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Weiss HK, Garcia RM, Omiye JA, et al. A Systematic Review of Neurosurgical Care in Low-Income Countries. World Neurosurg X. 2019;5:100068doi: 10.1016/j.wnsx.2019.100068.
Weiss, H. K., Garcia, R. M., Omiye, J. A., Vervoort, D., Riestenberg, R., Yerneni, K., Murthy, N., Wescott, A. B., Hutchinson, P., & Rosseau, G. (2020). A Systematic Review of Neurosurgical Care in Low-Income Countries. World neurosurgery: X, 5100068. https://doi.org/10.1016/j.wnsx.2019.100068
Weiss, Hannah K, et al. "A Systematic Review of Neurosurgical Care in Low-Income Countries." World neurosurgery: X vol. 5 (2020): 100068. doi: https://doi.org/10.1016/j.wnsx.2019.100068
Weiss HK, Garcia RM, Omiye JA, Vervoort D, Riestenberg R, Yerneni K, Murthy N, Wescott AB, Hutchinson P, Rosseau G. A Systematic Review of Neurosurgical Care in Low-Income Countries. World Neurosurg X. 2019 Dec 09;5:100068. doi: 10.1016/j.wnsx.2019.100068. eCollection 2020 Jan. PMID: 31956859; PMCID: PMC6957821.
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World Neurosurg X. 2019 Dec 09;5:100068. doi: 10.1016/j.wnsx.2019.100068. eCollection 2020 Jan.

A Systematic Review of Neurosurgical Care in Low-Income Countries.

World neurosurgery: X

Hannah K Weiss, Roxanna M Garcia, Jesutofunmi A Omiye, Dominique Vervoort, Robert Riestenberg, Ketan Yerneni, Nikhil Murthy, Annie B Wescott, Peter Hutchinson, Gail Rosseau

Affiliations

  1. Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
  2. Department of Neurosurgery, Northwestern University, Chicago, Illinois, USA.
  3. Institute for Public Health and Medicine (IPHAM), Center for Healthcare Studies, Northwestern University, Chicago, Illinois, USA.
  4. College of Medicine, University of Ibadan, Nigeria.
  5. Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA.
  6. Galter Health Sciences Library & Learning Center, Northwestern University, Chicago, Illinois, USA.
  7. Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge, United Kingdom.
  8. Midwest Neurosurgical Associates, Oak Brook, Illinois, USA.

PMID: 31956859 PMCID: PMC6957821 DOI: 10.1016/j.wnsx.2019.100068

Abstract

OBJECTIVE: More than 5 billion individuals lack access to essential surgical care. Neurosurgical care is especially limited in low-income countries (LICs). Studies describing neurosurgical care in LICs are critical for understanding global disparities in access to neurosurgical procedures. To better understand these disparities, we conducted a systematic review of the literature identifying neurosurgical patients in LICs.

METHODS: MEDLINE (PubMed), Embase (embase.com), and Cochrane Library (Wiley) databases were systematically searched to retrieve studies describing neurosurgical care in LICs as defined by the World Bank Country and Lending Groups income classification. All databases were searched from their inception; no date or language limits were applied. All the articles were blindly reviewed by 2 individuals. Data from eligible studies were extracted and summarized.

RESULTS: Of the 4377 citations screened, 154 studies met inclusion criteria. The number of publications substantially increased over the study period, with 49% (

CONCLUSIONS: There is a significant deficit in the literature on neurosurgical care in LICs. Efforts must focus on supporting research initiatives in LICs to improve publication bias and understand disparities in access to neurosurgical care in the lowest-resource countries.

© 2019 Published by Elsevier Inc.

Keywords: Global health; Global neurosurgery; Hydrocephalus; LCoGS, Lancet Commission on Global Surgery; LIC, Low-income country; Literature review; Low-income countries; Research; TBI, Traumatic brain injury; Traumatic brain injury

Conflict of interest statement

P.H. is supported by the NIHR Global Health Research Group on Neurotrauma (http://neurotrauma.world), NIHR Research Professorship and the NIHR Cambridge BRC. R.G. serves as the StrokeNet research fell

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