1Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida.
2Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and.
J Neurosurg Pediatr. 2023 May 12;32(2):242-253. doi: 10.3171/2023.3.PEDS2363. Print 2023 Aug 1.
The aim of this scoping review was to identify relevant articles that have contributed to the body of knowledge describing pediatric neurosurgical healthcare disparities. Identifying healthcare disparities in pediatric neurosurgery is essential to understanding how to best provide care for this unique patient population. Although it is undoubtedly important to increase the knowledge of pediatric neurosurgical healthcare disparities, it is also important to understand the current state of the literature.
This scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. The search terms "pediatric neurosurgical disparities" and "pediatric neurosurgical inequities" were entered into the following databases: PubMed, Scopus, and Embase.
The initial database search returned a total of 366 results from the PubMed, Embase, and Scopus databases. One hundred thirty-seven duplicates were removed, and the remaining articles were screened by title and abstract. Articles were excluded on the basis of the inclusion and exclusion criteria. Of the remaining 229 articles, 168 were excluded. Sixty-one full-text articles were then examined for eligibility, and 28 did not reach the specified inclusion and exclusion criteria. The remaining 33 articles were included for final review. The results of the reviewed studies were stratified on the basis of disparity type.
Although there has been an increase in the number of publications discussing pediatric neurosurgical healthcare disparities within the last decade, there still remains a scarcity of information regarding healthcare disparities in neurosurgery. Furthermore, less information exists that specifically addresses healthcare disparities in the pediatric population.
本范围综述的目的是确定有助于描述儿科神经外科学医疗保健差异的相关文章。确定儿科神经外科学中的医疗保健差异对于了解如何为这一独特的患者群体提供最佳护理至关重要。虽然增加对儿科神经外科学医疗保健差异的认识无疑很重要，但了解文献的现状也很重要。
本范围综述根据系统评价和荟萃分析扩展的首选报告项目（PRISMA-ScR）指南进行。将“儿科神经外科学差异”和“儿科神经外科学不公平”这两个检索词输入到以下数据库中：PubMed、Scopus 和 Embase。
最初从 PubMed、Embase 和 Scopus 数据库中检索到的数据库搜索结果共有 366 项。删除了 137 个重复项，然后根据标题和摘要筛选其余的文章。根据纳入和排除标准排除了文章。在剩余的 229 篇文章中，有 168 篇被排除。然后，对 61 篇全文文章进行了资格审查，其中 28 篇不符合规定的纳入和排除标准。其余 33 篇文章被纳入最终审查。综述研究的结果根据差异类型进行分层。
尽管在过去十年中，讨论儿科神经外科学医疗保健差异的出版物数量有所增加，但关于神经外科学中的医疗保健差异的信息仍然稀缺。此外，专门针对儿科人群的医疗保健差异的信息更少。
