Emerging Trends in the Neurosurgical Workforce of Low- and Middle-Income Countries: A Cross-Sectional Study.

Abstract:

BACKGROUND:Every year, there are an estimated 22.6 million new neurosurgical consultative cases worldwide, of which 13.8 million require surgery. In 2016, the global neurosurgical workforce was estimated and mapped as open-access information to guide neurosurgeons, affiliates, and policy makers. We present a subsequent investigation for mapping the global neurosurgical workforce for 2018 to show the replicability of previous data collection methods as well as to show any changes in workforce density. METHODS:We extracted data on the absolute number of neurosurgeons per low and middle-income countries (LMICs) in 2016 from the database of the global neurosurgical workforce mapping project. The estimated number of neurosurgeons in each LMIC during 2018 was obtained from collaborators. The median workforce densities were calculated for 2016 and 2018. Neurosurgical workforce density heat maps were generated. RESULTS:We received data from 119 countries (response rate 86.2%) and imputed data for 19 countries (13.8%). Seventy-eight (56.5%, N = 138) countries had an increase in their number of neurosurgeons, 9 (6.5%) showed a decrease, whereas 51 (37.0%) had the same number of neurosurgeons in both years. The pooled median increased from 0.17 (interquartile range, 0.54) in 2016 to 0.18 (interquartile range, 0.59) in 2018. CONCLUSIONS:Overall, the density of the neurosurgical workforce has increased from 2016 to 2018. However, at the current rate, 80 LMICs (58.0%) will not meet the neurosurgical workforce density target by 2030.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Kanmounye US,Lartigue JW,Sadler S,Yuki Ip HK,Corley J,Arraez MA,Park K

doi

10.1016/j.wneu.2020.07.067

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

e420-e433

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(20)31588-6

journal_volume

142

pub_type

杂志文章
  • Anterior Lumbar Interbody Fusion Using a Personalized Approach: Is Custom the Future of Implants for Anterior Lumbar Interbody Fusion Surgery?

    abstract:BACKGROUND:Spine surgery has the potential to benefit from the use of three-dimensional (3D) printing technology (additive manufacturing), particularly in cases of complex anatomic diseases. Custom devices have the potential to reduce operative times, reduce blood loss, provide immediate stability, and improve fusion r...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.12.144

    authors: Mobbs RJ,Parr WCH,Choy WJ,McEvoy A,Walsh WR,Phan K

    更新日期:2019-01-08 00:00:00

  • Retrospective Analysis of the Clinical Characteristics, Therapeutic Aspects, and Prognostic Factors of 18 Cases of Childhood Pineoblastoma.

    abstract:BACKGROUND:Pineoblastoma is a rare malignant tumor of the pineal gland, which is more common in children. METHODS:We retrospectively reviewed 18 cases of pineoblastoma in children (10 girls), including general, clinical, and therapeutic information, and factors affecting prognosis. RESULTS:The median age of the child...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.04.135

    authors: Tian Y,Liu R,Qin J,Wang J,Ma Z,Gong J,Li C

    更新日期:2018-08-01 00:00:00

  • Obese (Body Mass Index >30) Patients Have Greater Functional Improvement and Reach Equivalent Outcomes at 12 Months Following Decompression Surgery for Symptomatic Lumbar Stenosis.

    abstract:OBJECTIVE:To evaluate effect of obesity on 12-month functional outcomes after surgery for lumbar stenosis in adult patients. METHODS:Data were collected on patients treated with lumbar laminectomy for symptomatic lumbar spinal stenosis as part of an observational registry and analyzed using a retrospective cohort stud...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.06.072

    authors: Elsayed G,Davis MC,Dupépé EC,McClugage SG,Szerlip P,Walters BC,Hadley MN

    更新日期:2017-09-01 00:00:00

  • Is Vertebral Artery and Posterior Inferior Cerebellar Artery Dominance a Risk Factor for Thromboembolism During Coil Embolization of Unruptured Posterior Circulation Aneurysms?

