Evidence map›Paper›PMID 37491325›Full record

ArticleNeurology2023

Access to Pediatric Neurology Training and Services Worldwide: A Survey by the International Child Neurology Association.

Jo M Wilmshurst, Coriene Catsman-Berrevoets, Donald L Gilbert, Lakshmi Nagarajan, Pauline Samia, Esra Serdaroglu, Chahnez Triki, Jorge Vidaurre, Biju Hameed, Pediatric Neurology Training Study Group

Erratum issuedOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
14.5field-weighted citation impact, top 1% 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

11 citing papers in PubMed, 32 citations in OpenAlex.

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  11. Diagnostic pathways and barriers in multiple sclerosis in Zambia: A qualitative study.Multiple sclerosis journal - experimental, translational and clinical
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 7 countries.

Jo M WilmshurstFrom the Department of Paediatric Neurology (J.M.W.), Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa; Department of Paediatric Neurology (C.C.-B.), ErasmusMC / Sophia Childrens Hospital, Rotterdam, the Netherlands; Division of Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, OH; Department of Neurology (L.N.), Perth Children's Hospital; Faculty of Health and Medical Sciences, UWA; Telethon Kids Institute, Perth, Australia; Department of Paediatrics and Child Health (P.S.), Medical College, Aga Khan University, Nairobi, Kenya; Department of Child Neurology (E.S.), Gazi University School of Medicine, Ankara, Turkey; Child Neurology Department (C.T.), Hedi Chaker Hospital, University of Sfax, Tunisia; Pediatric Clinical Neurophysiology Fellowship (J.V.), Nationwide Children's Hospital, The Ohio State University; and Department of Paediatric Neurology and Neurodisability (B.H.), Great Ormond Street Hospital for Children, London. jo.wilmshurst@uct.ac.za.ORCID 0000-0001-7328-1796
Coriene Catsman-BerrevoetsFrom the Department of Paediatric Neurology (J.M.W.), Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa; Department of Paediatric Neurology (C.C.-B.), ErasmusMC / Sophia Childrens Hospital, Rotterdam, the Netherlands; Division of Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, OH; Department of Neurology (L.N.), Perth Children's Hospital; Faculty of Health and Medical Sciences, UWA; Telethon Kids Institute, Perth, Australia; Department of Paediatrics and Child Health (P.S.), Medical College, Aga Khan University, Nairobi, Kenya; Department of Child Neurology (E.S.), Gazi University School of Medicine, Ankara, Turkey; Child Neurology Department (C.T.), Hedi Chaker Hospital, University of Sfax, Tunisia; Pediatric Clinical Neurophysiology Fellowship (J.V.), Nationwide Children's Hospital, The Ohio State University; and Department of Paediatric Neurology and Neurodisability (B.H.), Great Ormond Street Hospital for Children, London.ORCID 0000-0003-3112-4009
Donald L GilbertFrom the Department of Paediatric Neurology (J.M.W.), Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa; Department of Paediatric Neurology (C.C.-B.), ErasmusMC / Sophia Childrens Hospital, Rotterdam, the Netherlands; Division of Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, OH; Department of Neurology (L.N.), Perth Children's Hospital; Faculty of Health and Medical Sciences, UWA; Telethon Kids Institute, Perth, Australia; Department of Paediatrics and Child Health (P.S.), Medical College, Aga Khan University, Nairobi, Kenya; Department of Child Neurology (E.S.), Gazi University School of Medicine, Ankara, Turkey; Child Neurology Department (C.T.), Hedi Chaker Hospital, University of Sfax, Tunisia; Pediatric Clinical Neurophysiology Fellowship (J.V.), Nationwide Children's Hospital, The Ohio State University; and Department of Paediatric Neurology and Neurodisability (B.H.), Great Ormond Street Hospital for Children, London.
Lakshmi NagarajanFrom the Department of Paediatric Neurology (J.M.W.), Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa; Department of Paediatric Neurology (C.C.-B.), ErasmusMC / Sophia Childrens Hospital, Rotterdam, the Netherlands; Division of Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, OH; Department of Neurology (L.N.), Perth Children's Hospital; Faculty of Health and Medical Sciences, UWA; Telethon Kids Institute, Perth, Australia; Department of Paediatrics and Child Health (P.S.), Medical College, Aga Khan University, Nairobi, Kenya; Department of Child Neurology (E.S.), Gazi University School of Medicine, Ankara, Turkey; Child Neurology Department (C.T.), Hedi Chaker Hospital, University of Sfax, Tunisia; Pediatric Clinical Neurophysiology Fellowship (J.V.), Nationwide Children's Hospital, The Ohio State University; and Department of Paediatric Neurology and Neurodisability (B.H.), Great Ormond Street Hospital for Children, London.ORCID 0000-0003-1608-6198
Pauline SamiaFrom the Department of Paediatric Neurology (J.M.W.), Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa; Department of Paediatric Neurology (C.C.-B.), ErasmusMC / Sophia Childrens Hospital, Rotterdam, the Netherlands; Division of Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, OH; Department of Neurology (L.N.), Perth Children's Hospital; Faculty of Health and Medical Sciences, UWA; Telethon Kids Institute, Perth, Australia; Department of Paediatrics and Child Health (P.S.), Medical College, Aga Khan University, Nairobi, Kenya; Department of Child Neurology (E.S.), Gazi University School of Medicine, Ankara, Turkey; Child Neurology Department (C.T.), Hedi Chaker Hospital, University of Sfax, Tunisia; Pediatric Clinical Neurophysiology Fellowship (J.V.), Nationwide Children's Hospital, The Ohio State University; and Department of Paediatric Neurology and Neurodisability (B.H.), Great Ormond Street Hospital for Children, London.ORCID 0000-0002-7427-0439
