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Surgical Aneurysm Repair of Aneurysmal Subarachnoid Hemorrhage in Sub-Saharan Africa: The State of Training and Management.

التفاصيل البيبلوغرافية
العنوان: Surgical Aneurysm Repair of Aneurysmal Subarachnoid Hemorrhage in Sub-Saharan Africa: The State of Training and Management.
المؤلفون: Dokponou YCH; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin; Department of Neurosurgery, Centre National Hospitalier Universitaire Hubert Koutoukou MAGA, Cotonou, Benin. Electronic address: dokponou2407@gmail.com., Alihonou T; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin; Department of Neurosurgery, Centre National Hospitalier Universitaire Hubert Koutoukou MAGA, Cotonou, Benin., Adjiou DKFP; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin., Obame FLO; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin., Nyalundja AD; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin; Center for Tropical Diseases and Global Health (CTDGH), Faculty of Medicine, Université Catholique de Bukavu, Democratic Republic of Congo., Dossou MW; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin., Murhega RB; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin., Lawson LD; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin., Badirou OBA; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin., Kpègnon NA; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin., Bankole NDA; Department of Research, Sub-Saharan African Future Neurosurgeons Association (SAFNA), Cotonou, Benin; Clinical Investigation Center (CIC), 1415, INSERM, Department of Interventional Neuroradiology, Tours University Hospital, Tours, France.
المصدر: World neurosurgery [World Neurosurg] 2023 Aug; Vol. 176, pp. e485-e492. Date of Electronic Publication: 2023 May 29.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Elsevier
مواضيع طبية MeSH: Subarachnoid Hemorrhage*/surgery , Intracranial Aneurysm*/surgery , Neurosurgery*/education , Endovascular Procedures*/methods , Aneurysm, Ruptured*/surgery, Humans ; Neurosurgical Procedures/methods ; Treatment Outcome
مستخلص: Background: In a resource-limited setting such as sub-Saharan African countries, neurosurgeons need training and fellowship for surgical repair of aneurysmal subarachnoid hemorrhage (aSAH). Surgical repair of ruptured aneurysms costs less and requires less instrumentation compared with endovascular procedures. The purpose of this study is to evaluate the state of training and management of aSAH in sub-Saharan Africa training centers.
Methods: An e-survey was sent as a Google Form to neurosurgeons and neurosurgical trainees in neurosurgery training centers in sub-Saharan Africa; responses were accepted from September 9 to October 23, 2022. Statistical analysis was performed using Microsoft Excel and JAMOVI 3.2.
Results: All 44 centers from 17 countries responded. Most of the respondents were neurosurgery residents (n = 30; 68.18%). The level of training on clipping was basic after completing the residency program (n = 18; 40.91%). Twenty respondents (45.45%) identified that fellowships on aneurysmal clipping and endovascular treatment are offered abroad. Thirteen participants (29.55%) indicated that endovascular treatment is available at their institutions. The most common challenges with lack of training for neurosurgical aneurysm clipping were scarce scholarship and collaboration with training centers from high-income countries (n = 33; 75%). The availability of intensive care unit beds also contributed to the presence of neurosurgical training of aneurysm clipping (12.1 ± 3.67 vs. 9.29 ± 5.82; P = 0.05).
Conclusions: In sub-Saharan African countries, the lack of collaborations with high-income countries for training through fellowships of young neurosurgeons for aneurysm repair seems to be the most important challenge that should be overcome.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Aneurysmal subarachnoid hemorrhage; Fellowship; Sub-Saharan Africa; Surgical aneurysm repair; Training
تواريخ الأحداث: Date Created: 20230531 Date Completed: 20230809 Latest Revision: 20240626
رمز التحديث: 20240627
DOI: 10.1016/j.wneu.2023.05.085
PMID: 37257644
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2023.05.085