TY - JOUR
T1 - Hand injuries in low- and middle-income countries
T2 - systematic review of existing literature and call for greater attention
AU - Siotos, C.
AU - Ibrahim, Z.
AU - Bai, J.
AU - Payne, R. M.
AU - Seal, S. M.
AU - Lifchez, S. D.
AU - Hyder, Adnan Ali
N1 - Publisher Copyright:
© 2018 The Royal Society for Public Health
PY - 2018/9
Y1 - 2018/9
N2 - Objectives: Hand injuries result in major healthcare costs from lack of productivity and disability. With rapid industrialization, the incidence of hand injuries is expected to rise in low- and middle-income countries (LMICs). However, estimates of burden and validated outcome tools are needed for effective resource allocation in the management of these injuries. Study design: We conducted a systematic review to evaluate the burden of hand injuries in LMICs according to Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Methods: We searched PubMed, Scopus, Embase, Cochrane Library, PAIS International, African Index Medicus, Global Health, IMMEMR, IMSEAR, Wholis and Bdenf, Lilacs, Scielo, WPRIM, and WHO International Clinical Trials Registry Platform to detect eligible articles with no restrictions on length of follow-up, type of hand injury, or date. Results: We included 17 articles after screening 933 eligible articles based on title, abstract, and full-text screening. There was significant heterogeneity and low quality of evidence. All included articles suggest that hand injuries were associated with work limitations for the majority of patients, and residual pain can further limit their activities. Direct and indirect costs related to treatment account for a major healthcare burden with limited evidence on estimates of long-term cost from disability. Conclusions: The present systematic review highlights the paucity of high-quality data on the epidemiology, management, and burden of hand injuries in LMICs. The data are heterogeneous, and comprehensive metrics are lacking. Because hand injuries can account for a significant proportion of injury-related disability, reducing the overall burden of hand injuries is of utmost importance.
AB - Objectives: Hand injuries result in major healthcare costs from lack of productivity and disability. With rapid industrialization, the incidence of hand injuries is expected to rise in low- and middle-income countries (LMICs). However, estimates of burden and validated outcome tools are needed for effective resource allocation in the management of these injuries. Study design: We conducted a systematic review to evaluate the burden of hand injuries in LMICs according to Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Methods: We searched PubMed, Scopus, Embase, Cochrane Library, PAIS International, African Index Medicus, Global Health, IMMEMR, IMSEAR, Wholis and Bdenf, Lilacs, Scielo, WPRIM, and WHO International Clinical Trials Registry Platform to detect eligible articles with no restrictions on length of follow-up, type of hand injury, or date. Results: We included 17 articles after screening 933 eligible articles based on title, abstract, and full-text screening. There was significant heterogeneity and low quality of evidence. All included articles suggest that hand injuries were associated with work limitations for the majority of patients, and residual pain can further limit their activities. Direct and indirect costs related to treatment account for a major healthcare burden with limited evidence on estimates of long-term cost from disability. Conclusions: The present systematic review highlights the paucity of high-quality data on the epidemiology, management, and burden of hand injuries in LMICs. The data are heterogeneous, and comprehensive metrics are lacking. Because hand injuries can account for a significant proportion of injury-related disability, reducing the overall burden of hand injuries is of utmost importance.
KW - Burden of injury
KW - Hand
KW - Injury
KW - Low-income countries
KW - Middle-income countries
UR - http://www.scopus.com/inward/record.url?scp=85050482957&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85050482957&partnerID=8YFLogxK
U2 - 10.1016/j.puhe.2018.05.016
DO - 10.1016/j.puhe.2018.05.016
M3 - Review article
C2 - 30056313
AN - SCOPUS:85050482957
SN - 0033-3506
VL - 162
SP - 135
EP - 146
JO - Public Health
JF - Public Health
ER -