Esra SerdarogluFrom the Department of Paediatric Neurology (J.M.W.), Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa; Department of Paediatric Neurology (C.C.-B.), ErasmusMC / Sophia Childrens Hospital, Rotterdam, the Netherlands; Division of Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, OH; Department of Neurology (L.N.), Perth Children's Hospital; Faculty of Health and Medical Sciences, UWA; Telethon Kids Institute, Perth, Australia; Department of Paediatrics and Child Health (P.S.), Medical College, Aga Khan University, Nairobi, Kenya; Department of Child Neurology (E.S.), Gazi University School of Medicine, Ankara, Turkey; Child Neurology Department (C.T.), Hedi Chaker Hospital, University of Sfax, Tunisia; Pediatric Clinical Neurophysiology Fellowship (J.V.), Nationwide Children's Hospital, The Ohio State University; and Department of Paediatric Neurology and Neurodisability (B.H.), Great Ormond Street Hospital for Children, London.ORCID 0000-0001-9925-0859
Chahnez TrikiFrom the Department of Paediatric Neurology (J.M.W.), Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa; Department of Paediatric Neurology (C.C.-B.), ErasmusMC / Sophia Childrens Hospital, Rotterdam, the Netherlands; Division of Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, OH; Department of Neurology (L.N.), Perth Children's Hospital; Faculty of Health and Medical Sciences, UWA; Telethon Kids Institute, Perth, Australia; Department of Paediatrics and Child Health (P.S.), Medical College, Aga Khan University, Nairobi, Kenya; Department of Child Neurology (E.S.), Gazi University School of Medicine, Ankara, Turkey; Child Neurology Department (C.T.), Hedi Chaker Hospital, University of Sfax, Tunisia; Pediatric Clinical Neurophysiology Fellowship (J.V.), Nationwide Children's Hospital, The Ohio State University; and Department of Paediatric Neurology and Neurodisability (B.H.), Great Ormond Street Hospital for Children, London.ORCID 0000-0003-2918-3819
Jorge VidaurreFrom the Department of Paediatric Neurology (J.M.W.), Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa; Department of Paediatric Neurology (C.C.-B.), ErasmusMC / Sophia Childrens Hospital, Rotterdam, the Netherlands; Division of Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, OH; Department of Neurology (L.N.), Perth Children's Hospital; Faculty of Health and Medical Sciences, UWA; Telethon Kids Institute, Perth, Australia; Department of Paediatrics and Child Health (P.S.), Medical College, Aga Khan University, Nairobi, Kenya; Department of Child Neurology (E.S.), Gazi University School of Medicine, Ankara, Turkey; Child Neurology Department (C.T.), Hedi Chaker Hospital, University of Sfax, Tunisia; Pediatric Clinical Neurophysiology Fellowship (J.V.), Nationwide Children's Hospital, The Ohio State University; and Department of Paediatric Neurology and Neurodisability (B.H.), Great Ormond Street Hospital for Children, London.
Biju HameedFrom the Department of Paediatric Neurology (J.M.W.), Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa; Department of Paediatric Neurology (C.C.-B.), ErasmusMC / Sophia Childrens Hospital, Rotterdam, the Netherlands; Division of Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, OH; Department of Neurology (L.N.), Perth Children's Hospital; Faculty of Health and Medical Sciences, UWA; Telethon Kids Institute, Perth, Australia; Department of Paediatrics and Child Health (P.S.), Medical College, Aga Khan University, Nairobi, Kenya; Department of Child Neurology (E.S.), Gazi University School of Medicine, Ankara, Turkey; Child Neurology Department (C.T.), Hedi Chaker Hospital, University of Sfax, Tunisia; Pediatric Clinical Neurophysiology Fellowship (J.V.), Nationwide Children's Hospital, The Ohio State University; and Department of Paediatric Neurology and Neurodisability (B.H.), Great Ormond Street Hospital for Children, London.ORCID 0000-0002-8783-6163
Pediatric Neurology Training Study Group
Nationwide Children's Hospital · USErasmus MC - Sophia Children’s Hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric neurology is the medical subspecialty responsible for diagnosing and managing diseases and disorders of the nervous system in childhood and adolescence. In many, but not all, regions of the world, the discipline of pediatric neurology is recognized as a specialty or subspecialty of either neurology or pediatrics. Significant knowledge and competencies in this area are necessary to be effective in clinical practice. The need for this is driven by the high burden of disease from neurologic conditions in children and the effect on their families. As the first part of a multistaged project under the auspices of the International Child Neurology Association, in collaboration with key stakeholders, a survey was undertaken to establish which countries have practicing child neurologists. For those countries that have child neurologists, the survey established the number of practitioners and which countries have access to in-country child neurology training. Responses were obtained from 177 countries. Worldwide, there is a median of 0.07 and mean of 0.39 child neurologists per 100,000 population. The greatest deficits in child neurology specialists and access to training were evident in countries which fell under the World Bank rating of low-income country status (range of 0-0.008 child neurologists per 100,000 population). Seventy-three percent of low-income countries lack access to child neurologists: The majority are in the African and South-East Asia regions. For the population of 1.37 billion in the continent of Africa, there were 324 child neurologists, equating to a median of 0.01 per 100,000 population in comparison with a median of 0.59 child neurologists per 100,000 across high-income countries. Ninety-four countries had capacity to support in-country pediatric neurology training. Worldwide, there are inadequate numbers of child neurologists and a great need for increased training capacity.

Indexed as

Nervous System DiseasesNeurologyChildEducation, Medical, GraduateHumansNeurologistsSurveys and Questionnaires

Identifiers

PMID37491325
PMCPMC10634651
OpenAlexW4385235673

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.