    abstract:BACKGROUND:To retrospectively analyze our clinical data to determine the risk factors for thromboembolism, especially with unruptured posterior circulation coil embolization. METHODS:A total of 53 coil embolization procedures for unruptured posterior circulation aneurysms performed in 53 patients between October 2010 ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.03.065

    authors: Son W,Kang DH

    更新日期:2020-06-01 00:00:00

  • Communication in Neurosurgery-The Tower of Babel.

    abstract::Clinical neurosurgery is a complex specialty with multiple participants, including a variety of providers, patients, family members, and administrators, who interact in complex fashions. Modern-day patient care requires near-constant team communication of vital, detailed clinical information; any breakdown in this pro...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.08.134

    authors: Hartley BR,Hong C,Elowitz E

    更新日期:2020-01-01 00:00:00

  • Magnetic Resonance Imaging Reveals a Pronounced Treatment Response of a Isocitrate Dehydrogenase- and B-Raf Proto-Oncogene-Wildtype Epithelioid Glioblastoma.

    abstract::We here report findings on magnetic resonance imaging from a 60-year-old patient with an epithelioid glioblastoma of the corpus callosum treated with radiotherapy in combination with concomitant and adjuvant temozolomide. Neuropathology revealed a highly aggressive molecular subtype of the epithelioid glioblastoma wit...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.04.025

    authors: Werner JM,Brunn A,Fink GR,Galldiks N

    更新日期:2019-07-01 00:00:00

  • Cortical Activation Changes in Hirayama Disease After Anterior Cervical Decompression and Fusion.

    abstract:BACKGROUND:Spinal cord injury may cause cortical reconstruction. We, therefore explored the changes in cortical activation before and after anterior cervical decompression and fusion surgery in patients with Hirayama disease (HD). METHODS:In total, 17 cases with HD underwent anterior cervical decompression and fusion ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.05.045

    authors: Wang HL,Wu YW,Song J,Jiang JY,Lu FZ,Ma XS,Xia XL

    更新日期:2018-08-01 00:00:00

  • Intraparenchymal Meningioma in the Basal Ganglia.

    abstract::We herein report a rare case of intraparenchymal meningioma in the right basal ganglia. The tumor was located incidentally and preoperatively diagnosed as malignant glioma. Preoperative magnetic resonance imaging revealed that the tumor involved the lenticulostriate artery, and open biopsy was performed to avoid posto...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.05.011

    authors: Matsuda R,Shida Y,Nakamura M

    更新日期:2019-08-01 00:00:00

  • Validation of a New Clinico-Radiological Grading for Compound Head Injury: Implications on the Prognosis and the Need for Surgical Intervention.

    abstract:BACKGROUND:Lack of risk stratification among patients with varying severities of compound head injury has resulted in too-inconsistent and conflicting results to support any management strategy over another. The purpose of this study was to validate a new clinico-radiological grading scheme with implications on outcome...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2015.05.058

    authors: Dhandapani S,Sarda AC,Kapoor A,Salunke P,Mathuriya SN,Mukherjee KK

    更新日期:2015-11-01 00:00:00

  • The Risk of Traumatic Brain Injury Occurring Among Patients with Parkinson Disease: A 14-Year Population-Based Study.

    abstract:BACKGROUND:Previous studies have implicated traumatic brain injury (TBI) as a risk factor for Parkinson disease (PD). However, the incidence risk of new-onset TBI among patients with PD is not well established. This study investigated the contribution of PD to new-onset TBI associations. METHODS:The study selected 607...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.02.027

    authors: Eric Nyam TT,Ho CH,Wang YL,Lim SW,Wang JJ,Chio CC,Kuo JR,Wang CC

    更新日期:2018-05-01 00:00:00

  • Neuro-Behcet Disease Mimicking Lymphoma of the Brain and Coexisting with A Dural Arteriovenous Fistula: A Case Report.

    abstract:BACKGROUND:Diverse clinical manifestations have characterized reports of central nervous system involvement in Behcet disease. There is a limited number of published case reports of neuro-Behcet disease mimicking brain tumor. CASE DESCRIPTION:We present a rare case of neuro-Behcet disease exhibiting mixed systemic and...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.09.035

    authors: Ripa V,Kwon CS,Burks JD,Morcos JJ

    更新日期:2020-01-01 00:00:00

  • Predictive Factors for Muscle Injury After Posterior Lumbar Spinal Surgery.

