Bibliometric Analysis of Myelomeningocele Management: National Disease Burden versus Publication Volume.

IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY World neurosurgery Pub Date : 2024-12-07 DOI:10.1016/j.wneu.2024.11.027
Belinda Shao, Alphadenti Harlyjoy, Olivia A Kozel, Megan Eh Still, Setyo Bp Widodo, Chibueze Agwu, Emilija Sagaityte, Christian Schroeder, Hannah E Gilder, Radzi Hamzah, Felicia W Sun, Joshua R Feler, Santos Santos, Kelsey Sawyer, Konstantina A Svokos, Petra M Klinge, Walter Johnson, Ronnie E Baticulon, Kee B Park
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Abstract

Background: Myelomeningocele (MMC) disproportionately affects low-resource areas and regions without mandatory folic acid fortification. No specific literature exists on the distribution of research output regarding neurosurgical management of myelomeningocele worldwide in relation to regional disease burden. We aimed to examine the country of origin and patient population of published papers on MMC and topics related to neurosurgical management of MMC, to determine whether these were proportionate to disease burden.

Methods: A systematic literature search was conducted on neurosurgical aspects of MMC care. The geographic distribution of neurosurgical MMC research output was examined against the national burden of disease. Bibliometric analysis quantified author and patient country affiliations stratified by World Bank income group classification and folic acid fortification status, juxtaposed with disease burden.

Results: From 9692 titles, 1843 were included, representing 107,446 patients and 2650 authorship instances. High-income countries (HICs) constituted 3% of 2019's global neural tube defect (NTD) births, 74% of authorships, and 83% of patients represented. Upper-middle-income countries (UMICs) represented 9% of NTD births, 16% of authorships, and 9% of published patients. Lower-middle-income countries (LMICs) represented 55% of NTD births but only 8.6% of authorships and 7% of patients. Low-income countries (LICs) shouldered 32% of NTD births and contributed 1.3% of authorships and 1.6% of patients. Countries with mandatory folic acid fortification represented 75% of patients and 54% of authorships. Postnatal repair, hydrocephalus, and postoperative complications were the most frequently studied topics.

Conclusions: The global literature concerning neurosurgical management of myelomeningocele originates predominantly from HICs. Published experiences of myelomeningocele patients from LICs/LMICs are scarce, even though they constitute the majority of the affected population. Neurosurgeons and other health professionals must address this mismatch between disease burden and publication volume in order to inform practice, policy, and advocacy for MMC care worldwide.

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髓母细胞瘤治疗的文献计量分析:全国疾病负担与出版量
背景和目的:脊髓脊膜膨出症(Melomeningocele,MMC)对资源匮乏地区和未强制添加叶酸的地区的影响尤为严重。目前还没有专门的文献说明全球骨髓膜缺失症神经外科治疗研究成果的分布与地区疾病负担的关系。我们的目的是研究已发表的有关脊髓膜膨出症的论文以及与脊髓膜膨出症神经外科治疗相关的主题的原产国和患者人群,以确定这些因素是否与疾病负担成比例:方法:对有关脊髓膜膨出症神经外科治疗方面的文献进行了系统检索。根据全国疾病负担情况,对神经外科 MMC 研究成果的地理分布进行了研究。文献计量分析按世界银行收入组别分类和叶酸强化状况对作者和患者所属国家进行了量化,并与疾病负担并列:从 9,692 篇文献中,共收录了 1,843 篇,代表 107,446 名患者和 2,650 个作者。高收入国家占 2019 年全球 NTD 出生人数的 3%,占作者总数的 74%,占患者总数的 83%。中上收入国家(UMICs)占 NTD 出生人数的 9%,占作者总数的 16%,占发表病例的 9%。中低收入国家(LMICs)占 NTD 出生人数的 55%,但仅占作者人数的 8.6%,患者人数的 7%。低收入国家(LIC)承担了32%的NTD新生儿,却贡献了1.3%的作者和1.6%的患者。强制叶酸强化的国家占患者总数的75%,占作者总数的54%。产后修复、脑积水和术后并发症是研究最多的主题:结论:全球有关脊髓空洞症神经外科治疗的文献主要来自高收入国家。尽管低等收入国家/低收入国家和中等收入国家的患者占患病人口的大多数,但这些国家的髓膜积液患者的手术经验却很少见。神经外科医生和其他医疗专业人员必须解决疾病负担与发表文章数量不匹配的问题,以便为全世界的骨髓膜缺失症治疗提供实践、政策和宣传信息。
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来源期刊
World neurosurgery
World neurosurgery CLINICAL NEUROLOGY-SURGERY
CiteScore
3.90
自引率
15.00%
发文量
1765
审稿时长
47 days
期刊介绍: World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
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