Standardising the management of open extremity fractures: a scoping review of national guidelines

Berner, Juan Enrique; Ali, Stephen; Will, Patrick A.; Tejos, Rodrigo; Nanchahal, Jagdeep; Jain, Abhilash

doi:10.1007/s00590-022-03324-w

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Standardising the management of open extremity fractures: a scoping review of national guidelines

Juan Enrique Berner

, Stephen Ali, Patrick A. Will, Rodrigo Tejos, Jagdeep Nanchahal, Abhilash Jain

European Journal of Orthopaedic Surgery & Traumatology, Volume: 33, Issue: 5, Pages: 1463 - 1471

Swansea University Author: Stephen Ali

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DOI (Published version): 10.1007/s00590-022-03324-w

Abstract

Open extremity fractures can be life-changing events. Clinical guidelines on the management of these injuries aim to standardise the care of patients by presenting evidence-based recommendations. We performed a scoping systematic review to identify all national clinical practice guidelines published...

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Published in:	European Journal of Orthopaedic Surgery & Traumatology
ISSN:	1432-1068
Published:	Springer Science and Business Media LLC 2022
Online Access:	Check full text
URI:	https://cronfa.swan.ac.uk/Record/cronfa60635

first_indexed	2022-07-26T12:10:55Z
last_indexed	2024-11-14T12:17:42Z
id	cronfa60635
recordtype	SURis
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spelling	2023-07-11T11:21:39.3843931 v2 60635 2022-07-26 Standardising the management of open extremity fractures: a scoping review of national guidelines 8c210736c07c6aa2514e0f6b3cfd9764 Stephen Ali Stephen Ali true false 2022-07-26 Open extremity fractures can be life-changing events. Clinical guidelines on the management of these injuries aim to standardise the care of patients by presenting evidence-based recommendations. We performed a scoping systematic review to identify all national clinical practice guidelines published to date. A PRISMA-compliant scoping systematic review was designed to identify all national or federal guidelines for the management of open fractures, with no limitations for language or publication date. EMBASE and MEDLINE database were searched. Article screening and full-text review was performed in a blinded fashion in parallel by two authors. Following elimination of duplicates, 376 individual publications were identified and reviewed. In total, 12 clinical guidelines were identified, authored by groups in the UK, USA, the Netherlands, Finland, and Malawi. Two of these focused exclusively on antibiotic prophylaxis and one on combat-related injuries, with the remaining nine presented wide-scope recommendations with significant content overlap. Clinical practice guidelines serve clinicians in providing evidence-based and cost-effective care. We only identified one open fractures guideline developed in a low- or middle-income country, from Malawi. Even though the development of these guidelines can be time and resource intensive, the benefits may outweigh the costs by standardising the care offered to patients in different healthcare settings. International collaboration may be an alternative for adapting guidelines to match local resources and healthcare systems for use across national borders. [Abstract copyright: © 2022. The Author(s).] Journal Article European Journal of Orthopaedic Surgery & Traumatology 33 5 1463 1471 Springer Science and Business Media LLC 1432-1068 Open fractures; Guidelines; Lower limb; Trauma; Open fractures; Lower extremity; Plastic surgery 10 7 2022 2022-07-10 10.1007/s00590-022-03324-w http://dx.doi.org/10.1007/s00590-022-03324-w COLLEGE NANME COLLEGE CODE Swansea University No funding received. 2023-07-11T11:21:39.3843931 2022-07-26T13:08:18.8495230 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Juan Enrique Berner 0000-0003-2178-5161 1 Stephen Ali 2 Patrick A. Will 3 Rodrigo Tejos 4 Jagdeep Nanchahal 5 Abhilash Jain 6 60635__28001__d43bef29833b4f62aa65b0c71765421e.pdf 60635.VOR.pdf 2023-06-28T14:14:29.0903748 Output 2108268 application/pdf Version of Record true © The Author(s) 2022. Distributed under the terms of a Creative Commons Attribution 4.0 License (CC BY 4.0). true eng https://creativecommons.org/licenses/by/4.0/
title	Standardising the management of open extremity fractures: a scoping review of national guidelines
spellingShingle	Standardising the management of open extremity fractures: a scoping review of national guidelines Stephen Ali
title_short	Standardising the management of open extremity fractures: a scoping review of national guidelines
title_full	Standardising the management of open extremity fractures: a scoping review of national guidelines
title_fullStr	Standardising the management of open extremity fractures: a scoping review of national guidelines
title_full_unstemmed	Standardising the management of open extremity fractures: a scoping review of national guidelines
title_sort	Standardising the management of open extremity fractures: a scoping review of national guidelines
author_id_str_mv	8c210736c07c6aa2514e0f6b3cfd9764
author_id_fullname_str_mv	8c210736c07c6aa2514e0f6b3cfd9764_***_Stephen Ali
author	Stephen Ali
author2	Juan Enrique Berner Stephen Ali Patrick A. Will Rodrigo Tejos Jagdeep Nanchahal Abhilash Jain
format	Journal article
container_title	European Journal of Orthopaedic Surgery & Traumatology
container_volume	33
container_issue	5
container_start_page	1463
publishDate	2022
institution	Swansea University
issn	1432-1068
doi_str_mv	10.1007/s00590-022-03324-w
publisher	Springer Science and Business Media LLC
college_str	Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id	facultyofmedicinehealthandlifesciences
hierarchy_top_title	Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id	facultyofmedicinehealthandlifesciences
hierarchy_parent_title	Faculty of Medicine, Health and Life Sciences
department_str	Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
url	http://dx.doi.org/10.1007/s00590-022-03324-w
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description	Open extremity fractures can be life-changing events. Clinical guidelines on the management of these injuries aim to standardise the care of patients by presenting evidence-based recommendations. We performed a scoping systematic review to identify all national clinical practice guidelines published to date. A PRISMA-compliant scoping systematic review was designed to identify all national or federal guidelines for the management of open fractures, with no limitations for language or publication date. EMBASE and MEDLINE database were searched. Article screening and full-text review was performed in a blinded fashion in parallel by two authors. Following elimination of duplicates, 376 individual publications were identified and reviewed. In total, 12 clinical guidelines were identified, authored by groups in the UK, USA, the Netherlands, Finland, and Malawi. Two of these focused exclusively on antibiotic prophylaxis and one on combat-related injuries, with the remaining nine presented wide-scope recommendations with significant content overlap. Clinical practice guidelines serve clinicians in providing evidence-based and cost-effective care. We only identified one open fractures guideline developed in a low- or middle-income country, from Malawi. Even though the development of these guidelines can be time and resource intensive, the benefits may outweigh the costs by standardising the care offered to patients in different healthcare settings. International collaboration may be an alternative for adapting guidelines to match local resources and healthcare systems for use across national borders. [Abstract copyright: © 2022. The Author(s).]
published_date	2022-07-10T05:05:23Z
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Standardising the management of open extremity fractures: a scoping review of national guidelines

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