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Global Trends of Hand and Wrist Trauma: A Systematic Analysis of Fracture and Digit Amputation Using the Global Burden of Disease 2017 Study Publisher Pubmed



Crowe CS1 ; Massenburg BB1 ; Morrison SD1 ; Chang J2 ; Friedrich JB1 ; Abady GG3 ; Alahdab F4 ; Alipour V5, 6 ; Arabloo J5 ; Asaad M7 ; Banach M8, 9 ; Bijani A10 ; Borzi AM11 ; Briko NI12 Show All Authors
Authors
  1. Crowe CS1
  2. Massenburg BB1
  3. Morrison SD1
  4. Chang J2
  5. Friedrich JB1
  6. Abady GG3
  7. Alahdab F4
  8. Alipour V5, 6
  9. Arabloo J5
  10. Asaad M7
  11. Banach M8, 9
  12. Bijani A10
  13. Borzi AM11
  14. Briko NI12
  15. Castle CD13
  16. Cho DY1
  17. Chung MT14
  18. Daryani A15
  19. Demoz GT16, 17
  20. Dingels ZV13
  21. Do HT18
  22. Fischer F19
  23. Fox JT13
  24. Fukumoto T20, 21
  25. Gebre AK22
  26. Gebremichael B23
  27. Haagsma JA24
  28. Hajmirzaian A25, 26
  29. Handiso DW27
  30. Hay SI13, 28
  31. Hoang CL29
  32. Irvani SSN30
  33. Jozwiak JJ31
  34. Kalhor R32
  35. Kasaeian A33, 34
  36. Khader YS35
  37. Khalilov R36
  38. Khan EA37
  39. Khundkar R38
  40. Kisa S39
  41. Kisa A40
  42. Liu Z13
  43. Majdan M41
  44. Manafi N42, 43
  45. Manafi A44
  46. Manda AL45
  47. Meretoja TJ46, 47
  48. Miller TR48, 49
  49. Mohammadianhafshejani A50
  50. Mohammadpourhodki R51
  51. Mohseni Bandpei MA52
  52. Mokdad AH13, 28
  53. Naimzada MD53, 54
  54. Ndwandwe DE55
  55. Nguyen CT56
  56. Nguyen HLT56
  57. Olagunju AT57, 58
  58. Olagunju TO59
  59. Pham HQ56
  60. Pribadi DRA60
  61. Rabiee N61
  62. Ramezanzadeh K62
  63. Ranganathan K63
  64. Roberts NLS13
  65. Roever L64
  66. Safari S65
  67. Samy AM66
  68. Sanchez Riera L67, 68
  69. Shahabi S69
  70. Smarandache CG70, 71
  71. Sylte DO13
  72. Tesfay BE72
  73. Tran BX73
  74. Ullah I74, 75
  75. Vahedi P76
  76. Vahedianazimi A77
  77. Vos T13, 28
  78. Woldeyes DH78
  79. Wondmieneh AB79, 80
  80. Zhang ZJ81
  81. James SL13
Show Affiliations
Authors Affiliations
  1. 1. Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Washington, Seattle, WA, United States
  2. 2. Department of Surgery, Division of Plastic and Reconstructive Surgery, Stanford University, Palo Alto, CA, United States
  3. 3. College of Medicine and Health Sciences, Department of Nursing, Adigrat University, Adigrat, Ethiopia
  4. 4. Evidence Based Practice Center, Mayo Clinic Foundation for Medical Education and Research, Rochester, MN, United States
  5. 5. Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
  6. 6. Health Economics Department, Iran University of Medical Sciences, Tehran, Iran
  7. 7. Plastic Surgery Department, University of Texas, Houston, TX, United States
  8. 8. Department of Hypertension, Medical University of Lodz, Lodz, Poland
  9. 9. Polish Mothers' Memorial Hospital Research Institute, Lodz, Poland
  10. 10. Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran
  11. 11. Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
  12. 12. Epidemiology and Evidence Based Medicine, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
  13. 13. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
  14. 14. Department of Otolaryngology - Head and Neck Surgery, Wayne State University, Detroit, MI, United States
  15. 15. Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  16. 16. School of Pharmacy, Aksum University, Aksum, Ethiopia
  17. 17. Addis Ababa University, Addis Ababa, Ethiopia
  18. 18. Center of Excellence in Public Health Nutrition, Nguyen Tat Thanh University, Ho Chi Minh City, Viet Nam
  19. 19. Department of Population Medicine and Health Services Research, Bielefeld University, Bielefeld, Germany
  20. 20. Department of Dermatology, Kobe University, Kobe, Japan
  21. 21. Gene Expression and Regulation Program, Wistar Institute, Philadelphia, PA, United States
  22. 22. School of Pharmacy, Mekelle University, Mekelle, Ethiopia
  23. 23. School of Public Health, Haramaya University, Harar, Ethiopia
  24. 24. Department of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands
  25. 25. Department of Pharmacology, Tehran University of Medical Sciences, Tehran, Iran
  26. 26. Obesity Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  27. 27. Public Health Department, Madda Walabu University, Bale Goba, Ethiopia
  28. 28. Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States
  29. 29. Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Viet Nam
  30. 30. Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  31. 31. Department of Family Medicine and Public Health, University of Opole, Opole, Poland
  32. 32. Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
