Pediatric neurosurgical bellwether procedures for infrastructure capacity building in hospitals and healthcare systems worldwide

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Michael C DewanWilliam Harkness

Abstract

Quantifying the global burden of pediatric neurosurgical disease-and current efforts addressing it-is challenging, particularly in the absence of uniform terminology. We sought to establish bellwether procedures for pediatric neurosurgery, in order to standardize terminology, establish priorities, and facilitate goal-oriented capacity building. Members of international pediatric neurosurgical and pediatric surgical societies were surveyed via the Research Electronic Data Capture (REDCap) platform. Among 15 proposed neurosurgical procedures, respondents assigned numerical grades of surgical necessity and selected hospital-level designation within a three-tiered system. A procedure was considered a bellwether if (a) the majority of respondents deemed it necessary for either a primary- or secondary-level hospital and (b) the procedure was graded at or above the 90th percentile on a continuous scale of essentiality. Data were compiled and analyzed using Stata software. Complete responses were obtained from 459 surgeons from 76 countries, the majority of whom practiced in a tertiary referral hospital (88%), with a primarily public patient population (64%). Six bellwether procedures were identified for pediatric neurosurgery: shunt f...Continue Reading

References

Apr 1, 1994·Social Science & Medicine·S Thaddeus, D Maine
Dec 21, 2002·Neurosurgery·John A CowanJulian T Hoff
Mar 2, 2011·World Journal of Surgery·Caris E GrimesChristopher B D Lavy
May 23, 2012·Neurosurgery·Hormuzdiyar H DasenbrockAli Bydon
Feb 11, 2015·Lancet·Charles N MockUNKNOWN DCP3 Essential Surgery Author Group
Jul 1, 2015·World Neurosurgery·Vijay M RavindraJohn R Kestle
Aug 13, 2015·World Neurosurgery·Benjamin C Warf
Feb 3, 2016·Seminars in Pediatric Surgery·Nicole A Sitkin, Diana L Farmer
Dec 21, 2017·The New England Journal of Medicine·Abhaya V KulkarniBenjamin C Warf
Apr 28, 2018·Journal of Neurosurgery·Michael C DewanBenjamin C Warf
Apr 28, 2018·Journal of Neurosurgery·Michael C DewanUNKNOWN We would like to thank the following individuals for their dedication and contribution to identifying the global neurosurgic
May 19, 2018·Journal of Neurosurgery·Niclas RudolfsonBlake C Alkire

❮ Previous
Next ❯

Citations

Jul 29, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Faizal A HajiJames M Johnston
Dec 1, 2018·World Journal of Surgery·Dan Poenaru, Justina Onyioza Seyi-Olajide
Jul 9, 2021·Plastic and Reconstructive Surgery. Global Open·Richard VanderburgFelicity V Mehendale

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Abscess

Brain abscess is an accumulation of pus caused by inflammation and infected materials in the brain. Symptoms include fever, headache, seizures and other neurological problems. Discover the latest research on brain abscess today.