Moving towards evidence-based healthcare for musculoskeletal injuries: featuring the work of the Cochrane Bone, Joint and Muscle Trauma Group
Moving towards evidence-based healthcare for musculoskeletal injuries: featuring the work of the Cochrane Bone, Joint and Muscle Trauma Group
复制标题
DOI：
10.1177/1466424007079491
复制
发表时间：
2007-07-01
期刊：
影响因子：
--
通讯作者：
Madhok, Rajan
中科院分区：
文献类型：
--
作者：
Handoll, Helen Hanora Georgina;Gillespie, William John;Madhok, Rajan
由于其高发病率以及相关的发病率和死亡率，肌肉骨骼损伤给社会带来了巨大的负担。例如，2004年至2005年期间，英国有62,000名髋部骨折患者，占住院天数的2.9%。 12% 至 37% 的髋部骨折患者在第一年死亡。在幸存者中，大多数人行动不便，许多人失去了独立性。青壮年运动和运动相关活动中的软组织关节损伤构成了另一个重要群体。其中，踝关节扭伤是最常见的单一损伤，它使人们容易进一步复发。Cochrane 骨、关节和肌肉创伤组的成员正在准备系统评价。 （Cochrane 评论）用于预防和管理肌肉骨骼损伤的干预措施的证据。这些评论有助于政策制定者、医疗保健专业人员和消费者做出基于证据的决策，并指导未来的研究。本文重点关注两大类损伤：骨质疏松性骨折和软组织关节损伤，并讨论与预防和管理这些损伤相关的一些基本问题和疑问。本文借鉴相关 Cochrane 综述的见解，探讨了用于预防这些损伤的不同方法，以及手术和固定在治疗这些损伤中的作用。还提供了康复固有复杂性的简要说明。本文还举例说明了这些评论如何帮助告知医疗保健选择和实践，并指导该领域的研究。
Due to their high incidence and associated morbidity and mortality, musculoskeletal injuries place an enormous burden on society. For example, in the 2004 to 2005 period 62,000 people with hip fracture accounted for 2.9% of the total number of hospital bed days in England. Between 12% and 37% of people with hip fracture die in the first year. Of the survivors, most are less mobile and many lose their independence. Soft-tissue joint injuries during sports and exercise-related activities in young adults constitute another important group. Of these, ankle sprain is the most common single injury and it predisposes people to further recurrence.Members of the Cochrane Bone, Joint and Muscle Trauma Group prepare systematic reviews. (Cochrane Reviews) of the evidence for interventions used in the prevention and management of musculoskeletal injuries. These reviews serve to facilitate evidence-based decision making by policy makers, healthcare professionals and consumers, and to guide future research.This article focuses on two major groups of injuries: osteoporotic fractures and soft-tissue joint injuries, and discusses some of the fundamental issues and questions associated with the prevention and management of these. Drawing insights from relevant Cochrane Reviews, this article examines the different approaches used for preventing, and the role of surgery and immobilisation for treating, these injuries. Brief illustrations of the inherent complexity of rehabilitation are also provided.This article also gives examples of how these reviews are helping to inform healthcare choices and practice, and guide research in this area.