  33. 33. Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran
  34. 34. Pars Advanced and Minimally Invasive Medical Manners Research Center, Iran University of Medical Sciences, Tehran, Iran
  35. 35. Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan
  36. 36. Department of Physiology, Baku State University, Baku, Azerbaijan
  37. 37. Epidemiology and Biostatistics Department, Health Services Academy, Islamabad, Pakistan
  38. 38. Nuffield Department of Surgical Sciences, Oxford University Global Surgery Group, University of Oxford, Oxford, United Kingdom
  39. 39. Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
  40. 40. School of Health Sciences, Kristiania University College, Oslo, Norway
  41. 41. Department of Public Health, Trnava University, Trnava, Slovakia
  42. 42. Ophthalmology Department, Iran University of Medical Sciences, Tehran, Iran
  43. 43. Ophthalmology Department, University of Manitoba, Winnipeg, MB, Canada
  44. 44. Plastic Surgery Department, Iran University of Medical Sciences, Tehran, Iran
  45. 45. Surgery Department, Emergency University Hospital Bucharest, Bucharest, Romania
  46. 46. Breast Surgery Unit, Helsinki University Hospital, Helsinki, Finland
  47. 47. University of Helsinki, Helsinki, Finland
  48. 48. Pacific Institute for Research and Evaluation, Calverton, MD, United States
  49. 49. School of Public Health, Curtin University, Perth, WA, Australia
  50. 50. Department of Epidemiology and Biostatistics, Shahrekord University of Medical Sciences, Shahrekord, Iran
  51. 51. Department of Nursing, Shahroud University of Medical Sciences, Shahroud, Iran
  52. 52. Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  53. 53. Laboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology, Dolgoprudny, Russian Federation
  54. 54. Experimental Surgery and Oncology Laboratory, Kursk State Medical University, Ministry of Health of the Russian Federation, Kursk, Russian Federation
  55. 55. Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa
  56. 56. Institute for Global Health Innovations, Duy Tan University, Hanoi, Viet Nam
  57. 57. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada
  58. 58. Department of Psychiatry, University of Lagos, Lagos, Nigeria
  59. 59. Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON, Canada
  60. 60. Health Sciences Department, Muhammadiyah University of Surakarta, Sukoharjo, Indonesia
  61. 61. Department of Chemistry, Sharif University of Technology, Tehran, Iran
  62. 62. Department of Pharmacology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  63. 63. Department of Surgery, University of Michigan, Ann Arbor, MI, United States
  64. 64. Department of Clinical Research, Federal University of Uberlandia, Uberlandia, Brazil
  65. 65. Emergency Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  66. 66. Department of Entomology, Ain Shams University, Cairo, Egypt
  67. 67. Rheumatology Department, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom
  68. 68. Institute of Bone and Joint Research, University of Sydney, Syndey, NSW, Australia
  69. 69. Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  70. 70. Surgery 2nd Department - SUUB, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  71. 71. Surgery 2nd Department, Bucharest Emergency Hospital, Bucharest, Romania
  72. 72. Department of Public Health, Adigrat University, Adigrat, Ethiopia
  73. 73. Department of Health Economics, Hanoi Medical University, Hanoi, Viet Nam
  74. 74. Gomal Center of Biochemistry and Biotechnology, Gomal University, Dera Ismail Khan, Pakistan
  75. 75. TB Culture Laboratory, Mufti Mehmood Memorial Teaching Hospital, Dera Ismail Khan, Pakistan
  76. 76. Department of Anatomical Sciences, Maragheh University of Medical Sciences, Maragheh, Iran
  77. 77. Trauma Research Center, Nursing Facility, Baqiyatallah University of Medical Sciences, Tehran, Iran
  78. 78. Department of Human Anatomy, Histology, and Embryology, Bahir Dar University, Bahir Dar, Ethiopia
  79. 79. Department of Nursing, Wollo University, Dessie, Ethiopia
  80. 80. Department of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia
  81. 81. Department of Preventive Medicine, Wuhan University, Wuhan, China

Source: Injury Prevention Published:2020


Abstract

Background: As 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. Methods: The 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. Results: The 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%. Conclusions: Certain 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. © Author(s) (or their employer(s)) 2020.
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