza revealed significant gaps in critical clinical information, including surgical history, microbiology data, and postoperative instructions, which hindered patient care. Frequent damage to records due to resource shortages and bombardments, along with issues in retrieving imaging data, further exacerbated these challenges. Bibliometric analysis showed that most studies were retrospective, focusing on trauma care and limb salvage, reflecting the difficulty of conducting prospective research in a conflict zone. Of the 114 publications reviewed, only three (2.6%) met inclusion criteria, with two of them involving Gaza-based Palestinian authors, despite barriers like power outages, limited journal access, and resource constraints.These findings highlight the resilience of Gaza's healthcare workers and the need for improved infrastructure, standardized documentation, and international partnership to enhance patient outcomes and strengthen global orthopaedic research.

conclusionOrthopaedic documentation in Gaza is hampered by the compound impacts of recurrent conflict, infrastructural decay, and constrained academic output. Observational findings reveal the fragility of paper-based systems, while a bibliometric survey underscores the paucity of locally driven, empirical research. International efforts are needed to overcome these barriers for improved data infrastructure.

Indexed as

BibliometricsData CollectionOrthopedicsHumansMiddle EastBibliometric AnalysisGazaGaza Healthcare ChallengesOrthopaedic DataOrthopaedic TraumaWar injuries

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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.