Lartigue Jean Wilguens, Dada Olaoluwa Ezekiel, Haq Makinah, Rapaport Sarah, Sebopelo Lorraine Arabang, Ooi Setthasorn Zhi Yang, Senyuy Wah Praise, Sarpong Kwadwo, Vital Anchelo, Khan Tariq, Karekezi Claire, Park Kee B
School of Medicine and Pharmacy, State University of Haiti, Port-au-Prince, Haiti.
College of Medicine, University of Ibadan, Ibadan, Nigeria.
Front Surg. 2021 Oct 11;8:690735. doi: 10.3389/fsurg.2021.690735. eCollection 2021.
Worldwide, neurological disorders are the leading cause of disability-adjusted life years lost and the second leading cause of death. Despite global health capacity-building efforts, each year, 22.6 million individuals worldwide require neurosurgeon's care due to diseases such as traumatic brain injury and hydrocephalus, and 13.8 million of these individuals require surgery. It is clear that neurosurgical care is indispensable in both national and international public health discussions. This study highlights the role neurosurgeons can play in supporting the global health agenda, national surgical plans, and health strengthening systems (HSS) interventions. Guided by a literature review, the authors discuss key topics such as the global burden of neurosurgical diseases, the current state of neurosurgical care around the world and the inherent benefits of strong neurosurgical capability for health systems. Neurosurgical diseases make up an important part of the global burden of diseases. Many neurosurgeons possess the sustained passion, resilience, and leadership needed to advocate for improved neurosurgical care worldwide. Neurosurgical care has been linked to 14 of the 17 Sustainable Development Goals (SDGs), thus highlighting the tremendous impact neurosurgeons can have upon HSS initiatives. We recommend policymakers and global health actors to: (i) increase the involvement of neurosurgeons within the global health dialogue; (ii) involve neurosurgeons in the national surgical system strengthening process; (iii) integrate neurosurgical care within the global surgery movement; and (iv) promote the training and education of neurosurgeons, especially those residing in Low-and middle-income countries, in the field of global public health.
在全球范围内，神经系统疾病是导致伤残调整生命年损失的主要原因，也是第二大死因。尽管全球开展了卫生能力建设工作，但每年仍有2260万人因创伤性脑损伤和脑积水等疾病需要神经外科医生的治疗，其中1380万人需要手术治疗。显然，神经外科护理在国家和国际公共卫生讨论中不可或缺。本研究强调了神经外科医生在支持全球卫生议程、国家外科计划和卫生系统强化（HSS）干预措施方面可以发挥的作用。在文献综述的指导下，作者讨论了关键主题，如神经外科疾病的全球负担、世界各地神经外科护理的现状以及强大的神经外科能力对卫生系统的内在益处。神经外科疾病是全球疾病负担的重要组成部分。许多神经外科医生拥有持续的热情、韧性和领导力，以倡导在全球范围内改善神经外科护理。神经外科护理与17项可持续发展目标（SDG）中的14项相关联，从而凸显了神经外科医生对卫生系统强化举措可能产生的巨大影响。我们建议政策制定者和全球卫生行动者：（i）增加神经外科医生在全球卫生对话中的参与度；（ii）让神经外科医生参与国家外科系统强化进程；（iii）将神经外科护理纳入全球外科运动；（iv）促进神经外科医生，特别是低收入和中等收入国家的神经外科医生在全球公共卫生领域的培训和教育。