    abstract:OBJECTIVE:The aims of this study were to evaluate the risk factors for muscle injury in patients undergoing posterior lumbar spinal surgery and the clearance of postoperative biochemical changes following lumbar fusion and secondarily to evaluate the timing for monitoring postoperative biochemical serum levels and pote...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.05.197

    authors: Portella ST,Escudeiro GP,Mansilla R,Freitas BS,de Resende MAC,Fernandes FC,Salomão R,Lima CR,Landeiro JA,Acioly MA

    更新日期:2019-09-01 00:00:00

  • Parkinson's Disease and Bilateral Subthalamic Nuclei Deep Brain Stimulation: Beneficial Effects of Preoperative Cognitive Restructuration Therapy on Postoperative Social Adjustment.

    abstract:BACKGROUND:Bilateral subthalamic nucleus deep brain stimulation improves motor symptoms and treatment-related complications in patients with Parkinson's disease. However, some patients have trouble adjusting socially after successful neurosurgery, in part because of "unrealistic" expectations and psychiatric disorders....

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.09.128

    authors: Meyer M,Colnat-Coulbois S,Frismand S,Vidailhet P,Llorca PM,Spitz E,Schwan R

    更新日期:2021-01-01 00:00:00

  • Can Fan-Beam Interactive Computed Tomography Accurately Predict Indirect Decompression in Minimally Invasive Spine Surgery Fusion Procedures?

    abstract:BACKGROUND:Recently, novel mobile intraoperative fan-beam computed tomography (CT) was introduced, allowing for real-time navigation and immediate intraoperative evaluation of neural decompression in spine surgery. This study sought to investigate whether intraoperatively assessed neural decompression during minimally ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2017.07.167

    authors: Janssen I,Lang G,Navarro-Ramirez R,Jada A,Berlin C,Hilis A,Zubkov M,Gandevia L,Härtl R

    更新日期:2017-11-01 00:00:00

  • Purely Intraforaminal Meningioma in the Cervical Spine.

    abstract::Meningiomas are mostly benign intradural tumors. Concerning the spine, some of them can extend outside the canal or even develop extradurally but their primary attach is often located in the vertebral canal. Here we present the case of an exceptional purely intraforaminal meningioma mimicking a neurogenic tumor, invol...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.10.006

    authors: Pommier B,Vasiljevic A,Barrey C

    更新日期:2021-01-01 00:00:00

  • Endovascular Treatment of Ruptured Middle Cerebral Artery Aneurysms: A Single-Arm Meta-Analysis and Systematic Review.

    abstract:OBJECTIVE:The use of endovascular treatment for ruptured middle cerebral artery (MCA) aneurysms, which have been more likely to be recommended for neurosurgical clipping because of the complex anatomic configuration, remains controversial. In the present study, the angiographic and clinical outcomes of endovascularly t...

    journal_title:World neurosurgery

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.wneu.2019.01.066

    authors: Zhang X,Zhou Y,Zuo Q,Duan G,Tang H,Yang P,Xu Y,Hong B,Huang Q,Liu J

    更新日期:2019-07-01 00:00:00

  • Predictors of the Resolution of Cavernous Sinus Syndrome Caused by Large/Giant Cavernous Carotid Aneurysms After Parent Artery Occlusion with High-Flow Bypass.

    abstract:OBJECTIVE:To evaluate the clinical results and factors related to the resolution of preoperative cranial neuropathy after internal carotid artery ligation with high-flow bypass in patients with symptomatic large or giant cavernous carotid aneurysms. METHODS:This study included 18 consecutive patients (15 women) with c...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.08.059

    authors: Kikkawa Y,Kayahara T,Teranishi A,Shibata A,Suzuki K,Kamide T,Ikeda T,Kurita H

