Improving capacity and access to neurosurgery in sub-Saharan Africa using a twinning paradigm pioneered by the Swedish African Neurosurgical Collaboration
| Autor: | C.C. Amah, Mats Ryttlefors, Obinna V. Ajuzieogu, E O Uche, Wilfred C Mezue, Izuchukwu Iloabachie, Ephraim Onyia, Magnus Tisell |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Microsurgery Sub saharan Adolescent education Tumor resection Neurosurgery Health Services Accessibility Neurosurgical Procedures 030218 nuclear medicine & medical imaging Unmet needs 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Child health care economics and organizations Africa South of the Sahara Neuroradiology Aged Brain tumor resection Sweden Health Services Needs and Demand medicine.diagnostic_test business.industry Brain Neoplasms General surgery Infant Interventional radiology Middle Aged Child Preschool Surgery Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Acta neurochirurgica. 162(5) |
| ISSN: | 0942-0940 |
| Popis: | The unmet need for neurosurgery in sub-Saharan Africa is staggering. Resolving this requires strategies that synergize salient local resources with tailored foreign help. This study is a trial of a twinning model adopted by the Swedish African Neurosurgical Collaboration (SANC). A multi-step neurosurgical twinning technique, International Neurosurgical Twinning Modeled for Africa (INTIMA), developed through a collaboration between African and Swedish neurosurgical teams was adopted for a neurosurgical mission in March 2019. The pioneering steps are evaluated together with data of treated patients prospectively acquired using SPSS Chicago Inc., Version 23. Associations were analyzed using chi-square tests, while inferences were evaluated at 95% level of significance. The SANC global neurosurgery mission targeted microsurgical brain tumor resection. Fifty-five patients were operated on during the mission and subsequent 3 months. Patients’ ages ranged from 3 months to 69 years with a mean of 30.6 ± 2.1 years 95% CL. Seven cases were performed during the first mission, while 48 were performed after the mission. Compared to 3 months before SANC when only 9 brain tumors were resected, more tumors were resected (n = 25) within the 3 consecutive months from the mission (X2 = 14.2, DF = 1, P = 0.000). Thirty-day mortality following tumor resection was also lower, X2 = 4.8, DF = 1, P = 0.028. Improvements in capacity and short-term outcome define our initial pioneering application of a neurosurgical twinning paradigm pioneered by SANC. |
| Databáze: | OpenAIRE |
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