Barriers to and Outcomes of Initiating Clinical Research at Two Trauma Centers in Mexico.

Autor: Flores MJ; Institute for Global Orthopaedics and Traumatology, Orthopaedic Trauma Institute, Department of Orthopaedic Surgery, University of California San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, California., Brown KE; Institute for Global Orthopaedics and Traumatology, Orthopaedic Trauma Institute, Department of Orthopaedic Surgery, University of California San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, California., Pendleton MM; University of California, San Francisco, School of Medicine, San Francisco, California., Albright PD; University of Minnesota, Department of Orthopedic Surgery, Minneapolis, Minnesota., MacKechnie MC; Institute for Global Orthopaedics and Traumatology, Orthopaedic Trauma Institute, Department of Orthopaedic Surgery, University of California San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, California., Guerrero Rodriguez E; Hospital Universitario Dr José Eleuterio González, Monterrey, Nuevo León, Mexico., Ramírez C; Hospital Puerta de Hierro Andares, Zapopan, Jalisco, Mexico., Peña Martínez VM; Hospital Universitario Dr José Eleuterio González, Monterrey, Nuevo León, Mexico., Miclau T; Institute for Global Orthopaedics and Traumatology, Orthopaedic Trauma Institute, Department of Orthopaedic Surgery, University of California San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, California. Electronic address: theodore.miclau@ucsf.edu.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2023 Apr; Vol. 284, pp. 1-5. Date of Electronic Publication: 2022 Dec 14.
DOI: 10.1016/j.jss.2022.11.023
Abstrakt: Introduction: Despite efforts to advance clinical research through collaboration between Latin and North American partners, there remains persistent barriers to performing investigative work. To overcome these obstacles, a team of over 100 surgeon-leaders from 18 Latin American countries founded the Asociación de Cirujanos Traumatólogos de las Américas (ACTUAR). One of ACTUAR's first major collaborative projects, initiated in 2018, was a prospective, observational, multicenter study evaluating quality of life after open tibia fracture management. The current study identified common barriers experienced during the initiation of this study, as exemplified through two sites in Mexico. The study aims to identify obstacles to proactively overcome these in future collaborative work.
Methods: Two research assistants from University of California, San Francisco and two research coordinators from Mexico were recruited to share their experiences, identify common barriers experienced during site enrollment and on-boarding for the ACTUAR open tibia study, and discuss possible solutions.
Results: Barriers were organized into three categories: structural, logistical, and intrapersonal. Structural barriers included differences in patient populations and resources between private and public hospitals. Logistical barriers included ambiguous ethical review processes, internet availability, and low patient follow-up. Primary enrollment as a resident responsibility led to some intrapersonal barriers. Potential solutions were identified for each barrier and agreed upon by all collaborators.
Conclusions: Multiple barriers were identified by research personnel who initiated a prospective surgical clinical research study in Mexico. Through collaborative approaches, many potential solutions may help overcome these barriers and build locally led research capacity in Latin America.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: