Graham Simon Matthew, Brennan Ciaran, Laubscher Maritz, Maqungo Sithombo, Lalloo David G, Perry Daniel C, Mkandawire Nyengo, Harrison William J
Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK - Orthopaedic Research Unit, Department of Orthopaedic Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town 7700, South Africa - Orthopaedic Trauma Service, Groote Schuur Hospital, University of Cape Town, Cape Town 7700, South Africa.
Orthopaedic Research Unit, Department of Orthopaedic Surgery, Groote Schuur Hospital, University of Cape Town, Cape Town 7700, South Africa - Orthopaedic Trauma Service, Groote Schuur Hospital, University of Cape Town, Cape Town 7700, South Africa.
SICOT J. 2019;5:41. doi: 10.1051/sicotj/2019038. Epub 2019 Nov 26.
To perform a bibliometric analysis and quantify the amount of orthopaedic and trauma literature published from low-income countries (LICs).
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 origin.
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).
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 high-income settings will translate into this environment.
IV.
进行文献计量分析并量化低收入国家（LICs）发表的骨科与创伤文献数量。
利用科学网数据库识别所有被索引的骨科期刊。回顾过去10年在76种骨科期刊上发表的所有文章，以确定其地理来源。
在过去10年中，76种骨科期刊共发表了131454篇文章。其中，132篇（0.1%）来自低收入国家，3515篇（2.7%）来自中低收入国家（LMICs）；85.7%（n = 112716）的已发表骨科研究是在高收入环境中进行的。大多数研究（n = 90，74.4%）提供了IV级证据。只有7.4%（n = 9）是高质量证据（I级或II级）。此外，大多数研究（74篇，56%）是与高收入国家（HICs）合作发表的。
骨科研究科学报告的发表与临床需求最大的地理区域之间存在明显不匹配。我们认为，迫切需要在低收入环境中开展骨科研究，以指导治疗并改善治疗效果，而不是假定高收入环境中的证据可以直接应用于这种环境。
IV级
