Valerio Jose E, Ramirez-Velandia Felipe, Fernandez-Gomez Maria Paula, Rea Noe S, Alvarez-Pinzon Andres M
Department of Neurological Surgery, Palmetto General Hospital, Miami, Florida, USA.
Neurosurgery Oncology Center of Excellence, Department of Neurosurgery, Miami Neuroscience Center at Larkin, South Miami, Florida, USA.
Neurosurg Pract. 2024 Apr 25;5(2):e00090. doi: 10.1227/neuprac.0000000000000090. eCollection 2024 Jun.
The advent of advanced technologies has brought unprecedented precision and efficacy to neurosurgical procedures for brain tumor resection. Despite the remarkable progress, disparities in technology access across different nations persist, creating significant challenges in providing equitable neurosurgical care. The purpose of the following work was to comprehensively analyze the existing disparities in access to innovative neurosurgical technologies and the impact of such disparities on patient outcomes and research. We seek to shed light on the extent of the problem, the underlying causes, and propose strategies for mitigating these disparities.
A systematic review of published articles, including clinical studies, reports, and healthcare infrastructure assessments, was conducted to gather data on the availability and utilization of advanced neurosurgical technologies in various countries.
Disparities in technology access in neurosurgery are evident, with high-income countries benefiting from widespread implementation, while low- and middle-income countries face significant challenges in technology adoption. These disparities contribute to variations in surgical outcomes and patient experiences. The root causes of these disparities encompass financial constraints, inadequate infrastructure, and insufficient training and expertise.
Disparities in access to advanced neurosurgical technology remain a critical concern in global neurosurgery. Bridging this gap is essential to ensure that all patients, regardless of their geographic location, can benefit from the advancements in neurosurgical care. A concerted effort involving governments, healthcare institutions, and the international community is required to achieve this goal, advancing the quality of care for patients with brain tumors worldwide.
先进技术的出现给脑肿瘤切除的神经外科手术带来了前所未有的精准度和疗效。尽管取得了显著进展,但不同国家在技术获取方面的差距依然存在,这给提供公平的神经外科护理带来了重大挑战。以下工作的目的是全面分析在获取创新神经外科技术方面存在的现有差距,以及这种差距对患者预后和研究的影响。我们试图阐明问题的严重程度、根本原因,并提出缓解这些差距的策略。
对已发表的文章进行系统综述,包括临床研究、报告和医疗保健基础设施评估,以收集有关各国先进神经外科技术的可及性和使用情况的数据。
神经外科手术在技术获取方面的差距显而易见,高收入国家因广泛应用而受益,而低收入和中等收入国家在采用技术方面面临重大挑战。这些差距导致了手术结果和患者体验的差异。这些差距的根本原因包括资金限制、基础设施不足以及培训和专业知识不够。
在获取先进神经外科技术方面的差距仍然是全球神经外科的一个关键问题。弥合这一差距对于确保所有患者,无论其地理位置如何,都能从神经外科护理的进步中受益至关重要。需要政府、医疗机构和国际社会共同努力来实现这一目标,提高全球脑肿瘤患者的护理质量。