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Comparison of fracture rates between indigenous and non-indigenous populations: a systematic review protocol
INTRODUCTION: Over recent years, there has been concerted effort to ‘close the gap’ in the disproportionately reduced life expectancy and increased morbidity experienced by indigenous compared to non-indigenous persons. Specific to musculoskeletal health, some data suggest that indigenous peoples ha...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013364/ https://www.ncbi.nlm.nih.gov/pubmed/27566641 http://dx.doi.org/10.1136/bmjopen-2016-012124 |
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author | Brennan-Olsen, Sharon L Quirk, Shae E Leslie, William D Toombs, Maree Holloway, Kara L Hosking, Sarah M Pasco, Julie A Doolan, Brianna J Page, Richard S Williams, Lana J |
author_facet | Brennan-Olsen, Sharon L Quirk, Shae E Leslie, William D Toombs, Maree Holloway, Kara L Hosking, Sarah M Pasco, Julie A Doolan, Brianna J Page, Richard S Williams, Lana J |
author_sort | Brennan-Olsen, Sharon L |
collection | PubMed |
description | INTRODUCTION: Over recent years, there has been concerted effort to ‘close the gap’ in the disproportionately reduced life expectancy and increased morbidity experienced by indigenous compared to non-indigenous persons. Specific to musculoskeletal health, some data suggest that indigenous peoples have a higher risk of sustaining a fracture compared to non-indigenous peoples. This creates an imperative to identify factors that could explain differences in fracture rates. This protocol presents our aim to conduct a systematic review, first, to determine whether differences in fracture rates exist for indigenous versus non-indigenous persons and, second, to identify any risk factors that might explain these differences. METHODS AND ANALYSIS: We will conduct a systematic search of PubMed, OVID, MEDLINE, CINAHL and EMBASE to identify articles that compare all-cause fracture rates at any skeletal site between indigenous and non-indigenous persons of any age. Eligibility of studies will be determined by 2 independent reviewers. Studies will be assessed for methodological quality using a previously published process. We will conduct a meta-analysis and use established statistical methods to identify and control for heterogeneity where appropriate. Should heterogeneity prevents numerical syntheses, we will undertake a best-evidence analysis to determine the level of evidence for differences in fracture between indigenous and non-indigenous persons. ETHICS AND DISSEMINATION: This systematic review will use published data; thus, ethical permissions are not required. In addition to peer-reviewed publication, findings will be presented at (inter)national conferences, disseminated electronically and in print, and will be made available to key country-specific decision-makers with authority for indigenous health. |
format | Online Article Text |
id | pubmed-5013364 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-50133642016-09-12 Comparison of fracture rates between indigenous and non-indigenous populations: a systematic review protocol Brennan-Olsen, Sharon L Quirk, Shae E Leslie, William D Toombs, Maree Holloway, Kara L Hosking, Sarah M Pasco, Julie A Doolan, Brianna J Page, Richard S Williams, Lana J BMJ Open Epidemiology INTRODUCTION: Over recent years, there has been concerted effort to ‘close the gap’ in the disproportionately reduced life expectancy and increased morbidity experienced by indigenous compared to non-indigenous persons. Specific to musculoskeletal health, some data suggest that indigenous peoples have a higher risk of sustaining a fracture compared to non-indigenous peoples. This creates an imperative to identify factors that could explain differences in fracture rates. This protocol presents our aim to conduct a systematic review, first, to determine whether differences in fracture rates exist for indigenous versus non-indigenous persons and, second, to identify any risk factors that might explain these differences. METHODS AND ANALYSIS: We will conduct a systematic search of PubMed, OVID, MEDLINE, CINAHL and EMBASE to identify articles that compare all-cause fracture rates at any skeletal site between indigenous and non-indigenous persons of any age. Eligibility of studies will be determined by 2 independent reviewers. Studies will be assessed for methodological quality using a previously published process. We will conduct a meta-analysis and use established statistical methods to identify and control for heterogeneity where appropriate. Should heterogeneity prevents numerical syntheses, we will undertake a best-evidence analysis to determine the level of evidence for differences in fracture between indigenous and non-indigenous persons. ETHICS AND DISSEMINATION: This systematic review will use published data; thus, ethical permissions are not required. In addition to peer-reviewed publication, findings will be presented at (inter)national conferences, disseminated electronically and in print, and will be made available to key country-specific decision-makers with authority for indigenous health. BMJ Publishing Group 2016-08-25 /pmc/articles/PMC5013364/ /pubmed/27566641 http://dx.doi.org/10.1136/bmjopen-2016-012124 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Epidemiology Brennan-Olsen, Sharon L Quirk, Shae E Leslie, William D Toombs, Maree Holloway, Kara L Hosking, Sarah M Pasco, Julie A Doolan, Brianna J Page, Richard S Williams, Lana J Comparison of fracture rates between indigenous and non-indigenous populations: a systematic review protocol |
title | Comparison of fracture rates between indigenous and non-indigenous populations: a systematic review protocol |
title_full | Comparison of fracture rates between indigenous and non-indigenous populations: a systematic review protocol |
title_fullStr | Comparison of fracture rates between indigenous and non-indigenous populations: a systematic review protocol |
title_full_unstemmed | Comparison of fracture rates between indigenous and non-indigenous populations: a systematic review protocol |
title_short | Comparison of fracture rates between indigenous and non-indigenous populations: a systematic review protocol |
title_sort | comparison of fracture rates between indigenous and non-indigenous populations: a systematic review protocol |
topic | Epidemiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5013364/ https://www.ncbi.nlm.nih.gov/pubmed/27566641 http://dx.doi.org/10.1136/bmjopen-2016-012124 |
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