Baticulon Ronnie E, Dewan Michael C, Karekezi Claire, Shlobin Nathan A, Garcia Roxanna M, Ghotme Kemel A, Thango Nqobile, Rosseau Gail, Hutchinson Peter J
Division of Neurosurgery, Department of Neurosciences, Philippine General Hospital, University of the Philippines Manila, Manila , Philippines.
Department of Anatomy, College of Medicine, University of the Philippines Manila, Manila , Philippines.
Neurosurgery. 2024 Nov 1;95(5):955-962. doi: 10.1227/neu.0000000000003107. Epub 2024 Aug 26.
Since the release of the Lancet Commission on Global Surgery report in 2015, there has been an increase in the number of published papers on global neurosurgery, gaining widespread support from major neurosurgery journals. However, there remains no consensus on what may be considered part of global neurosurgery literature. Here, we propose that global neurosurgery research encompasses all scholarly work that measure, explore, or address inequity in the care of neurosurgical disease. We describe the growth of global neurosurgery research, cite landmark papers, and discuss barriers to participation, particularly among neurosurgeons in low- and middle-income countries. We introduce the 3Rs framework, advocating for global neurosurgery research that is rigorous, responsive, and responsible. This narrative review aims to guide young neurosurgeons and other researchers interested in the field, and to provide a framework through which global neurosurgery practitioners and advocates can evaluate previously accomplished work, paving the way toward neurosurgery that is timely, safe, and affordable to all.
自《柳叶刀》全球外科委员会报告于2015年发布以来,关于全球神经外科的已发表论文数量有所增加,并获得了主要神经外科期刊的广泛支持。然而,对于哪些内容可被视为全球神经外科文献的一部分,目前仍未达成共识。在此,我们提议全球神经外科研究涵盖所有衡量、探索或解决神经外科疾病治疗中不平等问题的学术工作。我们描述了全球神经外科研究的发展,引用了具有里程碑意义的论文,并讨论了参与的障碍,特别是低收入和中等收入国家神经外科医生面临的障碍。我们引入了3R框架,倡导开展严谨、及时响应且负责任的全球神经外科研究。本叙述性综述旨在指导该领域的年轻神经外科医生和其他研究人员,并提供一个框架,通过该框架全球神经外科从业者和倡导者可以评估先前完成的工作,为实现对所有人来说及时、安全且可负担得起 的神经外科手术铺平道路。