    更新日期:2019-12-01 00:00:00

  • Maximizing Sacral Chordoma Resection by Precise 3-Dimensional Tumor Modeling in the Operating Room Using Intraoperative Computed Tomography Registration with Preoperative Magnetic Resonance Imaging Fusion and Intraoperative Neuronavigation: A Case Series.

    abstract:INTRODUCTION:The primary treatment for patients with sacral chordoma is en bloc surgical resection with negative margins, which has been shown to reduce local recurrence and tumor-related morbidity. Here we describe the use of intraoperative neuronavigation using preoperative spine magnetic resonance imaging fused to i...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.01.257

    authors: Konakondla S,Albers JA,Li X,Barber SM,Nakhla J,Houghton CE,Telfeian AE,Oyelese AA,Fridley JS,Gokaslan ZL

    更新日期:2019-05-01 00:00:00

  • Surgical Outcomes and Predictors of Recurrence in Elderly Patients with Meningiomas.

    abstract:BACKGROUND:Meningiomas are more prevalent with increasing age, and there is no general consensus of surgical management for this group of tumors. The role of resection and the predictors of recurrence of meningiomas in elderly patients have not been well established. The authors reviewed their experience of surgical re...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2016.02.066

    authors: Bir SC,Konar S,Maiti TK,Guthikonda B,Nanda A

    更新日期:2016-06-01 00:00:00

  • Hydrocephalus Secondary to Intradural Extramedullary Malignant Melanoma of Spinal Cord.

    abstract:BACKGROUND:Hydrocephalus secondary to spinal cord tumors is rare. CASE DESCRIPTION:We present a 39-year-old male with gradual-onset headache whose initial diagnosis was cerebral aneurysm and communicating hydrocephalus. The correct diagnosis was primary intradural extramedullary malignant melanoma of the spinal cord. ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.07.046

    authors: Hironaka K,Tateyama K,Tsukiyama A,Adachi K,Morita A

    更新日期:2019-10-01 00:00:00

  • Subtemporal approach to posterior cerebral artery aneurysms.

    abstract:OBJECTIVE:Aneurysms of the posterior cerebral artery (PCA) are rare, and therefore the individual and institutional experience of their microsurgical management is usually limited. In the present article, we describe our experience with the subtemporal approach to aneurysms arising from the PCA. METHODS:We reviewed 34...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2015.01.042

    authors: Goehre F,Lehecka M,Jahromi BR,Lehto H,Kivisaari R,Hijazy F,Nayeb L,Sugimoto T,Morishige M,Elsharkawy A,von und zu Fraunberg M,Jääskeläinen JE,Hernesniemi JA

    更新日期:2015-05-01 00:00:00

  • Endovascular Treatment for Peripheral Superior Cerebellar Artery Aneurysms: Current State and Future Considerations.

    abstract:BACKGROUND:Superior cerebellar artery (SCA) aneurysms can be divided into 2 types: basilar artery (BA)-SCA junction aneurysms and peripheral SCA aneurysms. The peripheral SCA aneurysm is a distinct entity from its BA-SCA counterpart. No comprehensive literature review for endovascular management of peripheral SCA aneur...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2019.04.145

    authors: Hou K,Li G,Wang X,Xu K,Yu J

    更新日期:2019-07-01 00:00:00

  • Clinical Follow-Up of Patients with Neurocutaneous Melanosis in a Tertiary Center; Proposed Modification in Diagnostic Criteria.

    abstract:INTRODUCTION:Neurocutaneous melanosis (NCM) is a rare congenital syndrome. Except for some retrospective studies, information on clinical follow-up and management of these patients are limited. This study aimed to review our experience on diagnostic protocol and clinical follow-up of patients with NCM in a referral chi...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2020.11.091

    authors: Habibi Z,Ebrahimi H,Meybodi KT,Yaghmaei B,Nejat F

    更新日期:2020-11-24 00:00:00

  • Risky Cerebrovascular Anatomic Orientation: Implications for Brain Revascularization.

