Evidence map›Paper›PMID 33103109›Full record

ArticleWorld neurosurgery: X2020

The World Federation of Neurosurgical Societies Young Neurosurgeons Survey (Part I): Demographics, Resources, and Education.

Sujit Gnanakumar, Bilal Abou El Ela Bourquin, Faith C Robertson, Davi J Fontoura Solla, Claire Karekezi, Kerry Vaughan, Roxanna M Garcia, Fahd Derkaoui Hassani, Alexander Alamri, Julius Höhne and 14 more

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.3field-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

14 citing papers in PubMed, 40 citations in OpenAlex.

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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

24 authors at 19 institutions in 13 countries.

Sujit GnanakumarSchool of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
Bilal Abou El Ela BourquinSchool of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
Faith C RobertsonDepartment. of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Davi J Fontoura SollaDepartment of Neurosurgery, University of São Paulo, Brazil.
Claire KarekeziDepartment of Neurosurgery, Rwanda Military Hospital, Kigali, Rwanda.
Kerry VaughanDepartment of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Roxanna M GarciaDepartment of Neurosurgery, Northwestern University, Chicago, Illinois, USA.
Fahd Derkaoui HassaniDepartment of Neurosurgery, Cheikh Zaid International Hospital, Abulcasis International University of Health Sciences, Rabat, Morocco.
Alexander AlamriDepartment of Neurosurgery, The Royal London Hospital, London, United Kingdom.
Julius HöhneDepartment of Neurosurgery, University Medical Center Regensburg, Regensburg, Germany.
Nesrine MentriDepartment of Neurosurgery, Bejaia University Hospital, Bejaia, Algeria.
Martin StienenDepartment of Neurosurgery, University Hospital Zurich and Clinical Neuroscience Center, University of Zurich, Switzerland.
Tsegazeab LaekeDepartment of Surgery, Neurosurgery Unit, Addis Ababa University, College of Health Sciences, Addis Ababa, Ethiopia.
Luis Rafael Moscote-SalazarDepartment of Neurosurgery, University of Cartagena, Cartagena de Indias, Colombia.
Ahmed Nasser Al-AhmariDivision of Neurosurgery, Department of Neurosciences, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Hosam Al-JehaniDepartment of Neurosurgery, King Fahad Hospital of the University, Imam Abdulrahman bin Faisal University, Alkhobar, Saudi Arabia.
Federico NicolosiDepartment of Neurosurgery, Humanitas University and Research Hospital, Rozzano, Milan, Italy.
Nicolás SamprónServicio de Neurocirugía, Hospital Universitario Donostia, San Sebastián, Spain.
P David AdelsonBarrow Neurological Institute at Phoenix Children's Hospital, Phoenix, Arizona, USA.
Franco ServadeiDepartment of Neurosurgery, Humanitas University and Research Hospital, Rozzano, Milan, Italy.
Ignatius N EseneNeurosurgery Division, Department of Surgery, University of Bamenda, Bamenda, Cameroon.
Amro Al-HabibDivision of Neurosurgery, Department of Surgery, King Saud University, Riyadh, Saudi Arabia.
Angelos G KoliasNational Institute for Health Research Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, United Kingdom.
World Federation of Neurosurgical Societies Young Neurosurgeons Committee
University of Cambridge · GBHumanitas University · ITAddis Ababa University · ETBarrow Neurological Institute · USHôpital Universitaire International Cheikh Khalifa · MAKing Fahd Hospital of the University · SAKing Faisal Specialist Hospital & Research Centre · SAKing Saud University · SAMassachusetts General Hospital · USNorthwestern University · USRoyal London Hospital · GBRwanda Military Hospital · RWUniversidade de São Paulo · BRUniversity Hospital Regensburg · DEUniversity of Bamenda · CMUniversity of Béjaïa · DZUniversity of Cartagena · COUniversity of Pennsylvania · USUniversity of Zurich · CH

Funding

Partnership for Global Health Research Training Program (Renewal)-Supplement for OBSSR, NCI, NCI-AIDS and NIDCDD43TW010543 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, DAVIDSON HOWES HAMER · 2017 to 2026
$12.1M
FIC NIH HHS D43 TW010543
6 · The paper itself

Abstract

backgroundProviding a comprehensive and effective neurosurgical service requires adequate numbers of well-trained, resourced, and motivated neurosurgeons. The survey aims to better understand 1) the demographics of young neurosurgeons worldwide; 2) the challenges in training and resources that they face; 3) perceived barriers; and 4) needs for development.

methodsThis was a cross-sectional study in which a widely disseminated online survey (April 2018-November 2019) was used to procure a nonprobabilistic sample from current neurosurgical trainees and those within 10 years of training. Data were grouped by World Bank income classifications and analyzed using χ

resultsThere were 1294 respondents, with 953 completed responses included in the analysis. Of respondents, 45.2% were from high-income countries (HICs), 23.2% from upper-middle-income countries, 26.8% lower-middle-income countries, and 4.1% from low-income countries. Most respondents (79.8%) were male, a figure more pronounced in lower-income groups. Neuro-oncology was the most popular in HICs and spinal surgery in all other groups. Although access to computed tomography scanning was near universal (98.64%), magnetic resonance imaging access decreased to 66.67% in low-income countries, compared with 98.61% in HICs. Similar patterns were noted with access to operating microscopes, image guidance systems, and high-speed drills. Of respondents, 71.4% had dedicated time for neurosurgical education.

conclusionsThese data confirm and quantify disparities in the equipment and training opportunities among young neurosurgeons practicing in different income groups. We hope that this study will act as a guide to further understand these differences and target resources to remedy them.

Indexed as

aSAH, aneurysmal subarachnoid hemorrhageCT, Computed tomographyDemographicsEducationGlobal healthGlobal neurosurgeryHICs, High-income countriesICU, Intensive care unitLICs, Low-income countriesLMICs, Low-middle-income countriesMRI, Magnetic resonance imagingNeurosurgeryResourcesTrainingUMICs, Upper-middle-income countries

Identifiers

PMID33103109
PMCPMC7573644
OpenAlexW3028019051

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Registered trials

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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.