Learning from the past to plan for the future: A scoping review of musculoskeletal clinical research in Sweden 2010–2020. Diarbakerli, E., Thoreson, O., Björklund, M., Dahlberg, L. E., Englund, M., Gerdhem, P., Kvist, J., Mohaddes, M., Peolsson, A., Rolfson, O., Öberg, B., & Abbott, A. Upsala Journal of Medical Sciences, September, 2022. ![Learning from the past to plan for the future: A scoping review of musculoskeletal clinical research in Sweden 2010–2020 [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Background: The aims of this study are to 1) determine the scope of musculoskeletal (MSK)-related clinical research in Sweden; 2) collate the amount of first-tier funding received; 3) discuss strategies and infrastructure supporting future MSK clinical trials in Sweden. Methods: A systematic scoping review protocol was applied in PubMed, Scopus, and SweCRIS databases. The articles were examined, and data were extracted in multiple stages by three blinded authors. Results: The search strategy resulted in 3,025 publications from 479 Swedish-affiliated authors. Primary health care was the basis for 14% of the publications, 84% from secondary health care, and 2% from occupational health care with a similar proportional distribution of first-tier research grant financing. Approximately one in six publications were randomized controlled trials (RCTs), while the majority were of observational cohort design. The majority of publications in primary and occupational health care were related to pain disorders (51 and 67%, respectively), especially diagnosis, prognosis, and healthcare organizational-related interventions (34%) and rehabilitation (15%) with similar proportional distribution of first-tier research grant financing. In secondary health care, rheumatic inflammatory disorder-related publications were most prevalent (30%), most frequently concerning diagnosis, prognosis, and healthcare organizational-related interventions (20%), attracting approximately half of all first-tier funding. Publications related to degenerative joint disorders (25%), fractures (16%), and joint, tendon, and muscle injuries (13%) frequently concerned surgical and other orthopedic-related interventions (16, 6, and 8%, respectively). Pain disorder-related publications (10%) as well as bone health and osteoporosis-related publications (4%) most frequently concerned diagnosis, prognosis, and healthcare organizational-related interventions (5 and 3%, respectively). Conclusions: Swedish-affiliated MSK disorder research 2010–2020 was predominantly observational cohort rather than RCT based. There was skewed first-tier funding allocation considering prevalence/incidence and burden of disease. Use of infrastructure supporting register-based RCTs, placebo-controlled RCTs, and hybrid effectiveness-implementation studies on prevention and clinical intervention is important strategies for the future in all healthcare sectors.
@article{diarbakerli_learning_2022,
title = {Learning from the past to plan for the future: {A} scoping review of musculoskeletal clinical research in {Sweden} 2010–2020},
volume = {127},
copyright = {Copyright (c) 2022 Elias Diarbakerli, Olof Thoreson, Martin Björklund, Leif E. Dahlberg, Martin Englund, Paul Gerdhem, Joanna Kvist, Maziar Mohaddes, Anneli Peolsson, Ola Rolfson, Birgitta Öberg, Allan Abbott},
issn = {2000-1967},
shorttitle = {Learning from the past to plan for the future},
url = {https://ujms.net/index.php/ujms/article/view/8709},
doi = {10.48101/ujms.v127.8709},
abstract = {Background: The aims of this study are to 1) determine the scope of musculoskeletal (MSK)-related clinical research in Sweden; 2) collate the amount of first-tier funding received; 3) discuss strategies and infrastructure supporting future MSK clinical trials in Sweden.
Methods: A systematic scoping review protocol was applied in PubMed, Scopus, and SweCRIS databases. The articles were examined, and data were extracted in multiple stages by three blinded authors.
Results: The search strategy resulted in 3,025 publications from 479 Swedish-affiliated authors. Primary health care was the basis for 14\% of the publications, 84\% from secondary health care, and 2\% from occupational health care with a similar proportional distribution of first-tier research grant financing. Approximately one in six publications were randomized controlled trials (RCTs), while the majority were of observational cohort design. The majority of publications in primary and occupational health care were related to pain disorders (51 and 67\%, respectively), especially diagnosis, prognosis, and healthcare organizational-related interventions (34\%) and rehabilitation (15\%) with similar proportional distribution of first-tier research grant financing. In secondary health care, rheumatic inflammatory disorder-related publications were most prevalent (30\%), most frequently concerning diagnosis, prognosis, and healthcare organizational-related interventions (20\%), attracting approximately half of all first-tier funding. Publications related to degenerative joint disorders (25\%), fractures (16\%), and joint, tendon, and muscle injuries (13\%) frequently concerned surgical and other orthopedic-related interventions (16, 6, and 8\%, respectively). Pain disorder-related publications (10\%) as well as bone health and osteoporosis-related publications (4\%) most frequently concerned diagnosis, prognosis, and healthcare organizational-related interventions (5 and 3\%, respectively).
