Evidence map›Paper›PMID 41122101›Full record

ReviewThe archives of bone and joint surgery2025

Iran's Orthopaedic Landscape: Distribution, Per-capita Ratios, Female Inclusion, and Academic Standing among Residents and Surgeons.

Amir Human Hoveidaei, Mohammad Amin Khadembashiri, Mohammad Reza Ramezanpour, Omid Bahrami, Reza Niakan, Fatemeh Rashidi, Sina Esmaeili

Abstract readReview
In one paragraph

Review in The archives of bone and joint surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Amir Human HoveidaeiInternational Center for Limb Lengthening, Rubin Institute for Advanced Orthopaedic s, Sinai Hospital of Baltimore, Baltimore, Maryland, USA.
Mohammad Amin KhadembashiriSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Reza RamezanpourSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Omid BahramiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Reza NiakanStudent Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Fatemeh RashidiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Sina EsmaeiliSina University Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Iran's orthopaedic surgery care is facing significant challenges due to an aging population and the increasing prevalence of chronic medical conditions such as osteoarthritis, fractures, and trauma. These challenges underscore the pressing need for a more equitable distribution of the orthopaedic workforce. This study aimed to assess the per capita ratios and geographical distribution of orthopaedic surgeons (OSs) in Iran, as well as their distribution in academic and non-academic settings. Additionally, the involvement and scientific productivity of women in orthopaedic s were examined. Methods: This study investigated the distribution, per-capita ratios, and academic status of OSs and trainees in Iran, and compared these parameters with those in Turkey and the UK. This study used data from the Islamic Republic of Iran Medical Council, the Iranian Scientometrics Information Database, and the population census to indicate an uneven distribution of OSs across Iran. Results: The per capita ratio of OSs in Iran (3.13) is lower than in Turkey (4.00) and the United Kingdom (8.00), highlighting disparities in healthcare infrastructure and economic resources in low-income countries. Notably, 33.6% of Iranian OSs reside in Tehran, contributing to unequal access to care. Furthermore, female representation in orthopaedic s remains limited, with only 3.5% of OSs being women. These academic surgeons have a median H-index of 4, which is lower than that of their counterparts in Canada and the United States. Conclusion: The study emphasized the significance of governmental reforms and incentives in promoting equitable distribution, gender diversity, and academic progress within Iran's orthopaedic workforce. Financial incentives, advanced facilities, and career advancement opportunities could enhance academic involvement and diversity. Improving the distribution of surgeons, increasing support for women in orthopaedic, and fostering academic interests are essential steps toward achieving equitable healthcare and boosting scientific output in Iran.

Indexed as

Gender disparityOrthopaedicsOrthopaedic surgeonOrthopaedic workforce distribution

Identifiers

PMID41122101
PMCPMC12536970

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.