Global trends of hand and wrist trauma: a systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Study.
burden of disease
descriptive epidemiology
hand injury
Journal
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
ISSN: 1475-5785
Titre abrégé: Inj Prev
Pays: England
ID NLM: 9510056
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
29
09
2019
revised:
26
12
2019
accepted:
28
12
2019
pubmed:
15
3
2020
medline:
31
8
2021
entrez:
15
3
2020
Statut:
ppublish
Résumé
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. 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. 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%. 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.
Sections du résumé
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.
Identifiants
pubmed: 32169973
pii: injuryprev-2019-043495
doi: 10.1136/injuryprev-2019-043495
pmc: PMC7571361
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
i115-i124Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: Dr. Jozwiak reports personal fees from TEVA, personal fees from ALAB, personal fees from BOEHRINGER INGELHEIM, personal fees from SYNEXUS, non-financial support from SERVIER, non-financial support from MICROLIFE, and non-financial support from MEDICOVER, outside the submitted work. Dr. James reports grants from Sanofi Pasteur, outside the submitted work.
Références
Occup Environ Med. 2004 Apr;61(4):305-11
pubmed: 15031387
Lancet. 2017 Sep 16;390(10100):1151-1210
pubmed: 28919116
Australas Emerg Nurs J. 2012 Feb;15(1):45-54
pubmed: 22813623
Am J Occup Ther. 2003 Sep-Oct;57(5):499-506
pubmed: 14527111
J Bone Joint Surg Am. 1958 Oct;40-A(5):1169-75
pubmed: 13587591
Int Orthop. 2002;26(6):324-7
pubmed: 12466862
Injury. 2016 Dec;47(12):2614-2626
pubmed: 27751502
Eur J Epidemiol. 2004;19(4):323-7
pubmed: 15180102
Injury. 2004 Apr;35(4):401-6
pubmed: 15037375
Health Policy. 2009 Jan;89(1):1-13
pubmed: 18571277
Lancet. 2005 Feb 12-18;365(9459):569-70; author reply 570
pubmed: 15708093
Burns. 2008 Mar;34(2):181-4
pubmed: 17644264
Ann Burns Fire Disasters. 2012 Sep 30;25(3):152-8
pubmed: 23466805
Lancet. 2018 Nov 10;392(10159):1923-1994
pubmed: 30496105
BMJ. 2002 May 11;324(7346):1139-41
pubmed: 12003888
J Occup Environ Med. 2002 Apr;44(4):345-51
pubmed: 11977421
Int J Epidemiol. 2007 Apr;36(2):458-67
pubmed: 17251244
BMC Musculoskelet Disord. 2006 Jan 31;7:7
pubmed: 16448572
J Soc Occup Med. 1982 Apr;32(2):82-8
pubmed: 7098458
Lancet. 2018 Nov 10;392(10159):1736-1788
pubmed: 30496103
Popul Health Metr. 2012 Jan 06;10:1
pubmed: 22226226
Lancet. 2018 Nov 10;392(10159):1684-1735
pubmed: 30496102
Indian J Plast Surg. 2010 Sep;43(Suppl):S63-71
pubmed: 21321660
Visc Med. 2017 Aug;33(4):295-300
pubmed: 29034258
Lancet. 2017 Sep 16;390(10100):1211-1259
pubmed: 28919117
Lancet. 2017 Sep 16;390(10100):1084-1150
pubmed: 28919115
Public Health. 2008 Nov;122(11):1167-76
pubmed: 18667215
Lancet. 2018 Nov 10;392(10159):1789-1858
pubmed: 30496104
Lancet Neurol. 2019 Jan;18(1):56-87
pubmed: 30497965
Lancet. 2016 Dec 10;388(10062):e19-e23
pubmed: 27371184
Alcohol Alcohol. 2007 Sep-Oct;42(5):465-73
pubmed: 17287207
JAMA Surg. 2019 Jul 1;154(7):637-646
pubmed: 30994871
Eur J Psychotraumatol. 2018 Dec 20;9(1):1556553
pubmed: 30637092
Eur J Epidemiol. 2016 Jul;31(7):655-65
pubmed: 26362812
Injury. 2006 Nov;37(11):1043-8
pubmed: 17045997
BMC Musculoskelet Disord. 2017 Aug 11;18(1):349
pubmed: 28800763
Lancet. 2015 Aug 8;386(9993):569-624
pubmed: 25924834
Eur J Public Health. 2010 Dec;20(6):695-701
pubmed: 19959615
Lancet. 2018 Nov 10;392(10159):1859-1922
pubmed: 30415748
Handchir Mikrochir Plast Chir. 2013 Dec;45(6):335-8
pubmed: 24357477
Lancet. 2018 Nov 10;392(10159):1995-2051
pubmed: 30496106
Postgrad Med. 1966 Jan;39(1):17-26
pubmed: 5903767
Health Policy Plan. 2000 Sep;15(3):263-9
pubmed: 11012400
J Hand Surg Br. 1994 Feb;19(1):118-9
pubmed: 8169466
Inj Prev. 2005 Apr;11(2):71-6
pubmed: 15805434
Indian J Plast Surg. 2011 May;44(2):203-11
pubmed: 22022030
Ann N Y Acad Sci. 2008;1136:161-71
pubmed: 17954679
Lancet. 2017 Sep 16;390(10100):1260-1344
pubmed: 28919118