Establishing a consensus on research priorities in orthopaedic trauma within South Africa.
Delphi
Orthopaedics
Priorities
Research
South Africa
Trauma
Journal
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
received:
23
07
2022
accepted:
09
10
2022
pubmed:
9
2
2023
medline:
28
3
2023
entrez:
8
2
2023
Statut:
ppublish
Résumé
Musculoskeletal (MSK) injuries are one of the leading causes of disability worldwide. Despite improvements in trauma-related morbidity and mortality in high-income countries over recent years, outcomes following MSK injuries in low- and middle-income countries, such as South Africa (SA), have not. Despite governmental recognition that this is required, funding and research into this significant health burden are limited within SA. This study aims to identify research priorities within MSK trauma care using a consensus-based approach amongst MSK healthcare practitioners within SA. Members from the Orthopaedic Research Collaboration in Africa (ORCA), based in SA, collaborated using a two round modified Delphi technique to form a consensus on research priorities within orthopaedic trauma care. Members involved in the process were orthopaedic healthcare practitioners within SA. Participants from the ORCA network, working within SA, scored research priorities across two Delphi rounds from low to high priority. We have published the overall top 10 research priorities for this Delphi process. Questions were focused on two broad groups-clinical effectiveness in trauma care and general trauma public health care. Both groups were represented by the top two priorities, with the highest ranked question regarding the overall impact of trauma in SA and the second regarding the clinical treatment of open fractures. This study has defined research priorities within orthopaedic trauma in South Africa. Our vision is that by establishing consensus on these research priorities, policy and research funding will be directed into these areas. This should ultimately improve musculoskeletal trauma care across South Africa and its significant health and socioeconomic impacts.
Sections du résumé
BACKGROUND
BACKGROUND
Musculoskeletal (MSK) injuries are one of the leading causes of disability worldwide. Despite improvements in trauma-related morbidity and mortality in high-income countries over recent years, outcomes following MSK injuries in low- and middle-income countries, such as South Africa (SA), have not. Despite governmental recognition that this is required, funding and research into this significant health burden are limited within SA. This study aims to identify research priorities within MSK trauma care using a consensus-based approach amongst MSK healthcare practitioners within SA.
METHOD
METHODS
Members from the Orthopaedic Research Collaboration in Africa (ORCA), based in SA, collaborated using a two round modified Delphi technique to form a consensus on research priorities within orthopaedic trauma care. Members involved in the process were orthopaedic healthcare practitioners within SA.
RESULTS
RESULTS
Participants from the ORCA network, working within SA, scored research priorities across two Delphi rounds from low to high priority. We have published the overall top 10 research priorities for this Delphi process. Questions were focused on two broad groups-clinical effectiveness in trauma care and general trauma public health care. Both groups were represented by the top two priorities, with the highest ranked question regarding the overall impact of trauma in SA and the second regarding the clinical treatment of open fractures.
CONCLUSION
CONCLUSIONS
This study has defined research priorities within orthopaedic trauma in South Africa. Our vision is that by establishing consensus on these research priorities, policy and research funding will be directed into these areas. This should ultimately improve musculoskeletal trauma care across South Africa and its significant health and socioeconomic impacts.
Identifiants
pubmed: 36752822
doi: 10.1007/s00590-022-03413-w
pii: 10.1007/s00590-022-03413-w
doi:
Types de publication
Consensus Development Conference
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
533-540Investigateurs
Ashley Arakkal
(A)
Delroy D A Arnolds
(DDA)
Brian P Bernstein
(BP)
Kirsty L Berry
(KL)
Craig Blake
(C)
Benjamin H Blankson
(BH)
Bradley B R Bonner
(BBR)
Viseslav Boskovic
(V)
Nico Botma
(N)
Johan Charilaou
(J)
Kudzai Chironga
(K)
Mohamed Daoub
(M)
Shaun de Villiers
(S)
Rimon du Plessis
(R)
Johan J H du Preez
(JJH)
Mlekeleli T N Duma
(MTN)
Ben Grey
(B)
William J Harrison
(WJ)
Thomas T L H Hilton
(TTLH)
Ntambue Kauta
(N)
Seipati P B Khetsi
(SPB)
Christina N Kontoghiorghe
(CN)
Nicholas N A Kruger
(NNA)
Jakobus F Marais
(JF)
Jeannie McCaul
(J)
N J Mncwabe
(NJ)
Phakamani Goodman Mthethwa
(PG)
Takura D M Mukabeta
(TDM)
Woyisile W B Nkomo
(WWB)
David North
(D)
Marc Nortje
(M)
Christopher Ogbuagu
(C)
George Onuwa Oduah
(GO)
Daniel C Perry
(DC)
Gerhard G Pienaar
(GG)
Henry S Pretorius
(HS)
Timothy Sluis-Cremer
(T)
Rian Smit
(R)
Simon Sombili
(S)
Stefan Swanepoel
(S)
Gerhard G Thiart
(GG)
Marí Thiart
(M)
Willem van der Merwe
(W)
Stefan Wever
(S)
Karin Wiese