Conclusions: Swedish-affiliated MSK disorder research 2010–2020 was predominantly observational cohort rather than RCT based. There was skewed first-tier funding allocation considering prevalence/incidence and burden of disease. Use of infrastructure supporting register-based RCTs, placebo-controlled RCTs, and hybrid effectiveness-implementation studies on prevention and clinical intervention is important strategies for the future in all healthcare sectors.},
language = {en},
urldate = {2022-11-22},
journal = {Upsala Journal of Medical Sciences},
author = {Diarbakerli, Elias and Thoreson, Olof and Björklund, Martin and Dahlberg, Leif E. and Englund, Martin and Gerdhem, Paul and Kvist, Joanna and Mohaddes, Maziar and Peolsson, Anneli and Rolfson, Ola and Öberg, Birgitta and Abbott, Allan},
month = sep,
year = {2022},
keywords = {Musculoskeletal disorders, Sweden, clinical research, occupational health care, primary health care, research design, research funding, secondary health care},
}
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{"_id":"jcvddhMYZFfb8id6z","bibbaseid":"diarbakerli-thoreson-bjrklund-dahlberg-englund-gerdhem-kvist-mohaddes-etal-learningfromthepasttoplanforthefutureascopingreviewofmusculoskeletalclinicalresearchinsweden20102020-2022","author_short":["Diarbakerli, E.","Thoreson, O.","Björklund, M.","Dahlberg, L. E.","Englund, M.","Gerdhem, P.","Kvist, J.","Mohaddes, M.","Peolsson, A.","Rolfson, O.","Öberg, B.","Abbott, A."],"bibdata":{"bibtype":"article","type":"article","title":"Learning from the past to plan for the future: A scoping review of musculoskeletal clinical research in Sweden 2010–2020","volume":"127","copyright":"Copyright (c) 2022 Elias Diarbakerli, Olof Thoreson, Martin Björklund, Leif E. Dahlberg, Martin Englund, Paul Gerdhem, Joanna Kvist, Maziar Mohaddes, Anneli Peolsson, Ola Rolfson, Birgitta Öberg, Allan Abbott","issn":"2000-1967","shorttitle":"Learning from the past to plan for the future","url":"https://ujms.net/index.php/ujms/article/view/8709","doi":"10.48101/ujms.v127.8709","abstract":"Background: The aims of this study are to 1) determine the scope of musculoskeletal (MSK)-related clinical research in Sweden; 2) collate the amount of first-tier funding received; 3) discuss strategies and infrastructure supporting future MSK clinical trials in Sweden. Methods: A systematic scoping review protocol was applied in PubMed, Scopus, and SweCRIS databases. The articles were examined, and data were extracted in multiple stages by three blinded authors. Results: The search strategy resulted in 3,025 publications from 479 Swedish-affiliated authors. Primary health care was the basis for 14% of the publications, 84% from secondary health care, and 2% from occupational health care with a similar proportional distribution of first-tier research grant financing. Approximately one in six publications were randomized controlled trials (RCTs), while the majority were of observational cohort design. The majority of publications in primary and occupational health care were related to pain disorders (51 and 67%, respectively), especially diagnosis, prognosis, and healthcare organizational-related interventions (34%) and rehabilitation (15%) with similar proportional distribution of first-tier research grant financing. In secondary health care, rheumatic inflammatory disorder-related publications were most prevalent (30%), most frequently concerning diagnosis, prognosis, and healthcare organizational-related interventions (20%), attracting approximately half of all first-tier funding. Publications related to degenerative joint disorders (25%), fractures (16%), and joint, tendon, and muscle injuries (13%) frequently concerned surgical and other orthopedic-related interventions (16, 6, and 8%, respectively). Pain disorder-related publications (10%) as well as bone health and osteoporosis-related publications (4%) most frequently concerned diagnosis, prognosis, and healthcare organizational-related interventions (5 and 3%, respectively). Conclusions: Swedish-affiliated MSK disorder research 2010–2020 was predominantly observational cohort rather than RCT based. There was skewed first-tier funding allocation considering prevalence/incidence and burden of disease. Use of infrastructure supporting register-based RCTs, placebo-controlled RCTs, and