Status of functional neurosurgery in lower middle-income countries (LMICs): A multinational cross sectional survey based analysis of exposure, utilization and perceived barriers

Functional Neurosurgery (FNS) is a non-invasive and highly efficacious neurosurgical subspecialty but lower middle-income countries (LMICs) are disadvantaged in terms of access and availability of FNS. Through this study we have tried to assess the availability, exposure, utilization, and perceived...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2024-10, Vol.245, p.108411, Article 108411
Main Authors: Asija, Sukriti, Pahwa, Bhavya, Agarwal, Aman, Patil, Yogeshwari, Chaurasia, Bipin
Format: Article
Language:English
Subjects:
Adult
Cross-Sectional Studies
Decision making
Deep brain stimulation
Developing Countries
Disease
Dystonia
Epilepsy
Female
Functional neurosurgery
Global neurosurgery
Global surgery
Health Services Accessibility
Humans
Industrialized nations
Lower- and middle-income countries (LMICs)
Male
Mental disorders
Movement disorders
Neurosurgeons
Neurosurgery
Neurosurgical Procedures
Parkinson's disease
Patients
Polls & surveys
Quality of life
Radiosurgery
Social networks
Statistical analysis
Surgery
Surveys
Surveys and Questionnaires
Tumors
Vagus nerve
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Summary:Functional Neurosurgery (FNS) is a non-invasive and highly efficacious neurosurgical subspecialty but lower middle-income countries (LMICs) are disadvantaged in terms of access and availability of FNS. Through this study we have tried to assess the availability, exposure, utilization, and perceived barriers to five major FNS modalities including deep brain stimulation (DBS), vagal nerve stimulation (VNS), stereotactic radiosurgery (SRS), MRI-guided focused ultrasound (MRgfUS) and percutaneous rhizotomy in LMICs. We designed a survey using google forms while following the CHERRIES guidelines. Responses were collected from practicing neurosurgeons, neurosurgical fellows, and residents in LMICs. Statistical analysis was performed using SPSS software 26.0 A total of 100 responses were recorded of which 96 % were males. 68 % worked in an educational setup. Respondents had the most exposure to SRS (36 %) followed by DBS (28 %) while MRgFUS was the least exposed modality (4 %) (p
ISSN:0303-8467
1872-6968
1872-6968
DOI:10.1016/j.clineuro.2024.108411