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