2023-09-28 14:46:10 +00:00
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abstract: 'Introduction: Musculoskeletal disease (MSD) is a major cause of
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disability in the global burden of disease, yet data regarding the
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magnitude of this burden in low and middle-income countries (LMICs) are
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lacking. The Surgeons OverSeas Assessment of Surgical Need (SOSAS)
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survey was designed to measure incidence and prevalence of surgically
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treatable conditions, including MSD, in patients in LMICs.
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Methods: A countrywide survey was done in Nepal using SOSAS in May-June
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2014. Clusters were chosen based on population weighted random sampling.
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Chi squared tests and multivariate logistic regression assessed
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associations between demographic variables and MSD.
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Results: Self-reported MSDs were seen in 14.8\% of survey respondents
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with an unmet need of 60\%. The majority of MSDs (73.9\%) occurred
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between 1 and 12 months prior to the survey. Female sex (OR = 0.6; p <
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0.000), access to motorized transport (for secondary facility, OR =
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0.714; p < 0.012), and access to a tertiary health facility (OR = 0.512;
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p < 0.008) were associated with lower odds of MSD.
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Discussion: Based on this study, there are approximately 2.35 million
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people living with MSDs in Nepal. As the study identified
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non-availability, lack of money, and fear and/or lack of trust as the
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major barriers to orthopedic care in Nepal, future work should consider
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interventions to address these barriers.
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Conclusion: There is a need to increase surgical capacity in LMICs; in
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particular, there is a need to bolster trauma and orthopedic care.
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Previous studies have suggested ways to allocate resources to build
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capacity. We recommend targeting the alleviation of these identified
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barriers in parallel with capacity building. (C) 2016 IJS Publishing
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Group Ltd. Published by Elsevier Ltd. All rights reserved.'
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affiliation: 'Chawla, SS (Corresponding Author), Mayo Clin \& Mayo Grad Sch Med, Rochester,
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MN 55905 USA.
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Chawla, Sagar S., Mayo Clin \& Mayo Grad Sch Med, Rochester, MN 55905 USA.
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Khanal, Subrat; Ghimire, Pranita, BP Koirala Inst Hlth Sci, Dharan, Nepal.
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Nagarajan, Neeraja, Johns Hopkins Univ, Sch Med Baltimore, Dept Surg, Baltimore,
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MD 21287 USA.
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Gupta, Shailvi, Univ Calif San Francisco East Bay, 1411 East 31st St, Oakland, CA
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94602 USA.
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Gupta, Shailvi; Kushner, Adam L., Surg OverSeas, New York, NY USA.
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Varadaraj, Varshini, Johns Hopkins Univ, Sch Med, Dept Ophthalmol, Baltimore, MD
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21287 USA.
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Nwomeh, Benedict C., Nationwide Childrens Hosp, Pediat Surg, Columbus, OH 43205
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USA.
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Kushner, Adam L., Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore,
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MD USA.'
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author: Chawla, Sagar S. and Khanal, Subrat and Ghimire, Pranita and Nagarajan, Neeraja
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and Gupta, Shailvi and Varadaraj, Varshini and Nwomeh, Benedict C. and Kushner,
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Adam L.
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author-email: 'sagarschawla@gmail.com
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subratkhanal033@gmail.com
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pranitaghimire690@gmail.com
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nnagara2@jhu.edu
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shailvi.gupta@gmail.com
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vvarada2@jhu.edu'
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author_list:
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- family: Chawla
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given: Sagar S.
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- family: Khanal
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given: Subrat
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- family: Ghimire
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given: Pranita
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- family: Nagarajan
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given: Neeraja
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- family: Gupta
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given: Shailvi
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- family: Varadaraj
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given: Varshini
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- family: Nwomeh
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given: Benedict C.
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- family: Kushner
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given: Adam L.
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da: '2023-09-28'
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doi: 10.1016/j.ijsu.2016.08.522
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eissn: 1743-9159
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files: []
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issn: 1743-9191
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journal: INTERNATIONAL JOURNAL OF SURGERY
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keywords: 'Essential surgery; Orthopedic surgery; Musculoskeletal disease; Surgical
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capacity; Low- and middle-income countries; Nepal'
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keywords-plus: 'TRAUMA SERVICES; NONORTHOPAEDISTS; ORTHOPEDISTS; DISORDERS; INJURIES;
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CARE'
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language: English
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month: OCT
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number-of-cited-references: '26'
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orcid-numbers: 'Chawla, Sagar/0000-0003-1431-0766
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Kushner, Adam/0000-0002-7797-4837'
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pages: 122-126
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papis_id: f51ddee5cfae2724b9a04340fec942e9
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ref: Chawla2016musculoskeletaldisea
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researcherid-numbers: 'Khanal, Subrat/AAU-3638-2021
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Chawla, Sagar/AAR-1553-2020
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'
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times-cited: '12'
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title: 'Musculoskeletal disease in Nepal: A countrywide cross-sectional survey on
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burden and surgical access'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000386894600021
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usage-count-last-180-days: '0'
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usage-count-since-2013: '7'
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volume: '34'
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web-of-science-categories: Surgery
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year: '2016'
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