RT Journal Article
SR Electronic
T1 Global trends of hand and wrist trauma: a systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Study
JF Injury Prevention
JO Inj Prev
FD BMJ Publishing Group Ltd
SP i115
OP i124
DO 10.1136/injuryprev-2019-043495
VO 26
IS Suppl 2
A1 Christopher Stephen Crowe
A1 Benjamin Ballard Massenburg
A1 Shane Douglas Morrison
A1 James Chang
A1 Jeffrey Barton Friedrich
A1 Gdiom Gebreheat Abady
A1 Fares Alahdab
A1 Vahid Alipour
A1 Jalal Arabloo
A1 Malke Asaad
A1 Maciej Banach
A1 Ali Bijani
A1 Antonio Maria Borzì
A1 Nikolay Ivanovich Briko
A1 Chris D Castle
A1 Daniel Youngwhan Cho
A1 Michael T Chung
A1 Ahmad Daryani
A1 Gebre Teklemariam Demoz
A1 Zachary V Dingels
A1 Hoa Thi Do
A1 Florian Fischer
A1 Jack T Fox
A1 Takeshi Fukumoto
A1 Abadi Kahsu Gebre
A1 Berhe Gebremichael
A1 Juanita A Haagsma
A1 Arvin Haj-Mirzaian
A1 Demelash Woldeyohannes Handiso
A1 Simon I Hay
A1 Chi Linh Hoang
A1 Seyed Sina Naghibi Irvani
A1 Jacek Jerzy Jozwiak
A1 Rohollah Kalhor
A1 Amir Kasaeian
A1 Yousef Saleh Khader
A1 Rovshan Khalilov
A1 Ejaz Ahmad Khan
A1 Roba Khundkar
A1 Sezer Kisa
A1 Adnan Kisa
A1 Zichen Liu
A1 Marek Majdan
A1 Navid Manafi
A1 Ali Manafi
A1 Ana-Laura Manda
A1 Tuomo J Meretoja
A1 Ted R Miller
A1 Abdollah Mohammadian-Hafshejani
A1 Reza Mohammadpourhodki
A1 Mohammad A Mohseni Bandpei
A1 Ali H Mokdad
A1 Mukhammad David Naimzada
A1 Duduzile Edith Ndwandwe
A1 Cuong Tat Nguyen
A1 Huong Lan Thi Nguyen
A1 Andrew T Olagunju
A1 Tinuke O Olagunju
A1 Hai Quang Pham
A1 Dimas Ria Angga Pribadi
A1 Navid Rabiee
A1 Kiana Ramezanzadeh
A1 Kavitha Ranganathan
A1 Nicholas L S Roberts
A1 Leonardo Roever
A1 Saeed Safari
A1 Abdallah M Samy
A1 Lidia Sanchez Riera
A1 Saeed Shahabi
A1 Catalin-Gabriel Smarandache
A1 Dillon O Sylte
A1 Berhe Etsay Tesfay
A1 Bach Xuan Tran
A1 Irfan Ullah
A1 Parviz Vahedi
A1 Amir Vahedian-Azimi
A1 Theo Vos
A1 Dawit Habte Woldeyes
A1 Adam Belay Wondmieneh
A1 Zhi-Jiang Zhang
A1 Spencer L James
YR 2020
UL http://injuryprevention.bmj.com/content/26/Suppl_2/i115.abstract
AB 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.