Impact of academic collaboration and quality of clinical orthopaedic research conducted in low- and middle-income countries

Background: Little is known about the quality of orthopaedic investigations conducted in low- and middle-income countries (LMICs). Academic collaboration is one model to build research capacity and improve research quality. Our study aimed to determine (1) the quality of clinical orthopaedic researc...

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Main Authors: Wu Hao-Hua, Liu Max, Patel Kushal R., Turner Wes, Baltus Lincoln, Caldwell Amber M., Hahn Jesse C., Coughlin Ralph Richard, Morshed Saam, Miclau Theodore, Shearer David W.
Format: Article
Language:English
Published: EDP Sciences 2017-01-01
Series:SICOT-J
Subjects:
Online Access:https://doi.org/10.1051/sicotj/2016042
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author Wu Hao-Hua
Liu Max
Patel Kushal R.
Turner Wes
Baltus Lincoln
Caldwell Amber M.
Hahn Jesse C.
Coughlin Ralph Richard
Morshed Saam
Miclau Theodore
Shearer David W.
author_facet Wu Hao-Hua
Liu Max
Patel Kushal R.
Turner Wes
Baltus Lincoln
Caldwell Amber M.
Hahn Jesse C.
Coughlin Ralph Richard
Morshed Saam
Miclau Theodore
Shearer David W.
author_sort Wu Hao-Hua
collection DOAJ
description Background: Little is known about the quality of orthopaedic investigations conducted in low- and middle-income countries (LMICs). Academic collaboration is one model to build research capacity and improve research quality. Our study aimed to determine (1) the quality of clinical orthopaedic research conducted in LMICs, (2) the World Bank Regions and LMICs that publish the highest quality studies, (3) the pattern of collaboration among investigators and (4) whether academic collaboration between LMIC and non-LMIC investigators is associated with studies that have higher levels of evidence. Methods: Orthopaedic studies from 2004 to 2014 conducted in LMICs were extracted from multiple electronic databases. The World Bank Region, level of evidence and author country-affiliation were recorded. Collaboration was defined as a study that included an LMIC with non-LMIC investigator. Results: There were 958 studies that met inclusion criteria of 22,714 searched. Ninety-seven (10.1%) of included studies achieved Level 1 or 2 evidence, but case series (52.3%) were the most common. Collaboration occurred in 14.4% of studies and the vast majority of these (88.4%) were among academic institutions. Collaborative studies were more likely to be Level 1 or 2 (20.3% vs. 8.4%, p < 0.01), prospective (34.8% vs. 22.9% p = 0.04) and controlled (29.7% vs. 14.4%, p < 0.01) compared to non-collaborative studies. Conclusions: Although orthopaedic studies in LMICs rarely reach Level 1 or 2 evidence, studies published through academic collaboration between LMIC and non-LMIC investigators are associated with higher levels of evidence and more prospective, controlled designs.
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spelling doaj.art-d48135c7399b466aa1b0aea62beebc3d2022-12-21T22:20:30ZengEDP SciencesSICOT-J2426-88872017-01-013610.1051/sicotj/2016042sicotj160037Impact of academic collaboration and quality of clinical orthopaedic research conducted in low- and middle-income countriesWu Hao-HuaLiu MaxPatel Kushal R.Turner WesBaltus LincolnCaldwell Amber M.Hahn Jesse C.Coughlin Ralph RichardMorshed SaamMiclau TheodoreShearer David W.Background: Little is known about the quality of orthopaedic investigations conducted in low- and middle-income countries (LMICs). Academic collaboration is one model to build research capacity and improve research quality. Our study aimed to determine (1) the quality of clinical orthopaedic research conducted in LMICs, (2) the World Bank Regions and LMICs that publish the highest quality studies, (3) the pattern of collaboration among investigators and (4) whether academic collaboration between LMIC and non-LMIC investigators is associated with studies that have higher levels of evidence. Methods: Orthopaedic studies from 2004 to 2014 conducted in LMICs were extracted from multiple electronic databases. The World Bank Region, level of evidence and author country-affiliation were recorded. Collaboration was defined as a study that included an LMIC with non-LMIC investigator. Results: There were 958 studies that met inclusion criteria of 22,714 searched. Ninety-seven (10.1%) of included studies achieved Level 1 or 2 evidence, but case series (52.3%) were the most common. Collaboration occurred in 14.4% of studies and the vast majority of these (88.4%) were among academic institutions. Collaborative studies were more likely to be Level 1 or 2 (20.3% vs. 8.4%, p < 0.01), prospective (34.8% vs. 22.9% p = 0.04) and controlled (29.7% vs. 14.4%, p < 0.01) compared to non-collaborative studies. Conclusions: Although orthopaedic studies in LMICs rarely reach Level 1 or 2 evidence, studies published through academic collaboration between LMIC and non-LMIC investigators are associated with higher levels of evidence and more prospective, controlled designs.https://doi.org/10.1051/sicotj/2016042OrthopaedicsGlobal surgeryLow- and middle-income CountriesClinical researchAcademic collaborationLevels of evidenceResearch capacity
spellingShingle Wu Hao-Hua
Liu Max
Patel Kushal R.
Turner Wes
Baltus Lincoln
Caldwell Amber M.
Hahn Jesse C.
Coughlin Ralph Richard
Morshed Saam
Miclau Theodore
Shearer David W.
Impact of academic collaboration and quality of clinical orthopaedic research conducted in low- and middle-income countries
SICOT-J
Orthopaedics
Global surgery
Low- and middle-income Countries
Clinical research
Academic collaboration
Levels of evidence
Research capacity
title Impact of academic collaboration and quality of clinical orthopaedic research conducted in low- and middle-income countries
title_full Impact of academic collaboration and quality of clinical orthopaedic research conducted in low- and middle-income countries
title_fullStr Impact of academic collaboration and quality of clinical orthopaedic research conducted in low- and middle-income countries
title_full_unstemmed Impact of academic collaboration and quality of clinical orthopaedic research conducted in low- and middle-income countries
title_short Impact of academic collaboration and quality of clinical orthopaedic research conducted in low- and middle-income countries
title_sort impact of academic collaboration and quality of clinical orthopaedic research conducted in low and middle income countries
topic Orthopaedics
Global surgery
Low- and middle-income Countries
Clinical research
Academic collaboration
Levels of evidence
Research capacity
url https://doi.org/10.1051/sicotj/2016042
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