非洲非致命道路交通事故导致的肌肉骨骼相关疾病负担：一项系统评价方案

Burden of musculoskeletal-related disorders resulting from non-fatal road traffic collisions in Africa: a protocol of a systematic review.

作者信息

Yusuf Mohamed, Gebrye Tadesse, Fatoye Francis

机构信息

Manchester Metropolitan University, Manchester, UK

Manchester Metropolitan University, Manchester, UK.

出版信息

BMJ Open. 2019 Oct 28;9(10):e032687. doi: 10.1136/bmjopen-2019-032687.

DOI:10.1136/bmjopen-2019-032687

PMID:31662401

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6830634/

Abstract

INTRODUCTION

In addition to their high mortality rates, road traffic collisions (RTC) are considered a burden within those who do survive. In Africa, injuries related to RTC have been identified as the 10th most common cause of disability-adjusted life years lost for all ages and categories. Moreover, non-fatal RTC are the biggest cause associated with the burden of musculoskeletal disorders (MSD) in Africa. Despite this, the epidemiology of MSD related to non-fatal RTC within this region is still unknown.The objective of this review is to identify and summarise available data regarding the prevalence, incidence and patterns of MSD resulting from non-fatal RTC in Africa.

METHODS AND ANALYSIS

A systematic review of observational epidemiological studies will be conducted. On October 2019, MEDLINE, Embase, CINAHL Plus, PsycINFO, Web of Science, Global Health and African Journals OnLine will be searched for literature that is in English and published between 1990 and 2018. Two reviewers (MY ad TG) will independently screen results and extract the data, with a third reviewer (FF) resolving any discrepancies through discussion. Additionally, two reviewers (MY and TG) will independently assess the quality of the eligible studies using the US National Institutes of Health National Heart, Lung, and Blood Institute Quality Assessment Tool.Within the eligible studies, data on citation, methods and results will be extracted. Extracted data will be analysed using a narrative synthesis. Findings will be presented in tables, with the main outcomes being prevalence, incidence and disease pattern of MSD and determinants of non-fatal RTC. The final systematic review will be conducted as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline.

ETHICS AND DISSEMINATION

As individual patients will not be involved in this study, no ethical approval will be sought. Findings from this review will be disseminated through peer-reviewed journals and relevant conferences.

TRIAL REGISTRATION NUMBER

CRD42019139538.

摘要

引言

道路交通事故（RTC）不仅死亡率高，对于幸存者而言也是一种负担。在非洲，RTC相关伤害被确定为所有年龄段和类别中导致残疾调整生命年损失的第10大常见原因。此外，非致命性RTC是非洲肌肉骨骼疾病（MSD）负担的最大相关原因。尽管如此，该地区与非致命性RTC相关的MSD流行病学仍不为人知。本综述的目的是识别并总结非洲非致命性RTC导致的MSD的患病率、发病率和模式的现有数据。

方法与分析

将对观察性流行病学研究进行系统综述。2019年10月，将检索MEDLINE、Embase、CINAHL Plus、PsycINFO、科学网、全球健康和非洲在线期刊，以查找1990年至2018年期间发表的英文文献。两名评审员（MY和TG）将独立筛选结果并提取数据，第三名评审员（FF）将通过讨论解决任何差异。此外，两名评审员（MY和TG）将使用美国国立卫生研究院国家心肺血液研究所质量评估工具独立评估符合条件的研究的质量。在符合条件的研究中，将提取关于引用、方法和结果的数据。提取的数据将使用叙述性综合分析。研究结果将以表格形式呈现，主要结果为MSD的患病率、发病率和疾病模式以及非致命性RTC的决定因素。最终的系统综述将按照系统综述和Meta分析的首选报告项目指南进行。