Evidence map›Paper›PMID 41889366›Full record

ArticleBone & joint open2026

Musculoskeletal injury research in sub-Saharan Africa : a ten-year bibliometric analysis of research outputs from Malawi, South Africa, and Tanzania.

Robyn Waters, Shahd Osman, Maritz Laubscher, Sithombo Maqungo, Nyengo Mkandawire, Billy Haonga, George Njambilo, Matthew L Costa, Linda Chokotho, Simon Matthew Graham and 39 more

Abstract read
In one paragraph

Article in Bone & joint open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

49 authors.

Robyn WatersOrthopaedic Research Unit, Division of Orthopaedic Surgery, Department of Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-1101-6062
Shahd OsmanFederal Ministry of Health, Khartoum, Sudan.ORCID 0000-0002-9646-1754
Maritz LaubscherOrthopaedic Research Unit, Division of Orthopaedic Surgery, Department of Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-5989-8383
Sithombo MaqungoOrthopaedic Research Unit, Division of Orthopaedic Surgery, Department of Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-8735-8341
Nyengo MkandawireKamuzu University of Health Sciences, Blantyre, Malawi.ORCID 0000-0002-1357-8173
Billy HaongaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
George NjambiloMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0009-0002-0814-5637
Matthew L CostaOxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0003-3644-1388
Linda ChokothoCenter for Clinical and Biological Sciences Research (CCBSR), Academy of Medical Sciences, Malawi University of Science and Technology, Thyolo, Malawi.ORCID 0000-0003-1569-3885
Simon Matthew GrahamOxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Sciences, University of Oxford, Oxford, UK.
National Institute for Health and Care Research Global Health Research Group on Global Injury
Vincent Mkochi
Chiku Mpanga
Marc Henrion
Chipiliro Moffat
Bruce M Biccard
Richard Matzopoulos
Tracey Smythe
Nosipho Mncwabe
Kirsty Berry
Bibi Mumba
Wonderful Khumalo
Patrick Ngunyale
Obedi Emmanuel
Juma Mfinanga
John Mbanga
Dorkasi L Mwakawanga
David G Lalloo
William J Harrison
Jonathan Cook
Stavros Petrou
Daniel C Perry
Sarah Drew
Duncan Appelbe
Juul Achten
Molly Glaze
Abigail Shaw
Claude Martin
David Shearer
Grace Drury
James Masters
Saima Sheikh
Annabel Morley
Jimmy Olomi
Nathaniel Scherer
Sumayyah Rashan
Chantelle Mbugua
Lacey Smith
Madeline Mackechnie

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Musculoskeletal (MSK) injuries pose a significant health burden across sub-Saharan Africa (SSA). Despite this, regional research output is limited, constrained by insufficient infrastructure, limited funding, and underdeveloped research capacity. This bibliometric analysis examined research outputs and collaboration patterns in MSK injury research across three SSA countries, representing a spectrum of income levels: low, lower-middle, and upper-middle income. Methods: MSK injury research articles from Malawi (MLW), South Africa (SA), and Tanzania (TZN), published between January 2014 and April 2024, were identified using Web of Science and Scopus databases, and cross-referenced with ResearchGate. Data were analyzed descriptively in Excel, and institutional coauthorship and collaboration networks were mapped using VOSviewer. Results: A total of 329 articles were published across MLW (n = 98), SA (n = 141), and TZN (n = 90) between January 2014 and April 2024. We report a steady increase in the number of publications from 2014, with a research focus on fracture management, outcomes, and lower limb injuries. Most of the research was published in partnership with high-income countries (HICs) (SA: 51%, MLW: 98%, TZN: 87%), with high-income country (HIC) institutions dominating first and last authorship in MLW (68% and 61%) and TZN (59% and 69%) publications. Most studies were descriptive and based on secondary records. Institutional networks showed strong regional collaboration in SA, international focus in MLW, and limited connectivity in TZN. Conclusion: MSK injury research is increasing across MLW, SA, and TZN, but remains largely HIC-led and descriptive, particularly in lower-income countries. Strengthening local leadership, regional collaboration, and research capacity is essential for more sustainable and context-specific evidence generation.

Identifiers

PMID41889366
PMCPMC13022721

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.