Orthopaedic research in low-income countries: A bibliometric analysis of the current literature (original) (raw)
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Clinical Orthopaedics and Related Research®, 2012
Background The developing world contains more than of the world's population, and has the largest burden of musculoskeletal disease. Published studies provide crucial information that can influence healthcare policies. Presumably much information regarding burden in the developing world would arise from authors from developing countries. However, the extent of participation of authors from the developing world in widely read orthopaedic journals is unclear.
Orthopaedics in the Developing World: Present and Future Concerns
Journal of the American Academy of Orthopaedic Surgeons, 2001
Half of the world's population lack access to adequate primary health care, and two thirds lack access to orthopaedic care. Globally, the need for health care outstrips the available resources. This problem is compounded in the developing world by a lack of trained medical personnel, a lack of medical facilities, and, in many regions, an inability to access existing facilities. There is little specific epidemiologic data about the exact burden of musculoskeletal disease in these countries, but most agree that it is reasonable to assume that it will increase. In the least developed and developing nations, problems with access are related to fundamental issues such as infrastructure, physical facilities, equipment, and trained personnel. There are a number of ways in which the orthopaedic community can become involved in ameliorating the burden. Education is the most effective method of providing a sustainable solution. The objective of educational organizations should be to train local health-care workers at all levels in their own environment to provide sustainable and appropriate care so that the programs become self-sufficient and ensure a continued supply of competent medical personnel.
Orthopaedic research in Zimbabwe: a seminal bibliometric analysis
SA Orthopaedic Journal, 2022
Background To provide a bibliometric analysis of published orthopaedic research in the form of peer-reviewed articles as well as non-indexed articles from Zimbabwe in the past six decades. Methods We carried out a literature search of the 'Clarivariate Analytics' Web of Science database, specific journals not included in the database and the University of Zimbabwe repository. We then selected articles focused on research in orthopaedic pathology in Zimbabwe. These articles were then classified by year of publication; focus of research; first and last author country of origin; collaboration type between high-, middle-and low-income countries; journal title; journal country; methodology; and level of evidence. Results A total of 27 articles published from 1965 to 2020 were found in the search with 26 having a single focus of research and one multiple foci. The highest focus of research was osteoporosis with six articles (22%), while trauma was second with five articles (19%). A majority, 19/27 (70%), of studies had a first author from Zimbabwe, while a plurality, 10/27 (37%), had a Zimbabwean last author. Most collaborations, 12/27 (44%), were high-income-low-income countries, with most studies being concomitantly published in the United States, 13/27 (48%). Cross-sectional descriptive studies represented the most common methodology with 13/27 articles carried out in this method (48%). The majority of these articles, 14/27 (52%), represented a low level of evidence at level 4, while 11/27 articles (41%) of articles were of a high level of evidence (levels 1 or 2). Conclusion There is a limited amount of published orthopaedic surgery research work from Zimbabwe, highlighting the need for more and higher quality research from Zimbabwe. Among different models, partnerships between Zimbabwean researchers and researchers from other international institutions appear to be the most productive in terms of research output and hence should be replicated more broadly.
International Orthopaedics journal: A bibliometric analysis during 1977-2022
Iberoamerican Journal of Science Measurement and Communication
Objective. We aimed to examine the current research trends published by the International Orthopaedics (INOR) journal using bibliometric analysis. Design/Methodology/Approach. Using the Scopus database, we have retrieved all articles published by the International Orthopaedics journal from 1977 to 2022. The key players, such as countries, institutes, and authors, were identified, and their collaborative linkages were analyzed using MS Excel and VOSviewer software. Results/Discussion. We identified 7645 publications from 107 countries, of which 40 were from Europe and 32 from Asia. The most contributing countries were China, Germany, and France. The Netherlands, Canada, and Switzerland were the most impactful countries regarding citations. Hospital Henri Mondor (France) and IRCCS Rizzoli Orthopaedic Institute (Italy) were the most productive organizations. The most cited organizations were Harvard Medical School (USA) and Klinikum der Universität München (Germany). The most productiv...
Journal of clinical orthopaedics and trauma, 2021
BackgroundThe Journal of Clinical Orthopaedics and Trauma (JCOT) is one of the top three orthopaedic journals from India. We set out to analyse the top 50 cited articles from JCOT since indexing in PubMed and Scopus.MethodsWe looked into the bibliometrics of the top 50 cited articles and compared citations from PubMed and Scopus, and depicted outputs from VOS viewer analysis on co-authorship and keywords.ResultsTotal citations for top-cited articles were 1076 in numbers, with a maximum of 103.2016 and 2018 were the most productive years. The major contribution was from India with 74%, followed by the USA. New Delhi published maximally at 72%. Clinical topics and narrative reviews were the most common types of studies. Trauma and Adult reconstruction was the most common sub-specialities, and Level 4 was the most frequent level of study. The basic science and COVID-19 related articles received the maximum citations. The authors from Indraprastha Apollo Hospitals published the maximum number of top-50 cited articles in the JCOT.ConclusionsThere is a steady increase in the number of publications in the JCOT, with an increasing number of citation counts. Both the Indian and foreign authors have been publishing in this journal at a comparative rate. Although the citation counts in Scopus are more than those in PubMed for given articles, more than 80% of articles are listed in both databases as top 50 cited articles. The majority of top-cited articles belonged to trauma and adult reconstruction, level III studies, and narrative reviews.
