TY  - JOUR
PY  - 2020//
TI  - Global trends of hand and wrist trauma: a systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Study
JO  - Injury prevention
A1  - Crowe, Christopher Stephen
A1  - Massenburg, Benjamin Ballard
A1  - Morrison, Shane Douglas
A1  - Chang, James
A1  - Friedrich, Jeffrey Barton
A1  - Abady, Gdiom Gebreheat
A1  - Alahdab, Fares
A1  - Alipour, Vahid
A1  - Arabloo, Jalal
A1  - Asaad, Malke
A1  - Banach, Maciej
A1  - Bijani, Ali
A1  - Borzì, Antonio Maria
A1  - Briko, Nikolay Ivanovich
A1  - Castle, Chris D.
A1  - Cho, Daniel Youngwhan
A1  - Chung, Michael T.
A1  - Daryani, Ahmad
A1  - Demoz, Gebre Teklemariam
A1  - Dingels, Zachary V.
A1  - Do, Hoa Thi
A1  - Fischer, Florian
A1  - Fox, Jack T.
A1  - Fukumoto, Takeshi
A1  - Gebre, Abadi Kahsu
A1  - Gebremichael, Berhe
A1  - Haagsma, Juanita A.
A1  - Haj-Mirzaian, Arvin
A1  - Handiso, Demelash Woldeyohannes
A1  - Hay, Simon I.
A1  - Hoang, Chi Linh
A1  - Irvani, Seyed Sina Naghibi
A1  - Jozwiak, Jacek Jerzy
A1  - Kalhor, Rohollah
A1  - Kasaeian, Amir
A1  - Khader, Yousef Saleh
A1  - Khalilov, Rovshan
A1  - Khan, Ejaz Ahmad
A1  - Khundkar, Roba
A1  - Kisa, Sezer
A1  - Kisa, Adnan
A1  - Liu, Zichen
A1  - Majdan, Marek
A1  - Manafi, Navid
A1  - Manafi, Ali
A1  - Manda, Ana-Laura
A1  - Meretoja, Tuomo J.
A1  - Miller, Ted R.
A1  - Mohammadian-Hafshejani, Abdollah
A1  - Mohammadpourhodki, Reza
A1  - Bandpei, Mohammad A. Mohseni
A1  - Mokdad, Ali H.
A1  - Naimzada, Mukhammad David
A1  - Ndwandwe, Duduzile Edith
A1  - Nguyen, Cuong Tat
A1  - Nguyen, Huong Lan Thi
A1  - Olagunju, Andrew T.
A1  - Olagunju, Tinuke O.
A1  - Pham, Hai Quang
A1  - Pribadi, Dimas Ria Angga
A1  - Rabiee, Navid
A1  - Ramezanzadeh, Kiana
A1  - Ranganathan, Kavitha
A1  - Roberts, Nicholas L. S.
A1  - Roever, Leonardo
A1  - Safari, Saeed
A1  - Samy, Abdallah M.
A1  - Riera, Lidia Sanchez
A1  - Shahabi, Saeed
A1  - Smarandache, Catalin-Gabriel
A1  - Sylte, Dillon O.
A1  - Tesfay, Berhe Etsay
A1  - Tran, Bach Xuan
A1  - Ullah, Irfan
A1  - Vahedi, Parviz
A1  - Vahedian-Azimi, Amir
A1  - Vos, Theo
A1  - Woldeyes, Dawit Habte
A1  - Wondmieneh, Adam Belay
A1  - Zhang, Zhi-Jiang
A1  - James, Spencer L.
SP  - i115
EP  - i124
VL  - 26
IS  - Suppl 1
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/injuryprev-2019-043495
ID  - ref1
ER  -