What does this research mean for the field?

Middle-income nations such as Vietnam are experiencing a rapidly shifting disease burden toward neurosurgical pathologies like stroke and neurotrauma, creating an exponential demand for neurosurgical care that threatens to outpace current training and infrastructure. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate the epidemiological burden of neurosurgical diseases in Vietnam and comparable middle-income nations undergoing rapid economic transition.

October 1, 2018Neurosurgical FOCUSOpen Access

The shifting burden of neurosurgical disease: Vietnam and the middle-income nations

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Authors

CCChristopher CarrLoughborough University LKLora KahnTulane University MMMansour MathkourUniversity of Arizona

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Implication

Epidemiological analysis reveals a disproportionate neurosurgical burden in middle-income nations, highlighting an urgent need to expand surgical workforce capacity.

Key Points

To evaluate the epidemiological burden of neurosurgical diseases in Vietnam and comparable middle-income nations undergoing rapid economic transition.
Extracted cause of death and years lived with disability (YLD) data from the Global Burden of Disease (GBD) database for common neurosurgical conditions in Vietnam and comparison nations.
Conducted a literature review of existing neurosurgical infrastructure assessments and capacity-building initiatives in middle-income settings.
Neurosurgical pathologies accounted for one-fifth of cause-attributable deaths and YLD, with stroke responsible for more than two-thirds of neurosurgical deaths in Vietnam and middle-income nations.
Cause-attributable mortality and YLD related to neurosurgical conditions were substantially higher in middle-income nations compared to both low-income and high-income nations.
Traumatic brain injury from road accidents and disability from low-back and neck pain increased rapidly, while neurosurgeon density per capita remained markedly behind demand.

Cite This Study

Carr et al. (2018) studied this question.

synapsesocial.com/papers/6a0a973ea9e3408f44709c5a https://doi.org/10.3171/2018.7.focus18297

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Implication

Epidemiological analysis reveals a disproportionate neurosurgical burden in middle-income nations, highlighting an urgent need to expand surgical workforce capacity.

The shifting burden of neurosurgical disease: Vietnam and the middle-income nations

Discussion

Member takes

Implication

Key Points

Cite This Study

The shifting burden of neurosurgical disease: Vietnam and the middle-income nations

Discussion

Member takes

Implication

Key Points

Cite This Study

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Also Consider