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RESEARCH PRODUCT
Global trends of hand and wrist trauma: A systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Study
Michael T. ChungDaniel Y. ChoGdiom Gebreheat AbadyBerhe GebremichaelYousef KhaderAli BijaniMohammad A. Mohseni BandpeiAntonio M. BorzìKiana RamezanzadehAdam Belay WondmienehTheo VosTuomo J. MeretojaSimon I. HayAdnan KisaGabriel Catalin SmarandacheAmir KasaeianNicholas L S RobertsNavid RabieeShane D. MorrisonMaciej BanachMaciej BanachHai Quang PhamZichen LiuSaeed ShahabiEjaz Ahmad KhanTinuke O. OlagunjuAbadi Kahsu GebreRoba KhundkarNikolay Ivanovich BrikoJuanita A. HaagsmaIrfan UllahJames ChangSaeed SafariSezer KisaBerhe Etsay TesfayArvin Haj-mirzaianMukhammad David NaimzadaAbdollah Mohammadian-hafshejaniGebre Teklemariam DemozGebre Teklemariam DemozDimas Ria Angga PribadiBenjamin B. MassenburgZachary V DingelsFlorian FischerLeonardo RoeverHoa Thi DoChi Linh HoangDuduzile NdwandweAhmad DaryaniRovshan KhalilovZhi-jiang ZhangRohollah KalhorAmir Vahedian-azimiDemelash Woldeyohannes HandisoTed R. MillerTed R. MillerParviz VahediAna Laura MandaMarek MajdanKavitha RanganathanLidia Sanchez RieraVahid AlipourDillon O SylteHuong Lan Thi NguyenDawit Habte WoldeyesFares AlahdabJalal ArablooAli ManafiMalke AsaadAndrew T OlagunjuReza MohammadpourhodkiAli H. MokdadSeyed Sina Naghibi IrvaniJacek Jerzy JozwiakJeffrey B. FriedrichBach Xuan TranNavid ManafiNavid ManafiChris D CastleJack T FoxChristopher S. CroweAbdallah M. SamySpencer L. JamesTakeshi FukumotoCuong Tat Nguyensubject
Malemedicine.medical_treatmentHandsWristburden of diseaseGlobal HealthGlobal Burden of Disease0302 clinical medicineLIFE EXPECTANCY1506030212 general & internal medicinehand injuryPOPULATIONOriginal Research030222 orthopedicseducation.field_of_studyIncidenceIncidence (epidemiology)Hand InjuriesWristsWristWrist Injuries3142 Public health care science environmental and occupational health3. Good healthPREVALENCEmedicine.anatomical_structureFemaleQuality-Adjusted Life YearsTERRITORIESdescriptive epidemiologymedicine.medical_specialtyPopulation195 COUNTRIESThumbAmputation Surgical03 medical and health sciencesAGEmedicineTraumasHumanseducationHand injurySEX-SPECIFIC MORTALITYbusiness.industryPublic Health Environmental and Occupational HealthEASTERN-EUROPEAmputationsmedicine.diseaseNumerical digitAmputationHEALTH-CAREPhysical therapyLife expectancyINJURIESbusinessFracturesdescription
BackgroundAs global rates of mortality decrease, rates of non-fatal injury have increased, particularly in low Socio-demographic Index (SDI) nations. We hypothesised this global pattern of non-fatal injury would be demonstrated in regard to bony hand and wrist trauma over the 27-year study period.MethodsThe Global Burden of Diseases, Injuries, and Risk Factors Study 2017 was used to estimate prevalence, age-standardised incidence and years lived with disability for hand trauma in 195 countries from 1990 to 2017. Individual injuries included hand and wrist fractures, thumb amputations and non-thumb digit amputations.ResultsThe global incidence of hand trauma has only modestly decreased since 1990. In 2017, the age-standardised incidence of hand and wrist fractures was 179 per 100 000 (95% uncertainty interval (UI) 146 to 217), whereas the less common injuries of thumb and non-thumb digit amputation were 24 (95% UI 17 to 34) and 56 (95% UI 43 to 74) per 100 000, respectively. Rates of injury vary greatly by region, and improvements have not been equally distributed. The highest burden of hand trauma is currently reported in high SDI countries. However, low-middle and middle SDI countries have increasing rates of hand trauma by as much at 25%.ConclusionsCertain regions are noted to have high rates of hand trauma over the study period. Low-middle and middle SDI countries, however, have demonstrated increasing rates of fracture and amputation over the last 27 years. This trend is concerning as access to quality and subspecialised surgical hand care is often limiting in these resource-limited regions.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-03-13 |