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Academic Neurosurgery in Nigeria- Past, Present, and Future: A Review.

التفاصيل البيبلوغرافية
العنوان: Academic Neurosurgery in Nigeria- Past, Present, and Future: A Review.
المؤلفون: Anand A; B. P. Koirala Institute of Health Sciences, Dharan, Nepal; MediSurg Research, Darbhanga, India; Global Consortium of Medical Education and Research, Pune, India., Ajayi AO; Division of Neurosurgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria., Ansari A; Global Consortium of Medical Education and Research, Pune, India; Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), India., Mustapha MJ; Faculty of Basic Medical Sciences, University of Ilorin, Ilorin, Nigeria., Verma A; Rama Medical College Hospital and Research Centre, Hapur, India., Adinoyi SA; Department of Surgery, University of Ilorin, Ilorin, Nigeria., Uthman U; National Hospital Abuja, Abuja, Nigeria., Usman A; Ahmadu Bello University Teaching Hospital Zaria, Nigeria., Mofatteh M; School of Medicine, Dentistry and Biomedical Sciences, Queen's University, Belfast, United Kingdom., Khatib MN; Division of Evidence Synthesis, Global Consortium of Public Health and Research, Datta Meghe Institute of Higher Education, Wardha, India., Zahiruddin QS; Division of Evidence Synthesis, South Asia Infant Feeding Research Network (SAIFRN), Global Consortium of Public Health and Research, Datta Meghe Institute of Higher Education, Wardha, India., Gaidhane S; One Health Centre (COHERD), Jawaharlal Nehru Medical College, and Global Health Academy, School of Epidemiology and Public Health, Datta Meghe Institute of Higher Education, Wardha, India., Sharma RK; Graphic Era (Deemed to be University), Dehradun, India; Graphic Era Hill University, Dehradun, India., Rustagi S; School of Applied and Life Sciences, Uttaranchal University, Dehradun, Uttarakhand, India., Satapathy P; Center for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India; Medical Laboratories Techniques Department, AL-Mustaqbal University, Hillah, Iraq., Ajibade AA; Ahmadu Bello University Teaching Hospital Zaria, Nigeria., Oluwamayowa O; Imo State Specialist Hospital, Owerri, Nigeria., Obanife HO; Department of Surgery, University of Calabar, Calabar, Nigeria., Ahmad KI; General Amadi Rimi Specialist Hospital, Katsina, Nigeria., Ogunleye OO; Department of Surgery, Abubakar Tafawa Balewa University Bauchi, Yelwa, Nigeria. Electronic address: olabisidaneuro@atbu.edu.ng.
المصدر: World neurosurgery [World Neurosurg] 2024 Sep; Vol. 189, pp. 108-117. Date of Electronic Publication: 2024 Jun 06.
نوع المنشور: Journal Article; Review
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: Neurosurgery*/trends , Neurosurgery*/education, Nigeria ; Humans ; Neurosurgical Procedures/trends ; Neurosurgeons
مستخلص: Nigeria's neurosurgical field faces profound challenges, including a critically low neurosurgeon-to-patient ratio and significant migration of medical professionals to developed countries. High costs, low socioeconomic status, and the urban-centric location of neurosurgical centers impede access to care. Key barriers to service delivery include lack of manpower, insufficient emergency care, limited imaging modalities, inadequate operative equipment, and ineffective political and administrative policies. Neurotrauma is the primary reason for neurosurgical intervention but is poorly managed due to delayed access and insufficient guidelines. The neurosurgical education system is strained by limited training capacity and the absence of subspecializations, restricting specialized care. Research output is low, hindered by limited infrastructure, lack of databases, insufficient funding, and minimal international collaboration. To address these issues, it is critical to enhance the imaging capabilities, ensure the availability of operative equipment, and establish effective policies for task sharing and communication at different levels of care. Other approaches include expanding training capacity, particularly in rural areas, implementing a uniform match system for residency, addressing gender disparities, and utilizing dual practice to ensure adequate compensation for neurosurgeons. Furthermore, stakeholders should develop subspecialization programs in areas such as neurovascular, neuro-oncology, pediatric neurosurgery, and minimally invasive neurosurgery to expand service scope. To transform the neurosurgical research landscape, efforts should be made to establish electronic medical databases, foster international collaborations to ensure funding, and make research mandatory for accreditation renewal to ensure continuous academic contribution.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Academic neurosurgery; Global neurosurgery; Nigeria; Research
تواريخ الأحداث: Date Created: 20240608 Date Completed: 20240910 Latest Revision: 20240910
رمز التحديث: 20240910
DOI: 10.1016/j.wneu.2024.05.168
PMID: 38851629
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2024.05.168