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Orthopaedic research in low-income countries: A bibliometric analysis of the current literature

Graham, Simon, Brennan, Ciaran, Laubscher, Maritz, Maqungo, Sithombo, Lalloo, David ORCID:, Perry, Daniel, Mkandawire, Nyengo and Harrison, William (2019) 'Orthopaedic research in low-income countries: A bibliometric analysis of the current literature'. SICOT-J, Vol 5.

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Abstract – Background: To perform a bibliometric analysis and quantify the amount of orthopaedic and trauma
literature published from low-income countries (LICs).
Methods and methods: The Web of Science database was utilised to identify all indexed orthopaedic journals. All
articles published in the 76 orthopaedics journals over the last 10 years were reviewed, to determine their geographic
Results: A total of 131 454 articles were published across 76 orthopaedic journals over the last 10 years. Of these,
132 (0.1%) were published from LICs and 3515 (2.7%) were published from lower middle-income countries (LMICs);
85.7% (n = 112 716) of published orthopaedic research was undertaken in a high-income setting. The majority of the
studies (n = 90, 74.4%) presented level IV evidence. Only 7.4% (n = 9) were high-quality evidence (level I or II). Additionally, the majority of research (74 articles, 56%) was published in partnership with high-income countries (HICs).
Conclusions: There is a stark mismatch between the publication of scientific reports on orthopaedic research and the
geographical areas of greatest clinical need. We believe there is an urgent need for orthopaedic research to be carried
out in low-income settings to guide treatment and improve outcomes, rather than assuming that evidence from highincome settings will translate into this environment.

Item Type: Article
Subjects: QS Anatomy > QS 4 General works. Classify here works on regional anatomy
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WA Public Health > Statistics. Surveys > WA 950 Theory or methods of medical statistics. Epidemiologic methods
WE Musculoskeletal System > WE 100 General works
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):
Depositing User: Annmarie Hand
Date Deposited: 16 Dec 2019 13:40
Last Modified: 03 Aug 2021 14:05


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