Global trends of hand and wrist trauma: a systematic analysis of fracture and digit amputation using the Global Burden of Disease 2017 Study. (13th March 2020)

• Record Type: Journal Article
• Authors: Crowe, Christopher Stephen; Massenburg, Benjamin Ballard; Morrison, Shane Douglas; Chang, James; Friedrich, Jeffrey Barton; Abady, Gdiom Gebreheat; Alahdab, Fares; Alipour, Vahid; Arabloo, Jalal; Asaad, Malke; Banach, Maciej; Bijani, Ali; Borzì, Antonio Maria; Briko, Nikolay Ivanovich; Castle, Chris D; Cho, Daniel Youngwhan; Chung, Michael T; Daryani, Ahmad; Demoz, Gebre Teklemariam; Dingels, Zachary V; Do, Hoa Thi; Fischer, Florian; Fox, Jack T; Fukumoto, Takeshi; Gebre, Abadi Kahsu; Gebremichael, Berhe; Haagsma, Juanita A; Haj-Mirzaian, Arvin; Handiso, Demelash Woldeyohannes; Hay, Simon I; Hoang, Chi Linh; Irvani, Seyed Sina Naghibi; Jozwiak, Jacek Jerzy; Kalhor, Rohollah; Kasaeian, Amir; Khader, Yousef Saleh; Khalilov, Rovshan; Khan, Ejaz Ahmad; Khundkar, Roba; Kisa, Sezer; Kisa, Adnan; Liu, Zichen; Majdan, Marek; Manafi, Navid; Manafi, Ali; Manda, Ana-Laura; Meretoja, Tuomo J; Miller, Ted R; Mohammadian-Hafshejani, Abdollah; Mohammadpourhodki, Reza; Mohseni Bandpei, Mohammad A; Mokdad, Ali H; Naimzada, Mukhammad David; Ndwandwe, Duduzile Edith; Nguyen, Cuong Tat; Nguyen, Huong Lan Thi; Olagunju, Andrew T; Olagunju, Tinuke O; Pham, Hai Quang; Pribadi, Dimas Ria Angga; Rabiee, Navid; Ramezanzadeh, Kiana; Ranganathan, Kavitha; Roberts, Nicholas L S; Roever, Leonardo; Safari, Saeed; Samy, Abdallah M; Sanchez Riera, Lidia; Shahabi, Saeed; Smarandache, Catalin-Gabriel; Sylte, Dillon O; Tesfay, Berhe Etsay; Tran, Bach Xuan; Ullah, Irfan; Vahedi, Parviz; Vahedian-Azimi, Amir; Vos, Theo; Woldeyes, Dawit Habte; Wondmieneh, Adam Belay; Zhang, Zhi-Jiang; James, Spencer L;
• Is Part Of: Injury prevention. Volume 26(2020)Supplement 2
• Page Start: i115
• Page End: i124
• Publication Date: 2020-03-13
• Subjects: burden of disease -- hand injury -- descriptive epidemiology; Children's accidents -- Prevention -- Periodicals; Accidents -- Prevention -- Periodicals; 617.1
• DOI: 10.1136/injuryprev-2019-043495
• Languages: English
• ISSNs: 1353-8047

Abstract

Abstract : 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.