Brain Tumor Programs in Asia and Africa: Current Status, Challenges, and Future Perspectives.

Autor: Kedia S; Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India. Electronic address: drshwetakedia@gmail.com., Banson M; Neurosurgery Unit, Department of Surgery, Korle-Bu Teaching Hospital, Accra, Ghana., Cheserem B; Neurosurgery Unit, Aga Khan University Hospital, Nairobi, Kenya., Chaurasia B; Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal., Karekezi C; Neurosurgery Unit, Department of Surgery, Rwanda Military Hospital, Kigali, Rwanda., Uche E; Department of Surgery, University of Nigeria Teaching Hospital, Ituku, Ozalia Enugu State, Nigeria., Apuahe E; Neurosurgery Unit, Port Moresby General Hospital and National Department of Health, Port Moresby, Papua New Guinea., Balogun JA; Division of Neurosurgery, Department of Surgery, College of Medicine, University of Ibadan, University College Hospital, Ibadan, Nigeria., Lucena LLN; Neurosurgery Division, Bicol Regional Hospital and Medical Centre, Legazpi City, Philippines., Mbaye M; Department of Neurosurgery, Fann Teaching Hospital, Dakar, Senegal., Opara O; Neurosurgery Unit, Imo State Specialist Hospital Owerri, Owerri, Nigeria., Mahmoud MEE; Neurosurgery Unit, Omdurman Teaching Hospital, Khartoum, Sudan., Singh P; Indian Council of Medical Research, All India Institute of Medical Sciences, New Delhi, India., Chemate S; Department of Neurosurgery, Noble Hospitals & Research Centre, Pune, India., Bora SK; Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India., Oswari S; Department of Neurosurgery, Indonesia National Brain Center, Faculty of Medicine Universitas Padjadjaran, Sumedang, Indonesia., Totimeh T; Neurosurgery Unit, University of Ghana Medical Centre, Accra, Ghana.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2023 Jul; Vol. 175, pp. e1041-e1048. Date of Electronic Publication: 2023 Apr 27.
DOI: 10.1016/j.wneu.2023.04.067
Abstrakt: Objective: To assess the status of brain tumor programs in Asia and Africa and propose comprehensive evidence-based short- and long-term measures for improving the existing systems.
Methods: A cross-sectional analytical study was conducted in June 2022 by the Asia-Africa Neurosurgery Collaborative. A 27-item questionnaire was designed and distributed to gain insight into the status and future directions of brain tumor programs in Asia and Africa. Six components of brain tumor programs were identified-surgery, oncology, neuropathology, research, training, and finances-and assigned scores of 0-14. The total scores allowed subclassification of each country into levels of brain tumor program from I to VI.
Results: A total of 110 responses from 92 countries were received. These were subdivided into 3 groups: group 1, countries with response from neurosurgeons (73 countries); group 2, countries with no neurosurgeons (19 countries); and group 3, countries without a neurosurgeon response (16 countries). The components associated with the highest level of brain tumor program were surgery, neuropathology, and oncology. Most countries in both continents had level III brain tumor programs with a mean surgical score of 2.24. The major lag between each group was with respect to the advances in neuropathology and financial support.
Conclusions: There is an urgent need to improve and develop existing and nonexistent neuro-oncology infrastructure, personnel, and logistics in countries across the continents, especially for the countries with no neurosurgeons.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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