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dc.contributor.authorKisa, Sezer
dc.contributor.authorHand Fractures Collaborators, GBD 2017
dc.date.accessioned2020-04-21T21:50:21Z
dc.date.accessioned2020-04-22T08:42:58Z
dc.date.available2020-04-21T21:50:21Z
dc.date.available2020-04-22T08:42:58Z
dc.date.issued2020-03-13
dc.identifier.citationKisa, S. & Hand Fractures Collaborators G2. (2020). Global trends of hand and wrist trauma: A systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Study. Injury Prevention. doi:http://dx.doi.org/10.1136/injuryprev-2019-043495en
dc.identifier.issn1353-8047
dc.identifier.issn1353-8047
dc.identifier.issn1475-5785
dc.identifier.urihttps://hdl.handle.net/10642/8476
dc.description.abstractBackground 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.en
dc.language.isoenen
dc.relation.ispartofseriesInjury Prevention;
dc.rightsThis is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectHandsen
dc.subjectWristsen
dc.subjectTraumasen
dc.subjectAmputationsen
dc.subjectFracturesen
dc.titleGlobal trends of hand and wrist trauma: A systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Studyen
dc.typeJournal articleen
dc.typePeer revieweden
dc.date.updated2020-04-21T21:50:21Z
dc.description.versionpublishedVersionen
dc.identifier.doihttp://dx.doi.org/10.1136/injuryprev-2019-043495
dc.identifier.cristin1807424
dc.source.journalInjury Prevention


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This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/
Except where otherwise noted, this item's license is described as This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/