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. 2019 Mar;35(3):397-411.
doi: 10.1007/s00383-018-4412-4. Epub 2018 Nov 9.

The extent of pediatric orthopaedic research in low- and middle-income countries and the impact of academic collaboration on research quality: a scoping review

John M Ibrahim  1 , Max Liu  2 , Hao-Hua Wu  3 , Kushal R Patel  4 , Amber M Caldwell  3 , Ralph Richard Coughlin  3 , Saam Morshed  3 , David W Shearer  3
Affiliations

The extent of pediatric orthopaedic research in low- and middle-income countries and the impact of academic collaboration on research quality: a scoping review

John M Ibrahim et al. Pediatr Surg Int. 2019 Mar.

Abstract

Introduction: This review aims to (1) assess the breadth of pediatric orthopaedic research in low- and middle-income countries (LMICs) and (2) determine the impact of academic collaboration (an LMIC and a non-LMIC investigator) in published LMIC research.

Methods: Pediatric orthopaedic clinical studies conducted in LMICs from 2004 to 2014 were extracted from Embase, Cochrane, and Pubmed databases. Of 22,714 searched studies, 129 met inclusion criteria.

Results: 85% generated low-quality evidence (level IV or lower). 21% were collaborative, and these were more likely than non-collaborative papers to generate level III evidence or higher (25% vs 13%, p = 0.141).

Discussion: Pediatric orthopaedic research produced by LMICs rarely achieves level I-III evidence, but collaborative studies are associated with higher levels of evidence.

Level of evidence: N/A.

Keywords: Academic collaboration; Global surgery; Low- and middle-income countries; Orthopaedics; Pediatrics; Scoping review.

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