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Review
. 2020 Jan;88(1):25-32.
doi: 10.1097/TA.0000000000002461.

Disproportionally low funding for trauma research by the National Institutes of Health: A call for a National Institute of Trauma

Nina E Glass  1 , Julia Riccardi, Nicole I Farber, Stephanie L Bonne, David H Livingston
Affiliations
Review

Disproportionally low funding for trauma research by the National Institutes of Health: A call for a National Institute of Trauma

Nina E Glass et al. J Trauma Acute Care Surg. 2020 Jan.

Abstract

Background: Trauma is a major cause of death and disability in all ages. Previous reviews have suggested that National Institutes of Health (NIH) funding for trauma is not commensurate with its burden of disease, but a detailed analysis has been lacking. We postulated that NIH spending on trauma research was lower than previously thought and was distributed widely, preventing a comprehensive research strategy that could decrease trauma morbidity and mortality.

Methods: The NIH Research Portfolio Online Reporting Tool was initially screened using a search of over 20 terms including "trauma," "injury," "shock," "MVC," and excluding clearly unrelated conditions, for example, "cancer." The details of all grants that screened positive underwent manual review to identify true trauma-related grants. An expert panel was used to adjudicate any ambiguity.

Results: In FY2016, NIH awarded 50,137 grants, of which 6,401 (13%) were captured by our initial screen. Following review, 1,888 (28%) were identified as trauma-related; 3.7% of all NIH grants. These grants (US $720 million) represent only 2.9% of the NIH extramural budget. In addition, the grants were funded and administered by 24 of the institutes and centers across the NIH ranging from 0.01% (National Cancer Institute) to 11% (National Institute of Neurological Disorders and Stroke and National Institute of Arthritis and Musculoskeletal and Skin Diseases) of their extramural portfolios.

Conclusion: Given the extreme burden of trauma-related disability and years of life lost, this review of extramural NIH funding definitively demonstrates that trauma is severely underfunded. The lack of a dedicated home for trauma research at NIH leads to a diffusion of grants across many institutes and makes it impossible to direct a focused and effective national research endeavor to improve outcomes. These data demonstrate the need for a National Institute of Trauma at the NIH to help set an agenda to reach the national goal of Zero Preventable Deaths.

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References

    1. National Institutes of Health. Impact of NIH research [cited 2019 June 8]. Available from: https://www.nih.gov/impact.
    1. Blume-Kohout ME, Adhikari D. Training the scientific workforce: does funding mechanism matter? Res Policy. 2016;45(6):1291–1303.
    1. Colaco M, Svider PF, Mauro KM, Eloy JA, Jackson-Rosario I. Is there a relationship between National Institutes of Health funding and research impact on academic urology? J Urol. 2013;190(3):999–1003.
    1. Gelfman LP, Du Q, Morrison RS. An update: NIH research funding for palliative medicine 2006 to 2010. J Palliat Med. 2013;16(2):125–129.
    1. Jacob BA, Lefgren L. The impact of research grant funding on scientific productivity. J Public Econ. 2011;95(9-10):1168–1177.

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