Improvement of research quality in the fields of orthopaedics and trauma—a global perspective
International Orthopaedics, 2013
The international orthopaedic community aims to achieve the best possible outcome for patient care by constantly modifying surgical techniques and expanding the surgeon's knowledge. These efforts require proper reflection within a setting that necessitates a higher quality standard for global orthopaedic publication. Furthermore, these techniques demand that surgeons acquire information at standards of systematic research. Thus, the purpose of this paper is to describe these performance standards, the available choices for orthopaedic surgeons and the current learning curve for seasoned teams of researchers and orthopaedic surgeons with more than three decades of experience. These lead to provide an accessible overview of all important aspects of the topics that will significantly influence the research development as we arrive at an important globalisation era in orthopaedics and trauma-related research.
Global relevance of literature on trauma
2008
The trauma pandemic disproportionately kills and maims citizens of low-income countries although the immediate cause of the trauma is often an industrial export of a high-income country, such as a motor vehicle. Addressing the trauma pandemic in low-income countries requires access to relevant research information regarding prevention and treatment of injuries. Such information is also generally produced in high-income countries. We reviewed two years' worth of articles from leading orthopaedic and general medical journals to determine whether the scientific literature appropriately reflects the global burden of musculoskeletal disease, particularly that due to trauma. General medical journals underrepresented musculoskeletal disease, but within musculoskeletal disease an appropriate majority of papers were regarding trauma, in particular the epidemiology and prevention of injury. Orthopaedic journals, while focusing on musculoskeletal conditions, substantially underrepresented the global burden of disease due to trauma and hardly consider injury epidemiology and prevention. If orthopaedic surgeons want to maximize their global impact, they should focus on writing about trauma questions relevant to their colleagues in low-income countries and ensuring these same colleagues have access to the literature. Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Dr. Howard runs the Ptolemy project described in the accompanying article.
Revista Brasileira de Ortopedia, 2013
In surgical interventions, randomization and blinding may be difficult to implement. In this situation, non-randomized prospective studies (EPNR) can generate the best evidence. The objective of this study is to evaluate, by means of the scale proposed by Downs & Black, the quality of EPNR published in our country and to assess the interobserver reproducibility of this scale. EPNR published in Acta Ortopedica Brasileira and Revista Brasileira de Ortopedia until 2011 and prior to 2006 were included. Two of us independently applied the Downs & Black scale. The studies were stratified by period of publication, journal and type of intervention. The scores obtained were considered to assess the reliability of the scale and groups comparison. 59 studies were considered, seven excluded during the assessments. There were no differences between the scores, except for the type of intervention, which showed better methodological quality for studies involving clinical interventions (p < 0.00...
SA Orthopaedic Journal, 2016
Background: The purpose of this study was to investigate the number of publications and impact of South African surgeons in the 15 highest impact orthopaedic journals over a five-year period Methods: The abstracts between January 2010 and December 2014 were screened and the total number of publications and impact points were collated. Normalisation to population size, GDP and per capita GDP was performed. Results: Of the 23 021 orthopaedic articles from 66 countries, South Africa published 19 articles and ranked 41st overall for the number of publications and 40th for impact. When compared to the other African countries it ranked 2nd. The following ranks were calculated for adjusting population (51st overall, 2nd in Africa), GDP (51st overall, 3rd in Africa), GDP per capita (31st overall, 3rd in Africa). Conclusion: This study demonstrated that South Africa ranked in the lower third of all countries that published in the top 15 highest impact orthopaedic journals. In Africa, Egypt was the leading country for total publications and impact factor maintaining the first rank even when adjusted for population size, GDP, GDP per capita and research funding in percentage of GDP.
BMC Musculoskeletal Disorders, 2008
Background Evidence-based medicine posits that health care research is founded upon clinically important differences in patient centered outcomes. Statistically significant differences between two treatments may not necessarily reflect a clinically important difference. We aimed to quantify the sample sizes and magnitude of treatment effects in a review of orthopaedic randomized trials with statistically significant findings. Methods We conducted a comprehensive search (PubMed, Cochrane) for all randomized controlled trials between 1/1/95 to 12/31/04. Eligible studies include those that focused upon orthopaedic trauma. Baseline characteristics and treatment effects were abstracted by two reviewers. Briefly, for continuous outcome measures (ie functional scores), we calculated effect sizes (mean difference/standard deviation). Dichotomous variables (ie infection, nonunion) were summarized as absolute risk differences and relative risk reductions (RRR). Effect sizes >0.80 and RRRs&...