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Musculoskeletal Injuries and Conditions Among Homeless Patients

INTRODUCTION: The purpose of this study was to analyze existing literature on musculoskeletal diseases that homeless populations face and provide recommendations on improving musculoskeletal outcomes for homeless individuals. METHODS: A comprehensive search of the literature was performed in March 2...

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Autores principales: Kale, Nisha N., Marsh, James, Kale, Neel K., Miskimin, Cadence, Mulcahey, Mary K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604007/
https://www.ncbi.nlm.nih.gov/pubmed/34807874
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00241
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author Kale, Nisha N.
Marsh, James
Kale, Neel K.
Miskimin, Cadence
Mulcahey, Mary K.
author_facet Kale, Nisha N.
Marsh, James
Kale, Neel K.
Miskimin, Cadence
Mulcahey, Mary K.
author_sort Kale, Nisha N.
collection PubMed
description INTRODUCTION: The purpose of this study was to analyze existing literature on musculoskeletal diseases that homeless populations face and provide recommendations on improving musculoskeletal outcomes for homeless individuals. METHODS: A comprehensive search of the literature was performed in March 2020 using the PubMed/MEDLINE (1966 to March 2020), Embase (1975 to April 2020), and CINHAL (1982 to 2020) databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used for accuracy of reporting, and the Newcastle-Ottawa Scale was used for quality assessment. RESULTS: Twenty-nine articles met inclusion criteria. Seven studies observed an increased prevalence of musculoskeletal injuries among the homeless population, four observed increased susceptibility to bacterial soft-tissue infection, four observed increased fractures/traumatic injuries, three described increased chronic pain, and six focused on conditions specific to the foot and ankle region. DISCUSSION: Homeless individuals often have inadequate access to care and rely on the emergency department for traumatic injuries. These findings have important implications for surgeons and public health officials and highlight the need for evidence-based interventions and increased follow-up. Targeted efforts and better tracking of follow-up and emergency department usage could improve health outcomes for homeless individuals and reduce the need costly late-stage interventions by providing early and more consistent care.
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spelling pubmed-86040072021-11-22 Musculoskeletal Injuries and Conditions Among Homeless Patients Kale, Nisha N. Marsh, James Kale, Neel K. Miskimin, Cadence Mulcahey, Mary K. J Am Acad Orthop Surg Glob Res Rev Research Article INTRODUCTION: The purpose of this study was to analyze existing literature on musculoskeletal diseases that homeless populations face and provide recommendations on improving musculoskeletal outcomes for homeless individuals. METHODS: A comprehensive search of the literature was performed in March 2020 using the PubMed/MEDLINE (1966 to March 2020), Embase (1975 to April 2020), and CINHAL (1982 to 2020) databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used for accuracy of reporting, and the Newcastle-Ottawa Scale was used for quality assessment. RESULTS: Twenty-nine articles met inclusion criteria. Seven studies observed an increased prevalence of musculoskeletal injuries among the homeless population, four observed increased susceptibility to bacterial soft-tissue infection, four observed increased fractures/traumatic injuries, three described increased chronic pain, and six focused on conditions specific to the foot and ankle region. DISCUSSION: Homeless individuals often have inadequate access to care and rely on the emergency department for traumatic injuries. These findings have important implications for surgeons and public health officials and highlight the need for evidence-based interventions and increased follow-up. Targeted efforts and better tracking of follow-up and emergency department usage could improve health outcomes for homeless individuals and reduce the need costly late-stage interventions by providing early and more consistent care. Wolters Kluwer 2021-11-18 /pmc/articles/PMC8604007/ /pubmed/34807874 http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00241 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kale, Nisha N.
Marsh, James
Kale, Neel K.
Miskimin, Cadence
Mulcahey, Mary K.
Musculoskeletal Injuries and Conditions Among Homeless Patients
title Musculoskeletal Injuries and Conditions Among Homeless Patients
title_full Musculoskeletal Injuries and Conditions Among Homeless Patients
title_fullStr Musculoskeletal Injuries and Conditions Among Homeless Patients
title_full_unstemmed Musculoskeletal Injuries and Conditions Among Homeless Patients
title_short Musculoskeletal Injuries and Conditions Among Homeless Patients
title_sort musculoskeletal injuries and conditions among homeless patients
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604007/
https://www.ncbi.nlm.nih.gov/pubmed/34807874
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00241
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