Study themes.

Tanzania is disproportionately burdened by musculoskeletal injuries as it faces unique challenges when dealing with trauma care. This scoping review aims to summarize and assess the current state of orthopaedic and trauma research in Tanzania. By identifying key themes, trends, and gaps in the literature, this review seeks to guide future research initiatives catered specifically to the needs of Tanzania’s healthcare system. Utilizing the PRISMA-ScR protocol, OVID Medline, PubMed, and CINAHL databases were searched from inception to June 17, 2023, using keywords such as “Orthopaedics” “Trauma” and “Tanzania”. One hundred and ninety-two eligible studies were included and the Arksey and O’Malley framework for scoping studies was followed. There was a notable growth of relevant publications from 2015 onward, with peaks in growth in the years 2019, 2021, and 2020. The studies employed diverse research methodologies, with cross-sectional (n = 41, 21%) and prospective studies (n = 39, 20%) being the most prevalent, and randomized-controlled trials being the least prevalent methodology, making up eight studies (4.2%). The most common study themes were trauma (n = 101, 52.6%), lower extremity (n = 31, 16%), and spine-related issues (n = 27, 14%). Only three studies looked at work-related injuries (1.6%). Road traffic injuries (RTIs) were the most common mechanism of trauma in 77.0% of the trauma focused studies. Fifty-three percent of the studies were conducted by a majority of Tanzanian authors. This scoping review highlights various trends in orthopaedic and trauma research in Tanzania, with a particular emphasis on road traffic-related injuries. Various gaps are explored, including a lack of research on work-related injuries and a paucity of experimental research. Our findings underline areas where future research is warranted. The future of orthopaedic and trauma care in Tanzania depends on the efforts and collaboration of both local and international stakeholders.

坦桑尼亚在肌肉骨骼损伤方面承受着不成比例的沉重负担，该国在创伤救治领域面临着独特的挑战。本范围综述旨在总结并评估坦桑尼亚骨科与创伤研究的当前现状。本综述通过识别文献中的核心主题、研究趋势与现存空白，旨在为适配坦桑尼亚医疗体系实际需求的未来研究计划提供指引。本研究采用PRISMA范围综述指南（PRISMA-ScR），检索了OVID Medline、PubMed及CINAHL数据库自建库至2023年6月17日的文献，检索关键词涵盖骨科（Orthopaedics）、创伤（Trauma）与坦桑尼亚（Tanzania）。最终纳入192篇符合标准的研究，并遵循Arksey与O’Malley范围研究框架开展分析。相关文献发表量自2015年起呈现显著增长，在2019年、2021年与2020年达到增长峰值。纳入研究采用了多样化的研究方法，其中横断面研究（n=41，占比21%）与前瞻性研究（n=39，占比20%）最为常见，随机对照试验（randomized-controlled trials）的占比最低，仅包含8项研究（占比4.2%）。最常见的研究主题为创伤（n=101，占比52.6%）、下肢（lower extremity，n=31，占比16%）与脊柱相关问题（n=27，占比14%）。仅有3项研究关注了职业相关损伤（占比1.6%）。在聚焦创伤的研究中，77.0%的研究显示道路交通事故损伤（Road Traffic Injuries, RTIs）是最常见的创伤致伤机制。53%的研究由坦桑尼亚籍作者作为主要作者完成。本范围综述梳理了坦桑尼亚骨科与创伤研究的多项趋势，尤其聚焦于道路交通相关损伤领域。本综述同时探讨了诸多研究空白，包括职业相关损伤领域的研究匮乏，以及实验性研究的不足。本研究结果明确了未来值得开展研究的方向。坦桑尼亚骨科与创伤救治的未来，有赖于本地与国际利益相关方的共同努力与协作。