Evidence map›Paper›PMID 41005998›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

The hidden epidemiology of trauma in Nunavik: a call for a dedicated trauma registry.

Lilly Groszman, Natasha G Caminsky, Jeremy Grushka, Larry Watt, Nathalie Boulanger, Faiz Ahmad Khan, Tarek Razek, Paola Fata, Kosar Khwaja, Dan Deckelbaum and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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. Canadian journal of surgery. Journal canadien de chirurgie
    Article
  2. Is Canadian trauma care still salvageable?Canadian journal of surgery. Journal canadien de chirurgie
    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

13 authors.

Lilly GroszmanFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Natasha G CaminskyFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Jeremy GrushkaFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Larry WattFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Nathalie BoulangerFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Faiz Ahmad KhanFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Tarek RazekFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Paola FataFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Kosar KhwajaFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Dan DeckelbaumFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Atif JastaniahFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Katherine McKendyFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger).
Evan G WongFrom the Faculty of Medicine and Health Sciences, McGill University, Montréal, Que. (Groszman, Khan); the Division of Trauma and General Surgery, Department of Surgery, McGill University Health Centre, Montreal General Hospital Site, Montréal, Que. (Groszman, Caminsky, Grushka, Razek, Fata, Khwaja, Deckelbaum, Jastaniah, McKendy, Wong); Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt, Boulanger) evan.wong@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelivering trauma care in Nunavik is challenging. Despite the benefits of trauma registries, no routine data collection captures data from Nunavik patients in Quebec's provincial database. We sought to compare trauma epidemiology from data collected on site in Nunavik with data from a governmental registry at a tertiary centre, hypothesizing sufficient cohort differences to justify a dedicated registry.

methodsWe conducted a retrospective review of 2 cohorts (2015 to 2019). The first cohort included patients at Kuujjuaq's Centre de santé Tulattavik de l'Ungava or Puvirnituq's Centre de santé Inuulitisivik (the Nunavik cohort) and the second cohort included patients admitted to the provincial referral centre for the Nunavimmiut at the Montreal General Hospital (MGH). Nunavik data were collected through chart review, while MGH data were obtained from the McGill University Health Centre Trauma Registry. We analyzed patient demographics, injury mechanisms, transfer characteristics, and modifiable risk factors using descriptive statistics.

resultsWe identified 776 patients in the Nunavik cohort, of whom 42.0% were transferred to the MGH. Of all 776 trauma patients in Nunavik, only 14.3% were captured in the trauma registry. Among those transferred to the MGH, 33.9% were recorded in the registry, highlighting a gap in data representation. Patients in the Nunavik cohort were significantly younger (30 yr v. 37 yr,

conclusionData from many patients from Nunavik are not captured in the governmental database, with the trauma epidemiology in the region significantly differing from those presenting to the tertiary centre. A dedicated prospective, sustainable registry is needed to improve quality of care and outcomes in Nunavik.

Indexed as

RegistriesWounds and InjuriesAdolescentAdultAgedFemaleHumansMaleMiddle AgedQuebecRetrospective StudiesYoung Adult

Identifiers

PMID41005998
PMCPMC12479136

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Registered trials

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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.