(K)
Reece Edwin Davies
(RE)
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
World Health Organization, Department for the Management of Noncommunicable Diseases D Violence and Injury Prevention (2014) Injuries and violence: the facts 2014
World Health Organization (2021) Injuries and violence fact sheet
Lozano R, Naghavi M, Foreman K et al (2012) Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380:2095–2128. https://doi.org/10.1016/S0140-6736(12)61728-0
doi: 10.1016/S0140-6736(12)61728-0
pubmed: 23245604
Hardcastle T, Oosthuizen G, Clarke D, Lutge E (2016) Trauma, a preventable burden of disease in South Africa : review of the evidence, with a focus on KwaZulu-Natal. South African Health Review 179–189
The Economist Intelligence Unit (2018) At breaking point: Understanding the impact of musculoskeletal injuries in low- and middle-income countries
Kotagal M, Agarwal-Harding KJ, Mock C et al (2014) Health and economic benefits of improved injury prevention and trauma care worldwide. PLoS ONE 9:e91862. https://doi.org/10.1371/journal.pone.0091862
doi: 10.1371/journal.pone.0091862
pubmed: 24626472
pmcid: 3953529
Mock C, Joshipura M, Arreola-Risa C, Quansah R (2012) An Estimate of the number of lives that could be saved through improvements in trauma care globally. World J Surg 36:959–963. https://doi.org/10.1007/s00268-012-1459-6
doi: 10.1007/s00268-012-1459-6
pubmed: 22419411
Graham SM, Brennan C, Laubscher M et al (2019) Orthopaedic research in low-income countries: a bibliometric analysis of the current literature. SICOT-J 5:41. https://doi.org/10.1051/sicotj/2019038
doi: 10.1051/sicotj/2019038
pubmed: 31769752
pmcid: 6878915
Mock C, Cherian MN (2008) The global burden of musculoskeletal injuries: challenges and solutions. Clin Orthop Relat Res 466:2306–2316. https://doi.org/10.1007/s11999-008-0416-z
doi: 10.1007/s11999-008-0416-z
pubmed: 18679760
pmcid: 2584305
Bola S, Dash I, Naidoo M, Aldous C (2016) Interpersonal violence: quantifying the burden of injury in a South African trauma centre. Emerg Med J 33:208–212. https://doi.org/10.1136/emermed-2014-204160
doi: 10.1136/emermed-2014-204160
pubmed: 26362579
Chen S, Kuhn M, Prettner K, Bloom DE (2019) The global macroeconomic burden of road injuries: estimates and projections for 166 countries. Lancet Planet Health 3:e390–e398. https://doi.org/10.1016/S2542-5196(19)30170-6
doi: 10.1016/S2542-5196(19)30170-6
pubmed: 31538624
World Health Organisation (WHO) WHO|World health report 2013: Research for universal health coverage. In: WHO. https://www.who.int/whr/en/ . Accessed 6 Sep 2020
World Health Organization (2021) World health statistics 2021: monitoring health for the SDGs, sustainable development goals. World Health Organization, Geneva
Global Health, Observatory investments on grants for biomedical research by funder, type of grant, health category and recipient
Department of Health, Republic of South Africa (2021) Health research priorities (revised) for South Africa 2021–2024
Orthopaedic Research Collaboration in Africa (2022) Identifying research priorities in musculoskeletal trauma care in Sub-Saharan Africa. JB JS Open Access 7(e21):00043. https://doi.org/10.2106/JBJS.OA.21.00043
doi: 10.2106/JBJS.OA.21.00043
World Health Organisation (WHO) World Bank Open Data | Data. https://data.worldbank.org/ . Accessed 22 Feb 2020
World Health Organisation (WHO) WHO|HIV/AIDS. In: WHO. http://www.who.int/gho/hiv/en/ . Accessed 10 Oct 2020
Zaidi AA, Dixon J, Lupez K et al (2019) The burden of trauma at a district hospital in the Western Cape Province of South Africa. Afr J Emerg Med 9:S14–S20. https://doi.org/10.1016/j.afjem.2019.01.007
doi: 10.1016/j.afjem.2019.01.007
pubmed: 31073509
pmcid: 6497867
Clark K, Rao A, Chen V et al (2019) We need to target trauma: a prospective observational study in Eastern Cape Province, South Africa. S Afr Med J 110:38–43. https://doi.org/10.7196/SAMJ.2019.v110i1.13886
doi: 10.7196/SAMJ.2019.v110i1.13886
pubmed: 31865941
Haagsma JA, Graetz N, Bolliger I et al (2016) The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj Prev 22:3–18. https://doi.org/10.1136/injuryprev-2015-041616
doi: 10.1136/injuryprev-2015-041616
pubmed: 26635210
Graham B (2003) Delphi as a method to establish consensus for diagnostic criteria. J Clin Epidemiol 56:1150–1156. https://doi.org/10.1016/S0895-4356(03)00211-7
doi: 10.1016/S0895-4356(03)00211-7
pubmed: 14680664
Jones J, Hunter D (1995) Qualitative Research: Consensus methods for medical and health services research. BMJ 311:376–380. https://doi.org/10.1136/bmj.311.7001.376
doi: 10.1136/bmj.311.7001.376
pubmed: 7640549
pmcid: 2550437
Van Hoving DJ, Barnetson BK, Wallis LA (2015) Emergency care research priorities in South Africa. S Afr Med J 105:202. https://doi.org/10.7196/SAMJ.8967
doi: 10.7196/SAMJ.8967
pubmed: 26294828
Perry DC, Wright JG, Cooke S et al (2018) A consensus exercise identifying priorities for research into clinical effectiveness among children’s orthopaedic surgeons in the United Kingdom. Bone Joint J 100-B:680–684. https://doi.org/10.1302/0301-620X.100B5.BJJ-2018-0051
doi: 10.1302/0301-620X.100B5.BJJ-2018-0051
pubmed: 29701090
pmcid: 6413768