Evidence map›Paper›PMID 34117527›Full record

ArticleJournal of neurology2022

Global survey on disruption and mitigation of neurological services during COVID-19: the perspective of global international neurological patients and scientific associations.

Chahnez Charfi Triki, Matilde Leonardi, Salma Zouari Mallouli, Martina Cacciatore, Kimberly Coard Karlshoej, Francesca Giulia Magnani, Charles R Newton, Andrea Pilotto, Deanna Saylor, Erica Westenberg and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Bayesian age-period-cohort analysis and trend prediction of epilepsy disease burden in China, 1990-2021.Epileptic disorders : international epilepsy journal with videotape · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Health Services Utilization in China during the COVID-19 Pandemic: Results from a Large-Scale Online Survey.International journal of environmental research and public health · 2022
    Article
  9. Review
  10. Article
  11. Article
  12. 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

15 authors at 10 institutions in 8 countries.

Chahnez Charfi Triki *Child Neurology Department, Hédi Chaker Hospital, LR19ES15, Sfax University, Sfax, Tunisia.ORCID http://orcid.org/0000-0003-2918-3819
Matilde Leonardi *Neurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy. Matilde.leonardi@istituto-besta.it.ORCID http://orcid.org/0000-0003-0552-8923
Salma Zouari MallouliChild Neurology Department, Hédi Chaker Hospital, LR19ES15, Sfax University, Sfax, Tunisia.
Martina CacciatoreNeurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Kimberly Coard KarlshoejWorld Federation of Neurology, Cqhester House, Fulham Green, 81-83 Fulham High Street, London, SW6 3JA, UK.
Francesca Giulia MagnaniNeurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Charles R NewtonDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-6999-5507
Andrea PilottoNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID http://orcid.org/0000-0003-2029-6606
Deanna SaylorDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Erica WestenbergDepartment of Neurology, Center for Global Health, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0003-3131-6983
Donna WalshEuropean Federation of Neurological Associations, Brussels, Belgium.ORCID http://orcid.org/0000-0003-0028-0818
Andrea Sylvia WinklerDepartment of Neurology, Center for Global Health, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Kiran T ThakurDepartment of Neurology, Columbia-Irving University Medical Center/New York Presbyterian Hospital, New York, USA.ORCID http://orcid.org/0000-0003-0050-0323
Njideka U OkubadejoNeurology Unit, Department of Neurology, College of Medicine, University of Lagos, Lagos, Nigeria.ORCID http://orcid.org/0000-0003-2975-8803
David Garcia-AzorinDepartment of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.ORCID http://orcid.org/0000-0002-3132-1064
Fondazione IRCCS Istituto Neurologico Carlo Besta · ITHopital Universitaire Hedi Chaker · TNHospital Clínico Universitario de Valladolid · ESJohns Hopkins University · USNewYork–Presbyterian Hospital · USTUM Klinikum · DEUniversity of Brescia · ITUniversity of Lagos · NGUniversity of Oslo · NOUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic outbreak has dramatically disrupted healthcare systems. Two rapid WHO pulse surveys studied disruptions in mental health services, but did not particularly focus on neurology. Here, a global survey was conducted and addresses the impact of the pandemic on neurology services.

methodsA cross-sectional study was carried out in which 34 international neurological associations were asked to distribute the survey to national associations. The responses represented the national situation, in November-December 2020, with regard to the main disrupted neurological services, reasons and the mitigation strategies implemented as well as the disruption on training of residents and on neurological research. A comparison with the situation in February-April 2020, first pandemic wave, was also requested.

findings54 completed surveys came from 43 countries covering all the 6 WHO regions. Overall, neurological services disruption was reported as mild by 26%, moderate by 30%, complete by 13% of associations. The most affected services were cross-sectoral neurological services (57%) and neurorehabilitation (56%). The second wave of the pandemic, however, was associated with the improvement of service provision for diagnostics services (44%) and for neurorehabilitation (41%). Governmental directives were the major cause of services' disruption (56%). Mitigation strategies were mostly established through telemedicine (48%). Almost half of respondents reported a significant impact on neurological research (48%) and educational activities (60%). Most associations (67%) were not involved in decision making for neurological patients' issues by their national government.

interpretationThe COVID-19 pandemic affects neurological services and raises the universal need for the development of neurological health care at the policy, systems and services levels. A global national plan on mitigation strategies for disruption of neurological services during pandemic situations should be established and neurological scientific and patients associations should get involved in decision making.

Indexed as

COVID-19Cross-Sectional StudiesHumansPandemicsSARS-CoV-2Surveys and QuestionnairesCOVID-19Health services administrationNeurological servicesNeurologyPolicies

Identifiers

PMID34117527
PMCPMC8195244
OpenAlexW3167272183

What OpenQuestion holds

Textmetadata
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.