Evidence map›Paper›PMID 36948199›Full record

ArticleArquivos de neuro-psiquiatria2023

There is no shortage, but inequality: demographic evolution of neurologists in Brazil (2010-2020).

Bruno Lopes Santos-Lobato, Pedro José Tomaselli, Edienny Augusta Viana Santos-Lobato, Alex Jones Flores Cassenote, Hideraldo Luis Souza Cabeça

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Article in Arquivos de neuro-psiquiatria, 2023. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Health disparities in neurology.Nature reviews. Neurology · 2025
    Review
  11. Article
  12. Review
  13. Revisiting Africa's Stroke Obstacles and Services (SOS).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  14. 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

5 authors.

Bruno Lopes Santos-LobatoUniversidade Federal do Pará, Laboratório de Neuropatologia Experimental, Belém PA, Brazil.ORCID 0000-0001-9321-5710
Pedro José TomaselliUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.ORCID 0000-0002-1485-3771
Edienny Augusta Viana Santos-LobatoUniversidade do Estado do Pará, Programa de Pós-Graduação de Educação em Saúde na Amazônia, Belém PA, Brazil.ORCID 0000-0002-4726-1027
Alex Jones Flores CassenoteUniversidade de São Paulo, Faculdade de Medicina de São Paulo, São Paulo SP, Brazil.ORCID 0000-0002-5098-1922
Hideraldo Luis Souza CabeçaHospital Ophir Loyola, Belém PA, Brazil.ORCID 0000-0002-5452-6572

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurology is a medical specialty that deals with prevalent diseases such as stroke, headache, epilepsy, and neurodegenerative diseases. Many countries, such as Brazil, struggle to provide neurological care for their populations, but the inadequacy and unequal distribution of the neurologist workforce are real challenges.

objectiveTo analyze the demographic evolution of neurologists and the first-year Neurology residency positions in Brazil during the last decade (2010-2020) and the distribution imbalance between regions.

methodsThe demographic and geographic distribution of neurologists was calculated based on data extracted from the Brazilian Federal Medical Council reports, and the number of Neurology residency positions was based on the Brazilian National Commission of Medical Residency reports. Indicators of wealth were associated with demographic data.

resultsThe number of neurologists per 100,000 population has increased since 2011, with a similar increase in the geographic distribution of neurologists. However, there was a marked inequality of distribution of neurologists through regions, with a gap between the Northern (lowest) and Southeastern (highest) regions. Furthermore, the imbalance of distribution of neurologists strongly correlated with social inequality. The number of Neurology residency positions increased, but with an imbalance between North and Southeast regions.

conclusionsBrazil has advanced in providing neurologists. However, instead of a shortage, inequality between regions is the greatest challenge regarding the neurological workforce. The training of new neurologists is unequal between regions and occurs at a slower rate than needed. Neurologists, public health authorities, and patients should discuss solutions for these issues.

Indexed as

NeurologistsNeurologyBrazilDemographyHumansWorkforce

Identifiers

PMID36948199
PMCPMC10033185

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Textfull text, public
LicenceCC BY
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Read underepoch 390

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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.