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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

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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