低收入国家小儿神经外科的定义:埃塞俄比亚横断面研究。

IF 2.1 3区 医学 Q3 CLINICAL NEUROLOGY Journal of neurosurgery. Pediatrics Pub Date : 2024-10-18 DOI:10.3171/2024.7.PEDS24237
Zerubabbel K Asfaw, Hodan Abdi, Kaleab Tesfaye Moges, Yemisirach B Akililu, Ernest J Barthélemy, Tsegazeab Laeke, Isabelle M Germano, Abenezer Tirsit
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引用次数: 0

摘要

目的:小儿神经外科实践在大多数低收入和中低收入国家都很普遍,但缺乏关于实践模式、人口统计和病例种类的全面记录。本研究旨在介绍埃塞俄比亚小儿神经外科的现状,包括劳动力特征、病例种类和相关程序:制定了一份调查问卷,并分发给所有接受过全面培训的埃塞俄比亚神经外科医生(n = 50)。调查问题评估了社会人口变量、培训水平、病例种类和神经外科实践。调查还进行了统计分析,以描述当前的小儿神经外科实践:共有 45 名神经外科医生做出了回复(90%)。3名受访者(7%)为女性。只有一名受过研究培训的小儿神经外科医生,而大多数神经外科医生都是为小儿患者服务的普通神经外科医生。大多数神经外科医生(56%)在首都亚的斯亚贝巴工作,另有13%在其他城市工作。小儿神经外科手术的三大适应症是神经管缺陷(NTD)(96%)、脑积水(93%)和外伤(60%)。NTD相关性脑积水是最常见的脑积水类型(71%)。最常见的脑积水治疗方法是插入分流器(96%)。84%的受访者表示,产前诊断为 NTD 的病例不足 10%:这项研究强调了埃塞俄比亚对更多儿科神经外科医生的需求。为促进亚专科培训而建议的策略包括:在全国范围内建立小儿神经外科登记册,并在此基础上设立奖学金项目。促进儿科疾病的早期诊断和治疗,同时采取预防非传染性疾病的措施,可以改善埃塞俄比亚的儿科神经外科护理。
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Defining pediatric neurosurgery in low-income countries: a cross-sectional study in Ethiopia.

Objective: Pediatric neurosurgical practice is prevalent in most low- and lower-middle-income countries but lacks comprehensive documentation of practice patterns, demographics, and case variety. This study aimed to present the current state of pediatric neurosurgery in Ethiopia, including workforce characterization, case variety, and relevant procedures.

Methods: A survey was developed and distributed to all Ethiopian fully trained neurosurgeons (n = 50). Survey questions assessed sociodemographic variables, level of training, case variety, and neurosurgical practice. Statistical analysis was conducted to describe the current practice of pediatric neurosurgery.

Results: A total of 45 neurosurgeons responded (90%). Three respondents (7%) were women. There was only 1 fellowship-trained pediatric neurosurgeon, while most neurosurgeons were general neurosurgeons who served a pediatric patient population. Most neurosurgeons (56%) worked in the capital city, Addis Ababa, while another 13% worked in other urban settings. The top three indications for a pediatric neurosurgical procedure were neural tube defects (NTDs) (96%), hydrocephalus (93%), and trauma (60%). NTD-associated hydrocephalus was the most common hydrocephalus type seen (71%). The most common procedure for hydrocephalus was shunt insertion (96%). A prenatal diagnosis of NTD was made in < 10% of cases, as reported by 84% of respondents.

Conclusions: The study highlights Ethiopia's need for more pediatric neurosurgeons. Suggested strategies to facilitate subspecialty training include the establishment of a fellowship program facilitated by the implementation of a nationwide pediatric neurosurgery registry. Promoting efforts for early diagnosis and treatment of pediatric conditions coupled with NTD prevention initiatives could improve pediatric neurosurgical care in Ethiopia.

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来源期刊
Journal of neurosurgery. Pediatrics
Journal of neurosurgery. Pediatrics 医学-临床神经学
CiteScore
3.40
自引率
10.50%
发文量
307
审稿时长
2 months
期刊介绍: Information not localiced
期刊最新文献
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