Bocanegra-Becerra Jhon E, Castillo-Huerta Nicole M, Ludeña-Esquivel Alonso, Torres-García O Nicole, Vilca-Salas Martha I, Bermudez-Pelaez Milagros F
School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.
Surg Neurol Int. 2022 Nov 25;13:545. doi: 10.25259/SNI_940_2022. eCollection 2022.
The unmet neurosurgical need has remained patent in developing countries, including Peru. However, continuous efforts to overcome the lack of affordable care have been achieved, being neurosurgical missions one of the main strategies. We chronicle the humanitarian labor of organizations from high-income countries during their visit to Peru, the contributions to local trainees' education, and the treatment of underserved patients. Furthermore, we discuss the embedded challenges from these missions and the future perspective on long-term partnerships and sustainability.
This is a narrative review. We searched the literature in PubMed and Google Scholar about neurosurgical missions conducted in Peru.
Since 1962, twelve organizations from high-income countries have delivered humanitarian help in Peru by training local neurosurgeons, treating low-income patients, and providing surgical instrumentation. Out of the three main regions of Peru, cities on the coast and highlands have hosted most of these missions, with no reported outreach in the amazon area. About 75% of the organizations are headquartered in the United States, followed by Canada, Luxembourg, and Spain. In addition, 50% of the organizations have an active partnership. The predominant focus of these missions has been pediatrics, neuro-oncology, and spine surgery.
Neurosurgical missions have represented a strategy to close the disparity in education and treatment in Peru. However, additional efforts must be conducted to improve long-term partnership and sustainability, such as adopting standardized indicators for progress tracking, incorporating remote technologies for continuous training and communication, and expanding partnerships in less attended areas.
包括秘鲁在内的发展中国家，神经外科需求未得到满足的情况依然明显。然而，人们一直在持续努力克服缺乏可负担医疗服务的问题，神经外科医疗任务是主要策略之一。我们记录了高收入国家的组织在访问秘鲁期间的人道主义工作、对当地学员教育的贡献以及为服务不足的患者提供的治疗。此外，我们讨论了这些任务中存在的挑战以及长期伙伴关系和可持续性的未来前景。
这是一篇叙述性综述。我们在PubMed和谷歌学术上搜索了关于在秘鲁开展的神经外科医疗任务的文献。
自1962年以来，来自高收入国家的12个组织通过培训当地神经外科医生、治疗低收入患者和提供手术器械，在秘鲁提供了人道主义帮助。在秘鲁的三个主要地区中，沿海和高地的城市接待了大部分此类任务，亚马逊地区没有相关报道。约75%的组织总部设在美国，其次是加拿大、卢森堡和西班牙。此外，50%的组织有活跃的伙伴关系。这些任务的主要重点是儿科、神经肿瘤学和脊柱外科。
神经外科医疗任务是缩小秘鲁教育和治疗差距的一项策略。然而，必须做出更多努力来改善长期伙伴关系和可持续性，例如采用标准化指标进行进展跟踪、引入远程技术进行持续培训和沟通，以及在服务较少的地区扩大伙伴关系。
