小儿腕部骨折:各国在处理上的差异。循证证据摘要。

IF 6.7 2区 医学 Q1 Medicine
Luca Labianca, Cosma Calderaro, Nicola Maffulli
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引用次数: 0

摘要

导言:桡骨远端骨折是儿科常见疾病,不同国家对小儿腕部骨折的处理方法存在很大差异。考虑保守治疗和手术干预的不同方法至关重要。决定适当的治疗方法通常取决于骨折的类型和严重程度,以及各国现有的医疗资源和专业知识。本文试图找出这些差异,以便各个医疗保健系统在全球范围内实施小儿腕部骨折的最佳治疗方法:数据来源:在电子数据库(包括 PubMed Scopus 和 Google Scholar)中找到的已发表的同行评审文章:鉴于医疗资源和文化习俗的高度差异性,各国对小儿腕部骨折的管理可能存在很大差异:在某些国家,尤其是资源有限的发展中地区,小儿腕部骨折的治疗可能具有挑战性:增长点:治疗延误时间过长、缺乏适当的麻醉和透视技术等挑战会使治疗过程复杂化。随机对照临床试验(RCT)对于提供指导临床决策的高质量证据至关重要,尤其是在小儿腕部骨折领域:支持并优先开展和传播小儿腕部骨折治疗方面的随机对照临床试验,最终可为全球腕部骨折患儿提供更加一致、有效和循证的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pediatric wrist fractures: variations in management across countries. An evidence-based summary of evidence.

Introduction: Fractures of the distal radius are common in pediatric population, with considerable variation in the management of pediatric wrist fractures across different countries. It is crucial to consider the different approaches to conservative management and surgical intervention. The decision on the appropriate treatment method often depends on the type and severity of the fracture, as well as the available healthcare resources and expertise in each country. This article tries to identify these variations, so the various healthcare systems can work toward implementing best practices in the management of pediatric wrist fractures on a global scale.

Source of data: Published peer-reviewed articles identified in electronic databases, including PubMed Scopus and Google Scholar.

Areas of agreement: The management of pediatric wrist fractures can differ significantly among countries given the high variability in healthcare resources and cultural practices.

Areas of controversy: The management of pediatric wrist fractures can be challenging in certain countries, especially in developing regions with limited resources.

Growing points: Challenges such as long therapeutic delays, lack of appropriate anesthesia, and the absence of fluoroscopy can complicate the treatment process. Randomized controlled clinical trials (RCTs) are vital in providing high-quality evidence to guide clinical decision-making, especially in the field of pediatric wrist fractures.

Areas timely for developing research: Efforts to support and prioritize the conduct and dissemination of RCTs in pediatric wrist fracture management can ultimately lead to more consistent, effective, and evidence-based care for children with wrist fractures worldwide.

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来源期刊
British medical bulletin
British medical bulletin 医学-医学:内科
CiteScore
13.10
自引率
1.50%
发文量
24
审稿时长
>12 weeks
期刊介绍: British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors, and medical students in both developed and developing countries. Its key aims are to provide interpretations of growing points in medicine by trusted experts in the field, and to assist practitioners in incorporating not just evidence but new conceptual ways of thinking into their practice.
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