hybrid effectiveness-implementation studies on prevention and clinical intervention is important strategies for the future in all healthcare sectors.","language":"en","urldate":"2022-11-22","journal":"Upsala Journal of Medical Sciences","author":[{"propositions":[],"lastnames":["Diarbakerli"],"firstnames":["Elias"],"suffixes":[]},{"propositions":[],"lastnames":["Thoreson"],"firstnames":["Olof"],"suffixes":[]},{"propositions":[],"lastnames":["Björklund"],"firstnames":["Martin"],"suffixes":[]},{"propositions":[],"lastnames":["Dahlberg"],"firstnames":["Leif","E."],"suffixes":[]},{"propositions":[],"lastnames":["Englund"],"firstnames":["Martin"],"suffixes":[]},{"propositions":[],"lastnames":["Gerdhem"],"firstnames":["Paul"],"suffixes":[]},{"propositions":[],"lastnames":["Kvist"],"firstnames":["Joanna"],"suffixes":[]},{"propositions":[],"lastnames":["Mohaddes"],"firstnames":["Maziar"],"suffixes":[]},{"propositions":[],"lastnames":["Peolsson"],"firstnames":["Anneli"],"suffixes":[]},{"propositions":[],"lastnames":["Rolfson"],"firstnames":["Ola"],"suffixes":[]},{"propositions":[],"lastnames":["Öberg"],"firstnames":["Birgitta"],"suffixes":[]},{"propositions":[],"lastnames":["Abbott"],"firstnames":["Allan"],"suffixes":[]}],"month":"September","year":"2022","keywords":"Musculoskeletal disorders, Sweden, clinical research, occupational health care, primary health care, research design, research funding, secondary health care","bibtex":"@article{diarbakerli_learning_2022,\n\ttitle = {Learning from the past to plan for the future: {A} scoping review of musculoskeletal clinical research in {Sweden} 2010–2020},\n\tvolume = {127},\n\tcopyright = {Copyright (c) 2022 Elias Diarbakerli, Olof Thoreson, Martin Björklund, Leif E. Dahlberg, Martin Englund, Paul Gerdhem, Joanna Kvist, Maziar Mohaddes, Anneli Peolsson, Ola Rolfson, Birgitta Öberg, Allan Abbott},\n\tissn = {2000-1967},\n\tshorttitle = {Learning from the past to plan for the future},\n\turl = {https://ujms.net/index.php/ujms/article/view/8709},\n\tdoi = {10.48101/ujms.v127.8709},\n\tabstract = {Background: The aims of this study are to 1) determine the scope of musculoskeletal (MSK)-related clinical research in Sweden; 2) collate the amount of first-tier funding received; 3) discuss strategies and infrastructure supporting future MSK clinical trials in Sweden.\nMethods: A systematic scoping review protocol was applied in PubMed, Scopus, and SweCRIS databases. The articles were examined, and data were extracted in multiple stages by three blinded authors.\nResults: The search strategy resulted in 3,025 publications from 479 Swedish-affiliated authors. Primary health care was the basis for 14\\% of the publications, 84\\% from secondary health care, and 2\\% from occupational health care with a similar proportional distribution of first-tier research grant financing. Approximately one in six publications were randomized controlled trials (RCTs), while the majority were of observational cohort design. The majority of publications in primary and occupational health care were related to pain disorders (51 and 67\\%, respectively), especially diagnosis, prognosis, and healthcare organizational-related interventions (34\\%) and rehabilitation (15\\%) with similar proportional distribution of first-tier research grant financing. In secondary health care, rheumatic inflammatory disorder-related publications were most prevalent (30\\%), most frequently concerning diagnosis, prognosis, and healthcare organizational-related interventions (20\\%), attracting approximately half of all first-tier funding. Publications related to degenerative joint disorders (25\\%), fractures (16\\%), and joint, tendon, and muscle injuries (13\\%) frequently concerned surgical and other orthopedic-related interventions (16, 6, and 8\\%, respectively). Pain disorder-related publications (10\\%) as well as bone health and osteoporosis-related publications (4\\%) most frequently concerned diagnosis, prognosis, and healthcare organizational-related interventions (5 and 3\\%, respectively).\nConclusions: Swedish-affiliated MSK disorder research 2010–2020 was predominantly observational cohort rather than RCT based. There was skewed first-tier funding allocation considering prevalence/incidence and burden of disease. 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