Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, PA, USA.
Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Seizure. 2023 Jul;109:92-96. doi: 10.1016/j.seizure.2023.06.001. Epub 2023 Jun 4.
The aim of the current study was to systematically review the literature on establishing epilepsy care centers in resource-limited nations in the world and to provide a comprehensive roadmap on this significantly needed endeavor. This work may provide guidance on how to develop an epilepsy care center in other resource-limited places in the world.
Web of science, Science Direct, and MEDLINE (accessed from PubMed) from inception to March 2023 were systematically searched for relevant published manuscripts. In all electronic databases, the following search strategy was implemented and these key words were used (title/abstract): epilepsy AND resource. The inclusion criteria were all original studies and articles written in English.
We could identify nine manuscripts on how to successfully establish an epilepsy care center in resource-limited countries. Two models were identified for such an endeavor: developing a team of trained healthcare professionals (e.g., in Iran, India, China, Vietnam) or a twin affiliation between an advanced epilepsy surgery program in a developed country and a starting program in a developing country (e.g., in Georgia, Tunisia).
In order to successfully establish an epilepsy care center in resource-limited countries four pillars are needed: presence of skillful healthcare professionals, having access to basic investigative technologies (i.e., MRI and EEG), a careful planning, and raising awareness.
本研究旨在系统回顾世界资源有限国家建立癫痫护理中心的文献，并为这一迫切需要的努力提供全面的路线图。这项工作可以为如何在世界其他资源有限的地方建立癫痫护理中心提供指导。
从建库到 2023 年 3 月，我们系统地检索了 Web of science、Science Direct 和 MEDLINE（从 PubMed 检索）中的相关已发表文献。在所有电子数据库中，我们都采用了以下搜索策略，并使用了以下关键词（标题/摘要）：癫痫和资源。纳入标准为所有原始研究和英文撰写的文章。
我们可以确定九篇关于如何在资源有限的国家成功建立癫痫护理中心的文献。为此项努力确定了两种模式：培养训练有素的医疗保健专业人员团队（例如，在伊朗、印度、中国和越南）或发达国家的先进癫痫手术项目与发展中国家的初始项目之间的双重合作关系（例如，在格鲁吉亚和突尼斯）。
为了在资源有限的国家成功建立癫痫护理中心，需要具备四个支柱：拥有熟练的医疗保健专业人员、能够获得基本的检查技术（即 MRI 和 EEG）、精心规划和提高认识。
