The Malawi Orthopaedic Association/AO Alliance guidelines and standards for open fracture management in Malawi: a national consensus statement.
Open fractures
consensus meeting
multiprofessional treatment
Journal
Malawi medical journal : the journal of Medical Association of Malawi
ISSN: 1995-7270
Titre abrégé: Malawi Med J
Pays: Malawi
ID NLM: 9500170
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
entrez:
25
1
2021
pubmed:
26
1
2021
medline:
12
2
2021
Statut:
ppublish
Résumé
Open fractures are common injuries in Malawi that pose a large burden on the healthcare system and result in long-term disability. Establishing a multiprofessional agreement on the management of open fractures in Malawi from a consensus meeting. AO Alliance convened a consensus meeting to build an agreement on the management of open fractures in Malawi. Eighteen members from different professions and various regions of Malawi participated in a 1-day consensus meeting on 7 September 2019. Prior to the meeting the British Orthopaedic Audit Standards for Trauma (BOAST) for open fractures, as well as relevant systematic reviews and seminal literature were circulated. Panel members gave presentations on open fracture management, followed by an open discussion meeting. At the 1-day consensus meeting panel members developed statements for each standard and guideline. Panel members then voted to accept or reject the statements. Substantial agreement (no rejections) was reached for all 17 guidelines and the associated terminology was agreed on. These guidelines were then presented to the members of the Malawi Orthopaedic Association (MOA) at their annual general meeting on 28 September 2019 and all participants agreed to adopt them. These MOA/AO Alliance guidelines aim to set a standard for open fracture management that can be regularly measured and audited in Malawi to improve care for these patients.
Sections du résumé
Background
Open fractures are common injuries in Malawi that pose a large burden on the healthcare system and result in long-term disability.
Aim
Establishing a multiprofessional agreement on the management of open fractures in Malawi from a consensus meeting.
Methods
AO Alliance convened a consensus meeting to build an agreement on the management of open fractures in Malawi. Eighteen members from different professions and various regions of Malawi participated in a 1-day consensus meeting on 7 September 2019. Prior to the meeting the British Orthopaedic Audit Standards for Trauma (BOAST) for open fractures, as well as relevant systematic reviews and seminal literature were circulated. Panel members gave presentations on open fracture management, followed by an open discussion meeting. At the 1-day consensus meeting panel members developed statements for each standard and guideline. Panel members then voted to accept or reject the statements.
Results
Substantial agreement (no rejections) was reached for all 17 guidelines and the associated terminology was agreed on. These guidelines were then presented to the members of the Malawi Orthopaedic Association (MOA) at their annual general meeting on 28 September 2019 and all participants agreed to adopt them.
Conclusions
These MOA/AO Alliance guidelines aim to set a standard for open fracture management that can be regularly measured and audited in Malawi to improve care for these patients.
Identifiants
pubmed: 33488981
doi: 10.4314/mmj.v32i3.2
pmc: PMC7812144
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
112-118Informations de copyright
© 2020 The College of Medicine and the Medical Association of Malawi.
Références
Injury. 2016 Sep;47(9):1990-5
pubmed: 27178767
Injury. 2019 Jul;50(7):1284-1287
pubmed: 31147186
J Bone Joint Surg Br. 2006 Mar;88(3):351-7
pubmed: 16498010
J Health Serv Res Policy. 1999 Oct;4(4):236-48
pubmed: 10623041
PLoS One. 2019 Feb 12;14(2):e0212125
pubmed: 30753219
Acta Orthop. 2016 Dec;87(6):632-636
pubmed: 27587339
J Am Acad Orthop Surg. 2001 Jul-Aug;9(4):219-26
pubmed: 11476531
Plast Reconstr Surg. 2003 May;111(6):2105-7
pubmed: 12711982
N Engl J Med. 2015 Dec 31;373(27):2629-41
pubmed: 26448371
J Bone Joint Surg Br. 2000 Sep;82(7):959-66
pubmed: 11041582
Injury. 2017 Sep;48(9):2010-2016
pubmed: 28625562
J Bone Joint Surg Am. 1995 Aug;77(8):1291-2
pubmed: 7642678
Injury. 2020 Feb;51(2):142-146
pubmed: 31767370
Clin Orthop Relat Res. 2008 Oct;466(10):2306-16
pubmed: 18679760
Nurs Times. 2014 Jun 25-Jul 1;110(26):12-4
pubmed: 25087264
Health Technol Assess. 1998;2(3):i-iv, 1-88
pubmed: 9561895
J Bone Joint Surg Am. 1977 Sep;59(6):784-91
pubmed: 332697
Bone Joint J. 2016 Mar;98-B(3):420-4
pubmed: 26920970
Injury. 2004 Sep;35(9):846-51
pubmed: 15302235
Injury. 2018 Oct;49(10):1922-1926
pubmed: 30082111
J Plast Reconstr Aesthet Surg. 2009 May;62(5):571-9
pubmed: 19201270
BMJ Open. 2018 Sep 17;8(9):e023473
pubmed: 30224399
Br J Plast Surg. 1992 Nov-Dec;45(8):571-7
pubmed: 1493528
Ann R Coll Surg Engl. 2015 Sep;97(6):469-75
pubmed: 26274742
Cochrane Database Syst Rev. 2004;(1):CD003764
pubmed: 14974035
J Orthop Res. 2002 Nov;20(6):1197-204
pubmed: 12472229
World J Surg. 2017 Apr;41(4):954-962
pubmed: 27800590
J Am Acad Orthop Surg. 2006;14(10 Spec No.):S52-6
pubmed: 17003208
J Bone Joint Surg Am. 1976 Jun;58(4):453-8
pubmed: 773941
Health Policy Plan. 2015 Oct;30(8):985-94
pubmed: 25261799
Cochrane Database Syst Rev. 2012 Feb 15;(2):CD003861
pubmed: 22336796
Br J Surg. 2019 Jan;106(2):e91-e102
pubmed: 30620076
World J Emerg Med. 2017;8(2):85-90
pubmed: 28458750
J Antimicrob Chemother. 2006 Apr;57(4):661-5
pubmed: 16537341
Injury. 2006 May;37 Suppl 2:S74-80
pubmed: 16651075
J Bone Joint Surg Am. 2010 Jan;92(1):7-15
pubmed: 20048090
N Engl J Med. 2019 Jan 31;380(5):425-436
pubmed: 30699315
Clin Orthop Relat Res. 2008 Oct;466(10):2385-91
pubmed: 18633684
Plast Reconstr Surg. 1986 Sep;78(3):285-92
pubmed: 3737751