Evidence map›Paper›PMID 32309799›Full record

ArticleWorld neurosurgery: X2020

Task-Sharing for Emergency Neurosurgery: A Retrospective Cohort Study in the Philippines.

Faith C Robertson, Richard Briones, Rania A Mekary, Ronnie E Baticulon, Miguel A Jimenez, Andrew J M Leather, Marike L D Broekman, Kee B Park, William B Gormley, Lynne L Lucena

Open access · goldAbstract read
In one paragraph

Article in World neurosurgery: X, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pediatric vs. adult extradural hematoma outcomes in LMICs: mortality, surgical timing, and age-specific hematoma volume cutoffs.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  3. Comparative outcomes for pediatric cranial procedures by general surgeons and neurosurgeons in a tertiary care hospital in Ethiopia.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  4. Review
  5. Emergency medicine research in the Philippines: A scoping review.Journal of the American College of Emergency Physicians open · 2023
    Article
  6. Task Sharing in Global Cardiac Surgery: A Scoping Review.Annals of thoracic surgery short reports · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 4 countries.

Faith C RobertsonHarvard Medical School, Boston, Massachusetts, USA.
Richard BrionesDepartment of Surgery, Bicol Medical Center, Naga City, Philippines.
Rania A MekaryComputational Neuroscience Outcomes Center, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Ronnie E BaticulonDepartments of Anatomy and Neurosciences, University of the Philippines-Philippines General Hospital, Manila, Philippines.
Miguel A JimenezComputational Neuroscience Outcomes Center, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Andrew J M LeatherKing's Centre for Global Health & Health Partnerships, School of Population Health and Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Marike L D BroekmanLeiden University Medical Center, Neurosurgery, Leiden, the Netherlands.
Kee B ParkGlobal Neurosurgery Initiative, Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA.
William B GormleyHarvard Medical School, Boston, Massachusetts, USA.
Lynne L LucenaDepartment of Surgery, Bicol Medical Center, Naga City, Philippines.
Bicol University · PHBrigham and Women's Hospital · USHarvard University · USKing's College London · GBMedisch Centrum Haaglanden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe safety and effectiveness of task-sharing (TS) in neurosurgery, delegating clinical roles to non-neurosurgeons, is not well understood. This study evaluated an ongoing TS model in the Philippines, where neurosurgical workforce deficits are compounded with a large neurotrauma burden.

methodsMedical records from emergency neurosurgical admissions to 2 hospitals were reviewed (January 2015-June 2018): Bicol Medical Center (BMC), a government hospital in which emergency neurosurgery is chiefly performed by general surgery residents (TS providers), and Mother Seton Hospital, an adjacent private hospital where neurosurgery consultants are the primary surgeons. Univariable and multivariable linear and logistic regression compared provider-associated outcomes.

resultsOf 214 emergency neurosurgery operations, TS providers performed 95 and neurosurgeons, 119. TS patients were more often male (88.4% vs. 73.1%;

conclusionsThis study, one of the first to examine outcomes of neurosurgical TS, shows that a strategic TS model for emergency neurosurgery produces comparable outcomes to the local neurosurgeons.

Indexed as

BMC, Bicol Medical CenterCI, Confidence intervalCT, Computed tomographyGCS, Glasgow Coma ScaleGlobal healthGlobal neurosurgeryHIC, High-income countryICU, Intensive care unitLMICLMIC, Low- and middle-income countryMS, Mother Seton HospitalNeurotraumaOR, Odds ratioTask-sharingTask-shiftingTBI, Traumatic brain injuryTS/S, Task-shifting and task-sharingTS, Task-sharingWorkforce

Identifiers

PMID32309799
PMCPMC7154225
OpenAlexW2972776223

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.