    abstract::This study documents a risky vascular anatomic orientation that might play an important role in the postoperative hemodynamics following anterior cerebral artery (ACA) revascularization. A 71-year-old woman presented with uncontrollable frequent right lower limb transient ischemic attacks (TIAs) attributed to a left c...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2016.09.023

    authors: Nagm A,Horiuchi T,Yanagawa T,Hongo K

    更新日期:2016-12-01 00:00:00

  • Three-Piece Orbitozygomatic Craniotomy: Anatomical and Clinical Findings.

    abstract:OBJECTIVE:To describe the technical details of 3-piece orbitozygomatic (OZ) craniotomy using a diamond threadwire saw as an alternative to cutting the orbital rim and zygoma. METHODS:The details of this procedure are presented by cadaver dissection and a surgical case. RESULTS:Three-piece OZ craniotomy consists of 3 ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.04.235

    authors: Matsuo S,Komune N,Hayashi D,Amano T,Nakamizo A

    更新日期:2019-08-01 00:00:00

  • Traumatic Posterolateral C1-C2 Dislocation Complicated with Locked Lateral Mass and Type II Odontoid Fracture-5-Year Follow-up.

    abstract:OBJECTIVE:We sought to document our experience in managing a rare complex of traumatic posterolateral atlantoaxial dislocation combined with locked lateral mass and type II odontoid fracture. METHOD:A 30-year-old male patient was referred to the author's department. He complained of a decrease in neck range of motion ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.03.191

    authors: Minyu Z,Shiyang W,Suraj C,Kelun H,Chaowei L,Honglin T

    更新日期:2018-06-01 00:00:00

  • Risk Factors for the Development of Contralateral Epidural Hematoma Following Decompressive Craniectomy in Patients with Calvarial Skull Fracture Contralateral to the Craniectomy Site.

    abstract:OBJECTIVE:To investigate the frequency and risk factors of contralateral epidural hematoma (CEDH) following decompressive craniectomy (DC) in patients with calvarial skull fracture contralateral to the craniectomy site. METHODS:After reviewing the medical records and radiographs over a 5-year period, 72 patients with ...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2016.02.020

    authors: Su TM,Lan CM,Lee TH,Hsu SW,Lu CH

    更新日期:2016-05-01 00:00:00

  • Surgical Techniques and Associated Outcomes of Primary Chondrosarcoma of the Spine.

    abstract:BACKGROUND:Only a few case reports and case series exist reporting on primary chondrosarcomas of the spine. The objective of this study was to gain a better understanding of this patient population and surgical techniques used for treatment. METHODS:A systematic literature search was performed in January 2018 querying...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2018.06.189

    authors: Nisson PL,Berger GK,James WS,Hurlbert RJ

    更新日期:2018-11-01 00:00:00

  • Hypervascular Metastatic Spine Tumor Angiographic Relationships with the Artery of Adamkiewicz and Other Radiculomedullary Arteries.

    abstract:BACKGROUND:Preoperative endovascular embolization of hypervascular metastatic spine tumors can reduce intraoperative blood loss. One frequent objection to embolizing these tumors is the concern for associated arteries feeding the spinal cord, such as the artery of Adamkiewicz. This study aimed to elucidate a relationsh...

    journal_title:World neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.wneu.2019.02.075

    authors: Westbroek EM,Ahmed AK,Pennington Z,Goodwin ML,Xia Y,Boone C,Gailloud P,Sciubba DM

    更新日期:2019-06-01 00:00:00

  • Usefulness of tumor blood flow imaging by intraoperative indocyanine green videoangiography in hemangioblastoma surgery.

    abstract:OBJECTIVE:Hemangioblastomas remain a surgical challenge because of their arteriovenous malformation-like character. Recently, indocyanine green (ICG) videoangiography has been applied to neurosurgical vascular surgery. The aim of this study was to evaluate the usefulness of tumor blood flow imaging by intraoperative IC...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.wneu.2013.02.009

    authors: Hojo M,Arakawa Y,Funaki T,Yoshida K,Kikuchi T,Takagi Y,Araki Y,Ishii A,Kunieda T,Takahashi JC,Miyamoto S

    更新日期:2014-09-01 00:00:00