Department of Neurosurgery, Hospital of the Babcock University, IIishan-Remo, Ogun State, Nigeria.
University of Warwick, Coventry, United Kingdom.
World Neurosurg. 2024 Jul;187:e1106-e1111. doi: 10.1016/j.wneu.2024.05.067. Epub 2024 May 16.
To evaluate the current state of neurosurgical care in Central Asia, identify the challenges and advancements, and propose recommendations to improve neurosurgical capabilities and access in Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan.
A comprehensive review of the neurosurgical infrastructure, availability of neurosurgeons, technological advancements, and healthcare policies in the five Central Asian countries. Analysis included published literature, healthcare reports, and expert opinions to assess the state of neurosurgical care and identify areas for improvement.
Significant variation in neurosurgical care was observed across the region. Kazakhstan showed notable advancements, including an increased number of neurosurgeons and progress in specialized fields such as vascular neurosurgery and brain tumor management. Other countries, like Uzbekistan, Tajikistan, and Kyrgyzstan, made strides in improving neurosurgical care but still faced substantial challenges. Common issues included a shortage of neurosurgeons, limited facilities, and inadequate access to modern technology. The lack of research data further highlighted the need for urgent intervention.
To enhance neurosurgical care in Central Asia, a multipronged approach involving targeted investments, policy reforms, international collaborations, and knowledge sharing is recommended. This includes establishing specialized neurosurgical training programs and fellowships, investing in infrastructure and technology, fostering international collaborations for training and research, introducing early neurosurgery education in medical schools, improving access to online education resources, and promoting telemedicine for consultations and follow-up care. These measures are necessary to expand access to essential neurosurgical care and improve outcomes in the regions.
评估中亚地区神经外科护理的现状，确定挑战和进展，并提出改善哈萨克斯坦、吉尔吉斯斯坦、塔吉克斯坦、土库曼斯坦和乌兹别克斯坦神经外科技能和获取途径的建议。
对五个中亚国家的神经外科基础设施、神经外科医生的可用性、技术进步和医疗保健政策进行全面审查。分析包括发表的文献、医疗保健报告和专家意见，以评估神经外科护理的现状并确定需要改进的领域。
该地区的神经外科护理存在显著差异。哈萨克斯坦取得了显著进展，包括神经外科医生人数增加，以及在血管神经外科和脑肿瘤管理等专业领域取得进展。其他国家，如乌兹别克斯坦、塔吉克斯坦和吉尔吉斯斯坦，在改善神经外科护理方面也取得了进展，但仍面临重大挑战。常见问题包括神经外科医生短缺、设施有限以及无法获得现代技术。缺乏研究数据进一步强调了迫切需要干预的必要性。
为了加强中亚地区的神经外科护理，建议采取多管齐下的方法，包括有针对性的投资、政策改革、国际合作和知识共享。这包括建立专门的神经外科培训计划和奖学金，投资基础设施和技术，促进培训和研究方面的国际合作，在医学院引入早期神经外科学教育，改善在线教育资源的获取途径，以及推广远程医疗以进行咨询和随访护理。这些措施对于扩大获得基本神经外科护理的途径和改善该地区的结果是必要的。
