Barriers to Clinical Research in Latin America.

Kathryn Chomsky-Higgins, Theodore A Miclau, Madeline C Mackechnie, Dino Aguilar, Jorge Rubio Avila, Fernando Baldy Dos Reis, Roberto Balmaseda, Antonio Barquet, Alfredo Ceballos, Fernando Contreras, Igor Escalante, Nelson Elias, Sergio Iriarte Vincenti, Christian Lozano, Fryda Medina, Gavino Merchan, Julio Segovia, Enrique Guerado, Jose Eduardo Quintero, Saam Morshed, Mohit Bhandari, Theodore Miclau
Author Information
  1. Kathryn Chomsky-Higgins: San Francisco - East Bay Surgery Program, University of California, Oakland, CA, USA.
  2. Theodore A Miclau: Stanford University, Palo Alto, CA, USA.
  3. Madeline C Mackechnie: Department of Orthopaedic Surgery, Institute for Global Orthopaedics and Traumatology (IGOT), University of California, San Francisco, CA, USA.
  4. Dino Aguilar: Hospital Vivian Pellas, Managua, Nicaragua.
  5. Jorge Rubio Avila: Clinica Medica Sur, Guadalajara, Mexico.
  6. Fernando Baldy Dos Reis: Federal University of Sao Paulo, Sao Paulo, Brazil.
  7. Roberto Balmaseda: Department of Orthopaedic Surgery, Centro de Investigaciones Médico-Quirúricas (CIMEQ), La Habana, Cuba.
  8. Antonio Barquet: Department of Traumatology and Orthopaedics, AEPSM, Montevideo, Uruguay.
  9. Alfredo Ceballos: Department of Orthopaedic Surgery, Centro de Investigaciones Médico-Quirúricas (CIMEQ), La Habana, Cuba.
  10. Fernando Contreras: Hospital San Juan de Dios, San José, Costa Rica.
  11. Igor Escalante: Hospital Universitario de Caracas, Caracas, Venezuela.
  12. Nelson Elias: Vila Velha Hospital, Espírito-Santo, Brazil.
  13. Sergio Iriarte Vincenti: Hospital San Gabriel and Clinica del Sur, La Paz, Bolivia.
  14. Christian Lozano: Clinica Anglo Americana, Lima, Peru.
  15. Fryda Medina: Hospital de Traumtologia Instituto Mexicano del Seguro Social, Mexico City, Mexico.
  16. Gavino Merchan: Hospital de la Policia Nacional, Guayquil, Ecuador.
  17. Julio Segovia: Instituto de Prevision Social, Servicio de Ortopaedia y Traumatologia, Asunción, Paraguay.
  18. Enrique Guerado: Department of Orthopaedic Surgery, Traumatology, and Rehabilitation, University of Malaga, Hospital Costa del Sol, Marbella, Málaga, Spain.
  19. Jose Eduardo Quintero: Hospital Universitario San Jorge, Clinica de Ortopedia y Traumatología, Pereira-Risaralda, Colombia.
  20. Saam Morshed: Department of Orthopaedic Surgery, Institute for Global Orthopaedics and Traumatology (IGOT), University of California, San Francisco, CA, USA.
  21. Mohit Bhandari: Division of Orthopaedic Surgery, McMaster University, Hamilton, ON, Canada.
  22. Theodore Miclau: Department of Orthopaedic Surgery, Institute for Global Orthopaedics and Traumatology (IGOT), University of California, San Francisco, CA, USA.

Abstract

Enhancing health research capacity in developing countries is a global health priority. Understanding the orthopedic burden of disease in Latin America will require close partnership between more-developed and less-developed countries. To this end, the Osteosynthesis and Trauma Care Foundation assembled a research consortium of Latin-American orthopedic leaders. Prior to the meeting, we surveyed attendees on perceived barriers to conducting research at their institutions. During the event, working groups discussed these barriers, developed strategies for addressing them, and planned future steps for collaboration. The participants established the need for global relationships that allow colleagues from Latin America to access to training and established investigational infrastructure of North American centers to address research questions relevant to their communities. As a result of the discussion, the International Orthopaedic Multicenter Study (INORMUS) in Fracture Care was initiated. Since then, an expanded international working group, Associación de Cirujanos Traumatológicos en las Americas (ACTUAR), has been created with the purpose of promoting increased global partnership for research capacity development.

Keywords

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